Month: March 2022

Uncategorized Published - 17 March, 2022    By - Dr Clemens
Early cryoprecipitate transfusion versus standard care in severe postpartum haemorrhage

Authors: L. Green et al  Anaesthesia October 2021   Summary There is a lack of evidence evaluating cryoprecipitate transfusion in severe postpartum haemorrhage. We performed a pilot cluster-randomised controlled trial to evaluate the feasibility of a trial on early cryoprecipitate delivery in severe postpartum haemorrhage. Pregnant women (>24 weeks gestation), actively bleeding within 24 h of delivery […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Excess use of thyroid hormone treatment among patients with fibromyalgia

DG Journal Club AUTHORS: Varinen Aleksi, Kosunen Elise, Tuomas H Koskela BMC Res Notes. 2022 Feb 24; 15(1): 83 OBJECTIVE From previous studies, it is known that the association between fibromyalgia and thyroid autoimmunity diseases exists. On the other hand, it was recently suggested that in many cases thyroid hormone treatment might be unnecessary. The […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Early Vasopressor Utilization Strategies and Outcomes in Critically Ill Patients With Severe Traumatic Brain Injury

AUTHORS: Toro, Camilo BA et al Anesthesia & Analgesia: February 2022 BACKGROUND: Early hypotension after severe traumatic brain injury (sTBI) is associated with increased mortality and poor long-term outcomes. Current guidelines suggest the use of intravenous vasopressors, commonly norepinephrine and phenylephrine, to support blood pressure after TBI. However, guidelines do not specify vasopressor type, resulting in […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
Intra-operative hypotension – how low should you go?

Authors: Cara Hughes and Andrew Klein TheAnesthesiaBlog The February issue of Anaesthesia attempts to answer the age-old question plaguing anaesthetists – what blood pressure should we be targeting and how much does it matter? We are delighted to present the first publication from the iHype study – a prospective cohort study designed and conducted by the Research and […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
RESETTING THE BAR FOR ACUTE PERIOPERATIVE PAIN MANAGEMENT

Author: Ed Mariano MD, MAS, FASA EdMarinao.com Despite previously published guidelines and practice recommendations, there remains unwarranted variation in the quality of pain management provided to patients having surgery. Unwarranted variations in healthcare are inconsistencies in clinical practice that have no basis in science or patient preference. In 2019, the U.S. Health and Human Services (HHS) Pain Management […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
Analgesic comparison between perineural and intravenous dexamethasone for shoulder arthroscopy

DG Journal Club AUTHORS: Liangku Huang et al J Orthop Surg Res. 2022 Feb 17; 17(1): 103 INTRODUCTION The analgesic comparison between perineural and intravenous dexamethasone on interscalene block for pain management after shoulder arthroscopy remains controversial. We conduct this meta-analysis to explore the influence of perineural versus intravenous dexamethasone on interscalene block for pain […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
Advancing global health research equity

Authors: Mike Charlesworth and Andrew Klein TheAnesthesiaBlog Parachute (or ‘helicopter’) research is the practice of conducting primary research within a host country and subsequently publishing findings with inadequate recognition of local researchers, staff and/or supporting infrastructure. In fact, almost 30% of publications of primary research conducted in LMICs did not contain any local authors. This new […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
pituitary adenoma coming for surgery

Author: Rex Russell Case Reports in Anesthesia 59 year old female for D&C and hysteroscopy with a history of pituitary adenoma, empty sella syndrome, Adrenal insufficiency, HTN, OSA, and BMI of 31. The patient was taking cabergoline to inhibit the secretion of prolactin via agonism of dopamine receptors. The patient also had a history of […]

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Uncategorized Published - 15 March, 2022    By - Dr Clemens
Ocular Surface Complications of Prolonged Ventilation

Radius Anesthesia Ophthalmologic complications are common in critically ill patients requiring prolonged ventilation. These complications are caused by improper eye care and impaired functioning of normal mechanisms that protect the eye from dehydration and abrasion. In the era of SARS-CoV-2 (COVID-19), where approximately 30% of hospitalized patients and 5% of overall cases require ventilation for acute respiratory failure […]

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Uncategorized Published - 15 March, 2022    By - Dr Clemens
Acute pain after total hip and knee arthroplasty does not affect chronic pain during the first postoperative year: observational cohort study of 389 patients

DG Journal Club AUTHORS: D A J M Latijnhouwers et al Rheumatol Int. 2022 Feb Chronic pain is frequently reported after total hip and knee arthroplasties (THA/TKA) in osteoarthritis (OA) patients. We investigated if severity of acute postoperative pain following THA/TKA in OA patients was associated with pain during the first postoperative year. From an […]

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