Month: April 2020

Uncategorized Published - 30 April, 2020    By - Dr Clemens
Perioperative Gabapentinoids Increase Adverse Effects With Little Analgesia

Author: Michael Vlessides Anesthesiology News The ongoing debate surrounding the efficacy of perioperative gabapentinoids in adult patients may be over, at least for the management of acute postoperative pain. A team of Canadian researchers concluded that perioperative use of gabapentinoids yields no clinically significant analgesic effect, and comes with an increased risk for adverse events. […]

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Uncategorized Published - 30 April, 2020    By - Dr Clemens
Influence of an “Electroencephalogram-Based” Monitor Choice on the Delay Between the Predicted Propofol Effect-Site Concentration and the Measured Drug Effect

AUTHORS: Sahinovic, Marko M. MD, PhD et al Anesthesia & Analgesia: February 2020 BACKGROUND: Clinicians can optimize propofol titration by using 2 sources of pharmacodynamic (PD) information: the predicted effect-site concentration for propofol (Ceprop) and the electroencephalographically (EEG) measured drug effect. Relation between these sources should be time independent, that is, perfectly synchronized. In reality, […]

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Uncategorized Published - 30 April, 2020    By - Dr Clemens
Cannabis Dependence, Abuse Nearly Doubles Risk of MI After Surgery

Patients with active cannabis dependence and abuse were nearly twice as likely to suffer a myocardial infarction (MI) after surgery, according to a study published in Anesthesiology. The study also found that the prevalence of cannabis dependence or abuse recorded among surgical patients increased significantly over the last decade. For the study, Li Ka Shing, MD, […]

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Uncategorized Published - 30 April, 2020    By - Dr Clemens
Study Supports Long-Term Benefits of Non-Drug Therapies for Chronic Pain

Non-drug therapies given to patients with chronic pain may reduce the risk of long-term adverse outcomes, such as alcohol and drug disorder and self-induced injuries, including suicide attempts, according to a study published in the Journal of General Internal Medicine. The study found that service members with chronic pain who received non-drug therapies while in the […]

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Uncategorized Published - 30 April, 2020    By - Dr Clemens
Your Blood Pressure May Vary Significantly Depending on Where on Your Body It’s Taken

Author: Carly Casella Science Alert Measuring a person’s blood pressure has been a mainstay of medical treatment for over a century, but the way we currently go about it is not always accurate or consistent. We make a lot of assumptions, after all, that one reading at one site can tell us what’s going on […]

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Uncategorized Published - 29 April, 2020    By - Dr Clemens
Anaphylaxis From Chlorhexidine Considerably Underestimated

Author: Michael Vlessides Anesthesiology News Medical professionals might be underestimating the anaphylactic potential of chlorhexidine, one of the most common antimicrobial agents in the OR, according to a recent study in Canada. Although the study found that the majority of clinicians were aware of chlorhexidine’s allergic potential, the frequency with which the agent causes anaphylaxis […]

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Uncategorized Published - 29 April, 2020    By - Dr Clemens
Sedation Monitors Required for Off-Pump CABG Surgery

Author: Michael Vlessides Anesthesiology News Anesthetic requirements in patients undergoing off-pump coronary artery bypass graft (OPCABG) surgery decrease linearly with simultaneous falls in core body temperature, a study has found. The researchers concluded that clinicians who do not use sedation monitors to guide the depth of anesthesia may actually be oversedating these patients, potentially leading […]

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Uncategorized Published - 29 April, 2020    By - Dr Clemens
Extra Antiemetics Not Better for Bypass

Author:  Naveed Saleh MD, MS Anesthesiology News In gastric bypass patients, the quantity of intraoperative antiemetic agents (ie, “triple” therapy vs. “dual” therapy) is not related to postoperative nausea and vomiting, according to the results of a National Health Service study in the United Kingdom. The researchers were surprised by the results of this small […]

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Uncategorized Published - 29 April, 2020    By - Dr Clemens
Is the Golden Age of Academic Anesthesia Over?

Author: John G. Brock-Utne, MD, PhD Anesthesiology News Times have changed, and as several authors have warned,1-3 anesthesiology is losing its position as a respected academic discipline. Academic anesthesia, as many of us have known it, may soon be a candidate for the endangered species list. The administrations of many medical schools and their affiliated hospitals […]

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Uncategorized Published - 29 April, 2020    By - Dr Clemens
Does Vitamin D Status Influence Lumbar Disc Degeneration, Low Back Pain in Postmenopausal Women?

Vitamin D deficiency is associated with more severe lumbar disc degeneration and greater back pain, according to a study published in Menopause. Previous studies have shown the effect of oestrogen on disc degeneration, which partially explains why degeneration is more severe in postmenopausal women than in men of the same age. In addition to lower oestrogen […]

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