Month: January 2021

Uncategorized Published - 8 January, 2021    By - Dr Clemens
Association Between Preoperative Statin Use and Respiratory Complications After Noncardiac Surgery

AUTHORS: Komatsu, Ryu MD, MS et al Anesthesia & Analgesia: October 2020 – BACKGROUND: Statins possess pleiotropic effects, which potentially benefit noncardiovascular conditions. Previous work suggests that statins reduce inflammation and prevent acute respiratory distress syndrome and infections. However, there is a paucity of data regarding potential benefits of statins on respiratory and infectious complications, particularly […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Phrenic Nerve Block at the Azygos Vein Level Versus Sham Block for Ipsilateral Shoulder Pain After Video-Assisted Thoracoscopic Surgery

AUTHORS: Kimura Kuroiwa, Kaori MD, PhD et al Anesthesia & Analgesia: December 2020 BACKGROUND Ipsilateral shoulder pain (ISP) is a common problem after pulmonary surgery. We hypothesized that phrenic nerve block (PNB) at the azygos vein level, near the location of the surgical operation, would be effective for reducing ISP. Our primary aim was to assess […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Can we do better when delivering bad news in trauma?

Author: VIVEK SANT, MD KevinMD.com On a recent trauma call, we had a busy night, culminating in a horrific motorcycle trauma that came in early in the morning. The patient had devastating injuries and ended up dying. The detectives finally tracked down the patient’s family. I cleaned myself up, put on my white coat and […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
93% of patients with type 2 diabetes are at an increased risk of a fatal heart attack or stroke

Author: Michael Walter Cardiovascular Business News A whopping 93% of adult patients with type 2 diabetes (T2D) are at a high risk of experiencing a fatal acute myocardial infarction (AMI) or stroke, according to new research published in the European Journal of Preventive Cardiology. The study was focused on data out of Catalonia, Spain, but its findings […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Peripheral Nerve Stimulation and Clinical Outcomes

AUTHORS: Nafisseh S Warner, Kalli K Schaefer et al. Pain Pract. 2020 Nov 22 PURPOSE Peripheral nerve stimulation (PNS) is a rapidly expanding field within neuromodulation; however, there is limited data on therapeutic efficacy. This study describes the indications and clinical outcomes for patients undergoing PNS for chronic pain states. PATIENTS AND METHODS This is […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Tranexamic Acid or Epsilon Aminocaproic Acid in Cardiac Surgery

Author: Cardiac Anesthesiologist  Bleeding is a common occurrence after Cardiac Surgery (CS) and can adversely affect outcomes. Publications on patient blood management are typically focused on reducing red blood cell transfusions through identification and treatment of preoperative anemia, delineation of safe transfusion thresholds, intraoperative blood scavenging, monitoring of the coagulation system, and data-driven algorithms for appropriate transfusion practices. This has been an […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Racial Disparities in Failure to Rescue Following Unplanned Reoperation in Pediatric Surgery

AUTHORS: Willer, Brittany L. MD et al Anesthesia & Analgesia:  December 2020 BACKGROUND: Failure to rescue (FTR) and unplanned reoperation following an index surgical procedure are key indicators of the quality of surgical care. Given that differences in unplanned reoperation and FTR rates among racial groups may contribute to persistent disparities in postsurgical outcomes, we […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Rapid Sequence Induction With a Standard Intubation Dose of Rocuronium After Magnesium Pretreatment Compared With Succinylcholine

AUTHORS: Czarnetzki, Christoph MD, MBA et al Anesthesia & Analgesia: December 17, 2020 – BACKGROUND: Succinylcholine remains the muscle relaxant of choice for rapid sequence induction (RSI) but has many adverse effects. High-dose rocuronium bromide may be an alternative to succinylcholine for RSI but recovery times are nearly doubled compared with a standard intubating dose […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Regional differences between superficial and deep lumbar multifidus in patients with chronic lumbar spine pathology

AUTHORS: Jennifer Padwal, David B Berry et al. BMC Musculoskelet Disord. 2020 Nov 20; 21(1): 764 BACKGROUND Due to its unique arrangement, the deep and superficial fibers of the multifidus may have differential roles for maintaining spine stabilization and lumbar posture; the superficial multifidus is responsible for lumbar extension and the deep multifidus for intersegmental […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
CCTA an effective initial imaging option for patients with stable chest pain

Author: Michael Walter Cardiovascular Business News Coronary CT angiography (CCTA) is a safe and effective treatment option for patients with stable angina, according to a new analysis of the RESCUE Trial published in the Journal of the American Heart Association. The RESCUE Trial was a randomized, multicenter clinical trial designed to examine patient outcomes when either […]

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