Month: July 2021

Uncategorized Published - 12 July, 2021    By - Dr Clemens
Effects of Local Anesthetic Volume (Standard Versus Low) on Incidence of Hemidiaphragmatic Paralysis and Analgesic Quality for Ultrasound-Guided Superior Trunk Block After Arthroscopic Shoulder Surgery

AUTHORS: Kim, Hyunzu MD, PhD et al Anesthesia & Analgesia: June 28, 2021 BACKGROUND: Relative to interscalene block, superior trunk block (STB) provides comparable analgesia and a reduced risk of hemidiaphragmatic paralysis. However, the incidence of hemidiaphragmatic paralysis remains high when a standard volume (15 mL) of local anesthetic is used. This study aimed to evaluate […]

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Uncategorized Published - 12 July, 2021    By - Dr Clemens
Breast Regional Anesthesia Practice in the Italian Public Health System (BRA-SURVEY)

AUTHORS: Bonvicini, Daniele MD et al Anesthesia & Analgesia: July 7, 2021 – BACKGROUND: Breast cancer is the most common malignancy in women. Surgery is a mainstay therapy unfortunately burdened by complications as severe postoperative pain. Regional anesthesia may play a role in a multimodal strategy for prevention and treatment of postoperative pain. The main purpose […]

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Uncategorized Published - 12 July, 2021    By - Dr Clemens
Effect of conscious sedation and deep sedation on the vagal response characteristics during ganglionated plexus ablation

DG Journal Club Authors: Tolga Aksu, Kivanc Yalin et al. J Cardiovasc Electrophysiol. 2021 Jun 27 We aimed to determine the effects of conscious and deep sedation on vagal response (VR) characteristics during ganglionated plexus (GP) ablation. Forty consecutive patients undergoing GP ablation for vasovagal syncope were divided to receive conscious sedation with midazolam (group […]

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Uncategorized Published - 12 July, 2021    By - Dr Clemens
Postoperative Pain Treatment With Continuous Local Anesthetic Wound Infusion in Patients With Head and Neck Cancer

DG Journal Club Authors: Magdalena Gostian, Johannes Loeser et al. JAMA Otolaryngol Head Neck Surg. 2021 Jun 1; 147(6): 553-560 Importance Up to 80% of patients with head and neck cancer undergoing ablative surgery and neck dissection develop postoperative pain with detrimental effects on quality of life that also contributes to neuropathic and chronic postoperative […]

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Uncategorized Published - 12 July, 2021    By - Dr Clemens
Time for a change? AFib patients may want to stop drinking alcohol

Author: Michael Walter Cardiovascular Business Alcohol consumption is associated with a heightened risk of stroke among patients with newly diagnosed atrial fibrillation (AFib), according to new findings published in European Heart Journal. “Implementation of a healthy lifestyle is an important part of guideline-recommended optimal care of patients with AFib,” wrote first author So-Ryoung Lee, MD, a […]

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Uncategorized Published - 9 July, 2021    By - Dr Clemens
Long-term Survival after Combined Epidural–General Anesthesia or General Anesthesia Alone

Authors: Ya-Ting Du, M.D. et al  Anesthesiology June 2021. Background Experimental and observational research suggests that combined epidural–general anesthesia may improve long-term survival after cancer surgery by reducing anesthetic and opioid consumption and by blunting surgery-related inflammation. This study therefore tested the primary hypothesis that combined epidural–general anesthesia improves long-term survival in elderly patients. Methods […]

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Uncategorized Published - 9 July, 2021    By - Dr Clemens
Peripheral Nerve Blocks and Potentially Attributable Adverse Events in Older People with Hip Fracture

Authors: Natalie Melton, M.D., F.R.C.P.C. et al  Anesthesiology June 2021. Background Peripheral nerve blocks are being used with increasing frequency for management of hip fracture–related pain. Despite converging evidence that nerve blocks may be beneficial, safety data are lacking. This study hypothesized that peripheral nerve block receipt would not be associated with adverse events potentially […]

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Uncategorized Published - 9 July, 2021    By - Dr Clemens
Postoperative Pain Treatment With Continuous Local Anesthetic Wound Infusion in Patients With Head and Neck Cancer

DG Journal Club Authors: Magdalena Gostian, Johannes Loeser et al. JAMA Otolaryngol Head Neck Surg. 2021 Jun 1; 147(6): 553-560 Importance Up to 80% of patients with head and neck cancer undergoing ablative surgery and neck dissection develop postoperative pain with detrimental effects on quality of life that also contributes to neuropathic and chronic postoperative […]

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Uncategorized Published - 9 July, 2021    By - Dr Clemens
Long-term Clinical Outcomes of Microendoscopic Laminotomy for Cervical Spondylotic Myelopathy

DG Journal Club AUTHORS: Akihito Minamide, Munehito Yoshida et al. Clin Spine Surg. 2021 Jun 14 STUDY DESIGN This was a retrospective cohort study. OBJECTIVE The objective of this study was to characterize the long-term clinical and radiographic results of articular segmental decompression surgery using endoscopy [cervical microendoscopic laminotomy (CMEL)] for cervical spondylotic myelopathy (CSM) […]

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Uncategorized Published - 9 July, 2021    By - Dr Clemens
Analgesics of the Future: ASIC Inhibitors and IGF for Migraine Relief

Authors: Matthew Badali, PharmD and Jacqueline Cleary, PharmD, BCACP Pratical Pain Manament Volume 21 Issue 3 Acid-sensing ion channel inhibitors and insulin growth factor-1 offer new tools in chronic migraine care – especially for patients refractory to traditional medications. Acid-sensing Ion Channel Inhibitors May Treat and Prevent Migraine Refractory to Traditional Medications ASIC Inhibitors in a Snapshot […]

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