Month: December 2021

Uncategorized Published - 22 December, 2021    By - Dr Clemens
Fiber-Needle Swept-Source Optical Coherence Tomography for the Real-Time Visualization of the Transversus Abdominis Plane Block Procedure in a Swine Model

AUTHORS: Teng, Wei-Nung MD, PhD et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 526-534 BACKGROUND:  Fascia blocks (eg, the transversus abdominis plane [TAP] block) target the intermuscular fascia layers. Ultrasound techniques have allowed peripheral blocks to be performed with accuracy and safety, however, with limitations. Optical coherence tomography (OCT) […]

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Uncategorized Published - 21 December, 2021    By - Dr Clemens
Postoperative Acute Kidney Injury Is Associated With Progression of Chronic Kidney Disease Independent of Severity

AUTHORS: Privratsky, Jamie R. MD, PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 49-58 BACKGROUND: Both postoperative acute kidney injury (AKI) and preoperative chronic kidney disease (CKD) are associated with significantly worse outcomes following surgery. The relationship of both of these conditions with each other and with CKD […]

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Uncategorized Published - 21 December, 2021    By - Dr Clemens
Physician Burnout: A Pandemic Uncovered by a Pandemic!

AUYTHORS: Lalitha Sundararaman, MBBS, MD et al  ASA Monitor January 2022, Vol. 86, 19–20. The unprecedented morbidity and mortality of the COVID-19 pandemic have been at the forefront of our consciousness. However, the ravages of COVID-19 extend beyond death and disease. The pandemic of the past two years has stressed the economies of every country […]

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Uncategorized Published - 21 December, 2021    By - Dr Clemens
Practice Patterns and Variability in Intraoperative Opioid Utilization

AUTHORS: Naik, Bhiken I. MBBCh et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 8-17 BACKGROUND:  Opioids remain the primary mode of analgesia intraoperatively. There are limited data on how patient, procedural, and institutional characteristics influence intraoperative opioid administration. The aim of this retrospective, longitudinal study from 2012 to 2016 […]

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Uncategorized Published - 21 December, 2021    By - Dr Clemens
Airway Ultrasound as Predictor of Difficult Direct Laryngoscopy

AUTHORS: Carsetti, Andrea MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Despite several clinical index tests that are currently applied for airway assessment, unpredicted difficult laryngoscopy may still represent a serious problem in anesthesia practice. The aim of this systematic review and meta-analysis was to evaluate whether preoperative airway ultrasound can predict difficult direct laryngoscopy […]

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Uncategorized Published - 21 December, 2021    By - Dr Clemens
In Vitro Comparison of Recombinant and Plasma-Derived von Willebrand Factor Concentrate for Treatment of Acquired von Willebrand Syndrome in Adult Extracorporeal Membrane Oxygenation Patients

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: December 2021 BACKGROUND: Coagulopathic bleeding is common during adult extracorporeal membrane oxygenation (ECMO), and acquired von Willebrand syndrome is a contributing factor. We compared ECMO patient blood samples that were treated in vitro with recombinant von Willebrand Factor concentrate and plasma-derived von Willebrand Factor concentrate. […]

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Uncategorized Published - 20 December, 2021    By - Dr Clemens
Procedure-Related Outcomes Including Readmission Following Spinal Cord Stimulator Implant Procedures

AUTHORS: Goel, Vasudha MBBS et al Anesthesia & Analgesia: December 2021 BACKGROUND: Spinal cord stimulation (SCS) has been shown to reduce opioid consumption, reduce pain, improve quality of life compared to conventional therapy, and be more effective than spine reoperation in carefully selected patients. In this study, we evaluate readmissions after SCS implantation procedures, costs, predictors, […]

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Uncategorized Published - 20 December, 2021    By - Dr Clemens
A systematic review of repeat microvascular decompression for recurrent or persistent trigeminal neuralgia patients

AUTHORS: Liwu Jiao, Hao Ye et al. World Neurosurg. 2021 Dec 4 Management of recurrent or persistent trigeminal neuralgia (TN) after microvascular decompression (MVD) is often difficult. The purpose of this systematic review is to objectively analyze and summarize the published literature on the feasibility of re-MVD. The authors conducted a database search using MEDLINE […]

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Uncategorized Published - 20 December, 2021    By - Dr Clemens
Cognitive Recovery by Decade in Healthy 40- to 80-Year-Old Volunteers After Anesthesia Without Surgery

AUTHORS: Baxter, Mark G. PhD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Postoperative delirium and postoperative cognitive dysfunction are the most common complications for older surgical patients. General anesthesia may contribute to the development of these conditions, but there are little data on the association of age with cognitive recovery from anesthesia in the absence […]

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Uncategorized Published - 20 December, 2021    By - Dr Clemens
Characteristics and influence on quality of life of New-onset Pain in critical COVID-19 survivors

DG Journal Club AUTHORS: A Ojeda, A Calvo et al. Eur J Pain. 2021 Dec BACKGROUND Pain is a clinical feature of COVID-19, however data about persistent pain after hospital discharge, especially among ICU survivors is scarce. The aim of this study is to explore the incidence and characteristics of new-onset pain and its impact […]

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