Month: January 2022

Uncategorized Published - 14 January, 2022    By - Dr Clemens
Comprehensive patient blood management program can reduce use of transfusions, improve patient outcomes

via Medical Xpress A growing number of hospitals have implemented patient blood management programs to reduce unnecessary blood transfusions and costs. A study published in Mayo Clinic Proceedings finds that such a program can not only substantially reduce transfusion use, but also reduce the length of hospital stays and in-hospital adverse outcomes. was then matched (1:2 ratio) with […]

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Uncategorized Published - 13 January, 2022    By - Dr Clemens
Multimodal treatment including lumbar facet joint denervation for severe low back pain in patients with neuromuscular disorders

DG Journal Club AUTHORS: Tohru Terao, Naoki Kato et al. Neurol Sci. 2022 Jan; 43(1): 593-601 BACKGROUND Severe low back pain (LBP) is an occasional complaint in patients with neuromuscular disorders (NMDs). Accurate diagnosis and treatment are required to manage LBP; however, the precise pathophysiology differs for each patient. This study aimed to evaluate the […]

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Uncategorized Published - 13 January, 2022    By - Dr Clemens
Effects of greater occipital nerve block with local anesthetic and triamcinolone for treatment of medication overuse headache

DG Journal Club AUTHORS: Arman Arab, Masoud Khoshbin et al. Neurol Sci. 2022 Jan; 43(1): 549-557 AIM There is a paucity of evidence and consensus on exactly how to carry out the detoxification process. To examine the effect of a greater occipital nerve block (GONB) in the detoxification process, we conducted an open-label, parallel, randomized, […]

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Uncategorized Published - 13 January, 2022    By - Dr Clemens
Percutaneous Vertebroplasty Combined with Zoledronic Acid in Treatment and Prevention of Osteoporotic Vertebral Compression Fractures

DG Journal Club AUTHORS: Binbin Tang, Hanbing Zeng et al. World Neurosurg. 2022 01; 157 75-87 OBJECTIVE This study was designed to help elucidate the benefits and advantages of vertebroplasty combined with zoledronic acid (ZOL) versus vertebroplasty alone, to provide clinical recommendations for the treatment of osteoporotic vertebral compression fractures (OVCFs) considering the current best-available […]

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Uncategorized Published - 13 January, 2022    By - Dr Clemens
Poor Correlation between Diaphragm Thickening Fraction and Transdiaphragmatic Pressure in Mechanically Ventilated Patients and Healthy Subjects

Authors: Thomas Poulard, M.Sc. et al  Anesthesiology January 2022, Vol. 136, 162–175. Background The relationship between the diaphragm thickening fraction and the transdiaphragmatic pressure, the reference method to evaluate the diaphragm function, has not been clearly established. This study investigated the global and intraindividual relationship between the thickening fraction of the diaphragm and the transdiaphragmatic […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Anesthesia Considerations for Retinal Detachment Repair

Radius Anesthesia Blog During rhegmatogenous retinal detachment (RRD) surgery, operating teams reattach a split sensory retina to the retinal pigment epithelium [1]. During the procedure, the anesthesiologist must ensure the safety of the patient and the comfort of the surgeon(s) [2]. From weighing regional versus general techniques to determining the best method through which to administer anesthesia, […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Myocardial Injury After Non-Cardiac Surgery

Radius Anesthesia Blog Myocardial injury after non-cardiac surgery, or MINS, is a condition that affects approximately 20% of patients who undergo major surgery [1]. Unfortunately, there is a strong association between MINS and major surgical patients’ short-term and long-term mortalities [1]. Furthermore, it is a common condition [1]. A systematic review pooling outcomes from 530,867 […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Anesthesia Management of Lung Surgery

Radius Anesthesia Blog The debate around anesthesia management of lung surgery has made quite a few developments in the past decade. Perioperative pain can be extremely intense for patients undergoing thoracic incisions. Without proper anesthesia, patients may experience difficulties breathing and painful coughing which can lead to adverse outcomes, including chronic post-thoracotomy pain syndrome (Lederman et al., […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Mediastinal Masses, Anesthetic Interventions, and Airway Compression in Adults

Authors: Philip M. Hartigan, M.D. et al  Anesthesiology January 2022, Vol. 136, 104–114. Background Central airway occlusion is a feared complication of general anesthesia in patients with mediastinal masses. Maintenance of spontaneous ventilation and avoiding neuromuscular blockade are recommended to reduce this risk. Physiologic arguments supporting these recommendations are controversial and direct evidence is lacking. The […]

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Uncategorized Published - 12 January, 2022    By - Dr Clemens
Estimating the Impact of Carbon Dioxide Absorbent Performance Differences on Absorbent Cost During Low-Flow Anesthesia

AUTHORS: Feldman, Jeffrey M. MD, MSE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 374-381 BACKGROUND:  Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount of […]

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