Month: February 2020

Uncategorized Published - 21 February, 2020    By - Dr Clemens
Methadone-Induced Torsades de Pointes Leading to Cardiac Arrest in a Patient With Chronic Pain

Authors: Taruna W. Penmetcha, MD et al  Anesthesiology News A Case Report and Review Methadone is a mu agonist used in detoxification treatment for patients who abuse opioids and to treat those in chronic pain.1 Methadone is also an N-methyl-D-aspartate (NMDA) receptor antagonist, which makes it a unique drug for management of neuropathic pain and opioid-induced hyperalgesia.2 It […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
POLITICO-Harvard Poll: Health care costs are top priority heading into elections

Author: ADAM CANCRYN Politico Both parties agree the focus should be on pocketbook health issues, rather than a dramatic overhaul like “Medicare for All.” Americans have a clear message for President Donald Trump and the Democratic candidates vying to replace him: Lower health care costs. The vast majority of Americans rank cutting health care and […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
The Antipsychotic Amisulpride Proves Effective As Rescue Treatment for PONV

Author: Bob Kronemyer Anesthesiology News A single 10-mg dose of IV amisulpride (BARHEMSYS, Acacia) was statistically more effective than placebo as rescue treatment for postoperative nausea and vomiting (PONV) in high-risk patients who failed prophylactic agents, according to a multicenter phase 3 study. Amisulpride has been approved as an oral antipsychotic for over 30 years […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
iPACK Block Demonstrates Better Analgesia on Day of Total Knee Arthroplasty

Author: Chase Doyle Anesthesiology News Balancing the goals of analgesia with early ambulation after total knee arthroplasty has led to increasingly selective regional analgesia that can sometimes fail to provide optimal pain control. However, recent analysis suggests that adding the iPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) block may offer patients […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
A Population-Based Analysis of Intraoperative Cardiac Arrest in the United States

AUTHORS: Fielding-Singh, Vikram MD, JD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 627-634 BACKGROUND:  A new billable code for intraoperative cardiac arrest was introduced with the International Classification of Diseases, Tenth Revision, classification system. Using a national administrative database, we performed a retrospective analysis of intraoperative cardiac arrest in […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
Anesthesia With and Without Nitrous Oxide and Long-term Cognitive Trajectories in Older Adults

AUTHORS: Sprung, Juraj MD, PhD et al Anesthesia & Analgesia: October 18, 2019 – BACKGROUND: We evaluated the hypothesis that the rate of postoperative decline in global cognition is greater in older adults exposed to general anesthesia with nitrous oxide (N2O) compared to general anesthesia without N2O. METHODS: Longitudinal measures of cognitive function were analyzed […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
1 in 4 drug OD involves kids or teens

Author: Alan Mozes HealthDay  More than a quarter of all opioid overdoses in the United States involve teenagers, and a full fifth of those cases were likely suicide attempts, new research shows. The findings follow an in-depth analysis of nearly 754,000 American opioid poisoning cases that occurred between 2005 and 2018. All had been reported […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Characteristics of Dexmedetomidine Postconditioning in the Field of Myocardial Ischemia–Reperfusion Injury

AUTHORS: Bunte, Sebastian MD et al Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 90-98 BACKGROUND:  Timing and onset of myocardial ischemia are mostly unpredictable. Therefore, postconditioning could be an effective cardioprotective intervention. Because ischemic postconditioning is an invasive and not practicable treatment, pharmacological postconditioning would be a more suitable […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Assessment of Fluid Responsiveness in Prone Neurosurgical Patients Undergoing Protective Ventilation: Role of Dynamic Indices, Tidal Volume Challenge, and End-Expiratory Occlusion Test

AUTHORS: Messina, Antonio MD, PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 752-761 BACKGROUND:  In patients in the prone position, the reliability of pulse pressure variation and stroke volume variation (PPV and SVV) and the use of functional hemodynamic tests to predict fluid responsiveness have not previously […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Why health care AI can’t replace medicine’s human component

Author: Andis Robeznieks AMA The AMA deliberately uses the term augmented intelligence (AI)—rather than the more common term “artificial intelligence”—when referring to machine-learning computer algorithms that hold the potential to produce dramatic breakthroughs for health care research, population health risk-stratification and diagnostic support. HIT trends in health care And there’s a good reason for that. “In health […]

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