Month: March 2020

Uncategorized Published - 25 March, 2020    By - Dr Clemens
Role culture plays in feeling sick

I thought this was interesting so wanted to share with our readers. Author: Milady Nazir Science Daily Summary: Scientists think that a person’s values may shape views on ”socially appropriate sickness.” This has implications for how individuals may take more action in dealing with illness rather than spreading further disease. According to the researchers, stoics […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Persistent Post-op Opioid Use Jumps in Adolescence

Author: Michael Vlessides Anesthesiology News Mimicking results in adults, new research has found that opioid-naive children are at increased risk for persistent opioid use after surgery. According to a team of investigators at Stanford University School of Medicine, in California, while persistent postoperative opioid use was relatively infrequent among patients less than 12 years of […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Emergent airway management outside of the operating room – a retrospective review of patient characteristics, complications and ICU stay

Authors: Uzung Yoon et al BMC Anesthesiology volume 19, Article number: 220 (2019) Background Emergent airway management outside of the operating room is a high-risk procedure. Limited data exists about the indication and physiologic state of the patient at the time of intubation, the location in which it occurs, or patient outcomes afterward. Methods We retrospectively collected data on all […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Rate, Rhythm, and Risk: Perioperative New-Onset Atrial Fibrillation

Author: Nathan, Naveen MD Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 1 The development of new-onset atrial fibrillation (NOAF) represents the most common arrhythmia managed by anesthesiologists in the perioperative period. Although in many cases this entity is self-limited or is quickly ameliorated with therapy, NOAF originates an independent […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
Hypoxemia Within the First 3 Postoperative Days Is Associated With Increased 1-Year Postoperative Mortality After Adjusting for Perioperative Opioids and Other Confounders

AUTHORS: Bartels, Karsten MD, PhD et al Anesthesia & Analgesia: December 6, 2019  BACKGROUND:  Postoperative hypoxemia (POH) is common and primarily treated with temporary oxygen supplementation. Because the clinical impact of POH is sometimes presumed as minor, efforts to better understand and minimize it have been limited. Here, we hypothesized that, after adjusting for opioids […]

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Uncategorized Published - 24 March, 2020    By - Dr Clemens
People Suffering from Stress-Related Disorders Have a Higher Risk of Developing Neurodegenerative Diseases

By Robert Dillard doc wire People suffering from stress-related disorders, such as posttraumatic stress disorder (PTSD) have an increased risk of developing neurodegenerative diseases, according to a new study published in JAMA Neurology. In this population-matched and sibling cohort study, researchers compared 61,748 individuals diagnosed with stress-related disorders (PTSD, acute stress reaction, adjustment disorder, and other stress reactions) […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
Neuromodulation: more than a placebo effect?

Authors: Kjær, Sophie W et PAIN: March 2020 – Volume 161 – Issue 3 – p 491-495 1. Introduction Neuromodulation interventions use electrical stimulation to modulate neuronal activity and elicit a therapeutic response.19 These procedures are generally adjustable, reversible, and have demonstrated some efficacy in the treatment of several conditions, including chronic pain.26 Despite promising evidence in […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
The Role of Prone Positioning in the Management of Acute Respiratory Failure After Cardiac Surgery

Authors: Shekhar Saha, MD et al Cardiothoracic and Vascular Anesthesia Objectives The aim of this study was to determine the benefit of prone positioning (PP) in patients developing acute respiratory failure (ARF) after cardiac surgery. Design A retrospective analysis. Setting Review of the institutional database between October 2016 and October 2018 revealed 24 patients who […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
After Bariatric Surgery, Patients May Have Lower Risk for Colorectal Cancer

By Kelly Young Bariatric surgery is associated with lower risk for subsequent colorectal cancer, suggests an observational study in JAMA Surgery. Researchers studied obese adults aged 50 to 75 years who were hospitalized in France. Colorectal cancer rates were compared between 74,000 who underwent bariatric surgery and 970,000 who did not. During roughly 5 years’ follow-up, […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
Central Line Guidewire Confirmation With TEE

RK.MD blog Whenever my residents/fellows or I place central venous catheters (CVCs) in the operating room in a case where we’ll be performing intraoperative transesophageal echocardiography (TEE), I always place the TEE probe beforehand. I obtain a midesophageal bicaval view looking for preexisting hardware in the patient’s right atrium (RA) such as ICD wires, PICC […]

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