Month: December 2020

Uncategorized Published - 10 December, 2020    By - Dr Clemens
Acid-sensing Ion Channel 3 Overexpression in Incisions Regulated by Nerve Growth Factor Participates in Postoperative Nociception in Rats

Authors: Hao Li, M.D. et al  Anesthesiology December 2020, Vol. 133, 1244–1259. Background Acid-sensing ion channel 3 (ASIC3) upregulation has been reported in dorsal root ganglion neurons after incision and contributes to postoperative nociception. This study hypothesized that upregulation of ASIC3 in incised tissues is induced by nerve growth factor through the phosphoinositide 3–kinase/protein kinase […]

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Uncategorized Published - 10 December, 2020    By - Dr Clemens
Cannabis Users May Need More Anesthesia During Surgery – and More Pain Meds After

Author: Avery Hurt Practical Pain Management As more states have legalized marijuana for medical and/or recreational purposes – especially after the state measure ballots, cannabis use has become more common across the United States with the CDC reporting that 22.2 million Americans use the substance each month.1 Despite a plethora of sociological and health-based studies […]

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Uncategorized Published - 9 December, 2020    By - Dr Clemens
Ketamine Pharmacokinetics: A Systematic Review of the Literature, Meta-analysis, and Population Analysis

Authors: Jasper Kamp, Pharm.D. et al  Anesthesiology December 2020, Vol. 133, 1192–1213. Background Several models describing the pharmacokinetics of ketamine are published with differences in model structure and complexity. A systematic review of the literature was performed, as well as a meta-analysis of pharmacokinetic data and construction of a pharmacokinetic model from raw data sets to […]

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Uncategorized Published - 9 December, 2020    By - Dr Clemens
Is Anesthesia Safe for Kids?

Cleveland Clinic If your little one needs surgery, odds are good you have many questions — and concerns. Is it really OK to put kids under general anesthesia? “Anesthesia is very safe. Parents and families shouldn’t be scared,” says pediatric anesthesiologist Julie Niezgoda, MD. Still, it helps to understand what’s involved so you can minimize the […]

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Uncategorized Published - 9 December, 2020    By - Dr Clemens
IV Acetaminophen Does Not Reduce Post-op Hypoxemia In Randomized Trial

Author: Christina Frangou General Surgery News In patients who underwent abdominal surgery, IV acetaminophen did not reduce the duration of postoperative hypoxemia compared with placebo in a randomized, double-blind trial. In the trial, IV acetaminophen did not significantly reduce postoperative pain, and it reduced opioid consumption by 14%, or 4 mg per day, an amount […]

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Uncategorized Published - 9 December, 2020    By - Dr Clemens
Opioid Deaths in Young Americans Often Involve Other Drugs

HealthDay News Opioid overdose deaths involving more than one substance are more common among American teens and young adults than deaths caused by opioids alone, researchers report. They also found that stimulants such as cocaine and crystal methamphetamine are the non-opioid substances most commonly involved in opioid overdose deaths in young people. Moreover, opioid overdose […]

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Uncategorized Published - 9 December, 2020    By - Dr Clemens
ACE inhibitor use prior to hospitalization boosts survival for COVID-19 patients

Author: Michael Walter Hospitalized COVID-19 patients who were already taking angiotensin-converting enzyme (ACE) inhibitors have a reduced risk of mortality, according to new findings published in the Journal of the American Heart Association. The authors explored data from more than 700 patients who were treated in one of four regions in Italy from Feb. 22 to […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Postoperative Analgesic Effectiveness of Quadratus Lumborum Block for Cesarean Delivery under Spinal Anesthesia

Authors Nasir Hussain, M.D., M.Sc. et al  Anesthesiology Newly Published on November 2020 Background Spinal morphine is the mainstay of postcesarean analgesia. Quadratus lumborum block has recently been proposed as an adjunct or alternative to spinal morphine. The authors evaluated the analgesic effectiveness of quadratus lumborum block in cesarean delivery with and without spinal morphine. Methods […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Brief Preoperative Screening for Frailty and Cognitive Impairment Predicts Delirium after Spine Surgery

Authors: Maria J. Susano, M.D. et al  Anesthesiology December 2020, Vol. 133, 1184–1191. Background Frailty and cognitive impairment are associated with postoperative delirium, but are rarely assessed preoperatively. The study was designed to test the hypothesis that preoperative screening for frailty or cognitive impairment identifies patients at risk for postoperative delirium (primary outcome). Methods In this […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Pre-pregnancy hypertension on the rise throughout the US

Author: Michael Walter Cardiovascular Business News Pre-pregnancy hypertension rates have climbed substantially in the United States in recent years, according to a new analysis published in the Journal of the American College of Cardiology. “Cardiovascular disease (CVD) is now the leading cause of pregnancy-related deaths, and hypertension is a well-established risk factor for these potentially preventable […]

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