Month: January 2022

Uncategorized Published - 10 January, 2022    By - Dr Clemens
Classification of Individual Pain Response Trajectories Following Medically Indicated Heel Lances in Preterm Infants During their NICU Admission Pain Variability in Preterm Infants

DG Journal Club AUTHORS: Amos Hundert, Christy Woolcott et al. Clin J Pain. 2021 Dec 20 OBJECTIVES Infants born preterm are exposed to repeated painful procedures during neonatal intensive care unit admission. Particularly in preterm infants, trajectories of pain response are not well understood. The aim of this study was to classify pain response trajectories […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Chronic Pain Following Fracture-Related Surgery: Posttraumatic Rather Than Postsurgical Origin Promotes Chronification

AUTHORS: Aulenkamp, Jana L. MD et al Anesthesia & Analgesia: December 2021 Abstract BACKGROUND: Chronic posttraumatic/postsurgical pain (CPSP) is common after traumatic or surgical damage. Exposure to both trauma and surgery, with the potential for repeated bone and nerve damage, may increase the risk of CPSP after fracture-related surgery. But the (long-term) incidences of CPSP and […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Tranexamic Acid Dosing for Cardiac Surgical Patients With Chronic Renal Dysfunction

AUTHORS: Serath, Angela FRCPC, FANZCA, MBBS, BSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1323-1332 BACKGROUND: Tranexamic acid (TXA) is a common antifibrinolytic agent used to minimize bleeding in cardiac surgery. Up to 50% cardiac surgical patients have chronic renal dysfunction (CRD). Optimal dosing of TXA in CRD […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Subanesthetic Dose of Propofol Activates the Reward System in Rats

AUTHORS: Nagata, Isao MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Propofol has addictive properties, even with a single administration, and facilitates dopamine secretion in the nucleus accumbens (NAc). Activation of the dopaminergic circuits of the midbrain reward system, including the ventral tegmental area (VTA) and NAc, plays a crucial role in addiction. However, the […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Preoperative Fasting and Reducing the Risk of Pulmonary Aspiration

doctoryg.blogspot.com         Recommendations for Clear Liquids. It is appropriate to fast from intake of clear liquids at least 2 h before elective procedures requiring general anesthesia, regional anesthesia, or sedation/analgesia (i.e., monitored anesthesia care). Examples of clear liquids include, but are not limited to, water,fruit juices without pulp, carbonated beverages, clear tea, and […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Association Between Frailty and Clinical Outcomes and Quality of Life in Older Adults Following Hip Fracture Surgery

AUTHORS: Zhao, Hong MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Hip fracture is a serious event in the older population and is associated with morbidity, mortality, and disability among those who survive. Emerging evidence suggests that frailty is pertinent to the clinical outcomes of older patients with hip fracture. METHODS: We conducted a retrospective […]

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Uncategorized Published - 6 January, 2022    By - Dr Clemens
Preoperative Care for Cataract Surgery: The Society for Ambulatory Anesthesia Position Statement

Author: Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F ASA Monitor January 2023, Vol. 87, 28. AMBULATORY CARE Abstract Cataract surgery is a low-risk operation and is one of the most common procedures performed worldwide. The incidence increases with age, and many patients needing cataract surgery are elderly and often present with comorbidities. Despite the safety […]

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Uncategorized Published - 6 January, 2022    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 - 6 January, 2022    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 - 6 January, 2022    By - Dr Clemens
Perioperative Glycemic Control

Author: Cardiac Anesthesiologist  Interventions to improve glycemic control are known to improve outcomes. Multiple randomized clinical trials with diverse patient cohorts support intensive perioperative glucose control. Preoperative carbohydrate loading has resulted in reduced glucose levels after abdominal surgery and Cardiac Surgery (CS). Epidural analgesia during CS has been shown to reduce hyperglycemia incidence. After CS, hyperglycemia morbidity is […]

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