Month: November 2020

Uncategorized Published - 6 November, 2020    By - Dr Clemens
Does general anesthesia increase dementia risk?

Author: Wiley Medical X Press There are concerns that exposure to general anesthesia during surgery may contribute to an increased risk of Alzheimer’s disease. To investigate, researchers compared exposure to general anesthesia versus regional anesthesia during elective surgery, looking for potential links to the development of dementia. The Journal of the American Geriatrics Society study included 7,499 […]

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Uncategorized Published - 6 November, 2020    By - Dr Clemens
Dr. Alok Sharan: Coronavirus, cost savings will speed adoption of awake spine surgery

Author: Alan Condon Becker’s Spine Review Alok Sharan, MD, was recently appointed director of spine and orthopedics at NJ Spine and Wellness in East Brunswick, N.J. An early adopter of the spine surgery that doesn’t require general anesthesia, Dr. Sharan has completed 130 cases since he started performing the procedure in 2017. He spoke to Becker’s […]

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Uncategorized Published - 6 November, 2020    By - Dr Clemens
Dissociative and Analgesic Properties of Ketamine Are Independent

Authors: Jacob Gitlin, B.S. et al Anesthesiology November 2020, Vol. 133, 1021–1028. Background Ketamine is a dissociative anesthetic with analgesic properties. Ketamine’s analgesic properties have been suggested to result from its dissociative properties. To the authors’ knowledge, this postulate is unsubstantiated. The authors hypothesize that the dissociative and analgesic properties of ketamine are independent. Methods The […]

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Uncategorized Published - 6 November, 2020    By - Dr Clemens
Study Weighs Up Efficacy of Chronic Pain Medications

University of Missouri More than 20 million people in the U.S. suffer neuropathic pain. At least 25% of those cases are classified as unexplained and considered cryptogenic sensory polyneuropathy (CSPN). There is no information to guide a physician’s drug choices to treat CSPN, but a researcher from the University of Missouri School of Medicine and […]

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Uncategorized Published - 6 November, 2020    By - Dr Clemens
Evidence Lacking for Most Fibromyalgia Treatments, Meta-Analysis Finds

By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD NEJM Journal Watch Evidence is insufficient to support most treatments for fibromyalgia, according to a meta-analysis in JAMA Internal Medicine. Researchers examined data from over 220 randomized trials among nearly 30,000 people with fibromyalgia. High-quality evidence suggested a statistically significant benefit for […]

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Uncategorized Published - 5 November, 2020    By - Dr Clemens
COVID-19 lung damage caused by persistence of abnormal cells

DG Alerts A study published in EBioMedicine shows unique characteristics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that may explain why patients suffer from severe, prolonged coronavirus disease 2019 (COVID-19). Rossana Bussani, MD, University of Trieste,Trieste, Italy, and colleagues analysed the organs of 41 patients who died of COVID-19 at the University Hospital of Trieste. The […]

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Uncategorized Published - 5 November, 2020    By - Dr Clemens
Why Worry About Blood Pressure During Surgery in the Beach Chair Position?

Author: David J. Cullen MD, MS Anesthesia Patient Safety Foundation  SUMMARY: In patients who are anesthetized for surgery in the beach chair position, brain blood pressure can fall to levels below the brain’s ability to autoregulate. This can result in brain damage, but an understanding of cerebral autoregulation is essential to prevent this occurrence. Cerebral […]

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Uncategorized Published - 5 November, 2020    By - Dr Clemens
Study: Leave Social Distancing at the OR Door

Author: Frank Diamond Infection Control Today Investigators note that during the coronavirus disease 2019 (COVID-19) pandemic, there have been discussions about the role of social distancing in ORs during tracheal intubation and/or extubation, and other aerosol generating procedures. The effectiveness of social distancing doesn’t apply to modern operating rooms (ORs). In fact, says a pre-print study in […]

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Uncategorized Published - 5 November, 2020    By - Dr Clemens
A RAS and Bradykinin-Mediated Mechanism for COVID-19

Authors: Richard Simoneaux and Steven L. Shafer, MD ASA Monitor November 2020, Vol. 84, 1–11. Since the initial outbreak of SARS-CoV-2 in Hubei province, China, in late 2019, infected individuals have displayed a number of different and seemingly unrelated clinical presentations, which has led to much confusion regarding the mechanism(s) by which SARS-CoV-2 affects human hosts. […]

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Uncategorized Published - 5 November, 2020    By - Dr Clemens
Opioids increase risk of death in older adults after outpatient surgery

Author: Brian P. Dunleavy UPI Opioid use before outpatient surgery increases risk for death in older adults, a new study has found. Older adults who used opioid pain medications before minor surgery were up to 68% more likely to die within 90 days of the procedure compared with those who never used the drugs, an […]

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