Month: February 2022

Uncategorized Published - 3 February, 2022    By - Dr Clemens
Validation of Continuous Noninvasive Blood Pressure Monitoring Using Error Grid Analysis

AUTHORS: Juri, Takashi MD et al Anesthesia & Analgesia: January 2022 Export BACKGROUND: Error grid analysis was recently proposed to compare blood pressure obtained by 2 measurement methods. This study aimed to compare continuous noninvasive blood pressure (CNBP) with invasive blood pressure (IBP) using the error grid analysis and investigate the confounding risk factors attributable to […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Maternal Fever Associated With Continuous Spinal Versus Epidural Labor Analgesia

AUTHORS: Seiler, F. Arran MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Neuraxial labor analgesia is associated with elevations in maternal temperature; the mechanism responsible is unknown. Proposed mechanisms have included infection, altered thermoregulation, and inflammation, potentially triggered by local anesthetics. Studies of the association between neuraxial labor analgesia and maternal fever have focused on […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Nalbuphine for spinal anesthesia

DG Journal Club AUTHORS: Pan Yu, Jie Zhang et al. Pain Pract. 2022 Jan; 22(1): 91-106 PURPOSE Various adjuvants for prolongation of intra-operative and postoperative analgesia have been clinically studied, but the safety and efficiency of nalbuphine as an adjuvant to local anesthetics in spinal anesthesia remains unconfirmed. Therefore, we conducted a meta-analysis about the […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
A Comparison Between the Adductor Pollicis Muscle Using TOF-Watch SX and the Abductor Digiti Minimi Muscle Using TetraGraph in Rocuronium-Induced Neuromuscular Block

AUTHORS: Iwasaki, Hajime MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: The commonly used acceleromyography (AMG)-based neuromuscular monitor TOF-Watch SX is no longer manufactured. Recently, a new portable electromyography (EMG)-based neuromuscular monitor TetraGraph was introduced in clinical anesthesia. The aim of the study was to compare the responses obtained simultaneously from the abductor digiti […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Sphenopalatine ganglion block for ipsilateral shoulder pain following open pancreaticoduodenectomy

DG Journal Club AUTHORS: Danielle Levin, Martin Acquadro et al. BMJ Case Rep. 2022 Jan 6; 15(1) A 59-year-old woman underwent an open pancreaticoduodenectomy. Thoracic patient controlled-epidural anaesthesia provided excellent incisional pain relief; however, the patient experienced intractable left shoulder pain (10/10 on the Numerical Rating Scale). To our knowledge, there is no effective established […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Anesthesia Braces for a New Era: Surprise Billing Prohibition Begins

Author: Tony Mira F1rstNews Summary The new year brings with it a new federal rule that restricts balance billing in out-of-network cases.  There will also be a new process in place for self-pay or uninsured patients.  Today’s alert acts to remind readers of what they can expect and what they must do when faced with […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Control of Postoperative Hypotension Using a Closed-Loop System for Norepinephrine Infusion in Patients After Cardiac Surgery

AUTHORS: Desebbe, Olivier MD et al Anesthesia & Analgesia: January 2022 Abstract BACKGROUND: Vasopressors are a cornerstone for the management of vasodilatory hypotension. Vasopressor infusions are currently adjusted manually to achieve a predefined arterial pressure target. We have developed a closed-loop vasopressor (CLV) controller to help correct hypotension more efficiently during the perioperative period. We tested […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Ketamine Associated Intraoperative Electroencephalographic Signatures of Elderly Patients With and Without Preoperative Cognitive Impairment

AUTHORS: Barreto Chang, Odmara L. MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Ketamine is typically used by anesthesiologists as an adjunct for general anesthesia and as a nonopioid analgesic. It has been explored for prevention of postoperative delirium, although results have been contradictory. In this study, we investigated the association of ketamine with […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Temporal Trends and Predictors of Opioid Use Among Older Patients With Cancer

DG Journal Club AUTHORS: Mia Salans, Paul Riviere et al. Am J Clin Oncol. 2022 Jan OBJECTIVES While opioids represent a cornerstone of cancer pain management, the timing and patterns of opioid use in the cancer population have not been well studied. This study sought to explore longitudinal trends in opioid use among Medicare beneficiaries […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Nonunion of traumatic rib fractures: a suitable indication for surgery?

DG Journal Club AUTHORS: Fabrizio Minervini, Jesse Peek et al. Eur J Trauma Emerg Surg. 2022 Jan PURPOSE Nonunion of traumatic rib fractures is a clinical/radiological diagnosis caused by an alteration of bone healing reparative process. Since it is a painful condition, nonunion has a significative impact on patient’s morbidity and quality of life. The […]

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