Month: September 2021

Uncategorized Published - 21 September, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System

ASA Monitor September 2021, Vol. 85, 12–13. CASE 2021-09: If In Doubt A 78-year-old female presented to the hospital where she was diagnosed with an acute lateral wall myocardial infarction, occluded circumflex coronary artery, free wall rupture of left ventricle, and cardiac tamponade. A left femoral intra-arterial balloon pump was inserted emergently along with a left […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Anesthesia considerations for patients with epilepsy

DG Journal Club AUTHORS: Mohammad Jaber, Ramzi Shawahna et al. Epilepsy Behav. 2021 Sep 4 OBJECTIVE This qualitative exploratory study was conducted to explore how anesthesiologists in Palestine provide perioperative care for patients with epilepsy and how they account for the unique challenges relevant to epilepsy while planning perioperative care for patients with epilepsy. METHODS […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Exceptions to the Rule: What Anesthesiologists Can Do During Medical Direction

Author: Tony Miru F1rstNews Summary For doctors who medically direct, their primary focus should be the room or rooms they are overseeing.  Nevertheless, national and local Medicare rules allow the medically directing doctor to perform certain other services, as well.  What are these services and are they applicable in every jurisdiction?  Today’s alert provides answers. […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
What is the relationship between migraine and stroke?

Author: Deena Kuruvilla MedicalNewsToday Migraine does not cause stroke. However, there may be a link between the two. Sometimes a stroke can occur during a migraine attack. Migraine with aura can increase the risk of stroke, particularly in females. Symptoms of migraine and stroke can also overlap. In this article, we look at the link […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Preoperative Acetaminophen Decreases Need for Opioids Following Rotator Cuff Repair

DG News The use of acetaminophen before surgery for rotator cuff repair resulted in better pain control and a decline in opioid use, according to a study published in the Journal of Shoulder and Elbow Surgery. The prospective, randomised, 3-arm study compared the impact of oxycodone 5 mg every 6 hours as needed plus oral acetaminophen […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Breaking Down the Back End: Anesthesia in the Postoperative Period

Auth9or: Tony Mira F1rstNews Summary Post-surgical anesthesia care can be tricky from a billing perspective.  Providers are not always certain what post-case services are billable versus bundled.  Today’s alert seeks to clear up some of those questions. It’s all in how you finish.  Sprinting out of the gates at the sound of the starting gun […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline

DG Journal Club Authors: André Bussières, Carolina Cancelliere et al. J Pain. 2021 Sep; 22(9): 1015-1039 Lumbar spinal stenosis (LSS) causing neurogenic claudication (NC) is increasingly common with an aging population and can be associated with significant symptoms and functional limitations. We developed this guideline to present the evidence and provide clinical recommendations on nonsurgical […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Prolonged Use of Opioids, Risk of Addiction Observed in Older Patients After Fracture Surgery

DG News Extended opioid usage occurred in older patients, aged 60 years and up, who undergo fracture surgery, according to a study presented at the 2021 Virtual Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Investigators looked at 29,618 patients who were naïve to opioids and underwent hip fracture surgery between 2009 and […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Urinary symptoms in older people with low back pain: Prevalence, clinical, and functional factors associated

DG Journal Club Authors: Juliana M M Barbosa, Juleimar S C de Amorim et al. Neurourol Urodyn. 2021 Sep 4 AIMS To identify the prevalence, clinical and functional factors associated with urinary symptoms (US) in community-dwelling older adults with acute low back pain (LBP). METHODS This was a cross-sectional study of data’s baseline of Back […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Heart attacks more common among young adults who use marijuana—but a key question remains

Author: Anthony Vecchione  Cardiovascular Business News Young adults who regularly use marijuana are much more likely to have had a myocardial infarction (MI), according to new data published in Canadian Medical Association Journal. “With recent legalization and decriminalization, cannabis use is increasing in young adults in North America, and we do not fully know its effects on […]

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