Month: May 2022

Uncategorized Published - 3 May, 2022    By - Dr Clemens
Presurgical Thalamus Volume in Postoperative Delirium

AUTHORS: Fislage, Marinus PhD student et al Anesthesia & Analgesia: April 2022 BACKGROUND: Previous studies suggest a role of the thalamus in cognitive function, while others implicate it as a central effect site of anesthetics. Yet, its role in postoperative neurocognition in the aging brain remains uncertain. We used presurgical thalamic volume as a functional indicator […]

Read More
Uncategorized Published - 3 May, 2022    By - Dr Clemens
Compatibility of intravenous acetaminophen with morphine, fentanyl and ketamine in acute pediatric pain setting

DG Journal Club AUTHORS: Edmond O’Loughlin et al Paediatr Anaesth. 2022 Apr 10 BACKGROUND Intravenous acetaminophen and opioid analgesics are routinely given concurrently to children after major surgery, where intravenous access can be limited. There is limited information about the compatibility of acetaminophen with opioid analgesics and ketamine in concentrations commonly used in pediatric setting. […]

Read More
Uncategorized Published - 2 May, 2022    By - Dr Clemens
Relationships Between Body Mass Index, Allogeneic Transfusion, and Surgical Site Infection After Knee and Hip Arthroplasty Surgery

DG Journal Club AUTHORS: Kenichi A Tanaka et al Anesth Analg. 2022 Apr BACKGROUND Increased body mass index (BMI) is considered as an important factor that affects the need for total knee and hip arthroplasty (TKA/THA) and the rate of perioperative complications. Previous investigations have not fully established the relationship of BMI and perioperative transfusion […]

Read More
Uncategorized Published - 2 May, 2022    By - Dr Clemens
Center Variation in Use of Preoperative Dual Antiplatelet Therapy and Platelet Function Testing at the Time of Coronary Artery Bypass Grafting in Maryland

AUTHORS: Hensley, Nadia B. MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Patients presenting with acute coronary syndrome are administered a P2Y12 inhibitor and aspirin before coronary catheterization to prevent further myocardial injury from thrombosis. Guidelines recommend a standard waiting period between the time patients are administered dual antiplatelet therapy (DAPT) and elective cardiac surgery. Since […]

Read More
Uncategorized Published - 2 May, 2022    By - Dr Clemens
Identification of Foramen Ovale With H-Figure Fluoroscopic Landmark Improves Treatment Outcomes in Idiopathic Trigeminal Neuralgia

AUTHORS: He, Liang-Liang MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Because it is traditionally difficult and time-consuming to identify the foramen ovale (FO) with fluoroscopy, we recently developed the H-figure method to acquire fluoroscopic view of FO with shorter procedure time and less radiation. However, the impact of such an H-figure approach on the […]

Read More
Uncategorized Published - 2 May, 2022    By - Dr Clemens
Postoperative pain as a risk factor for stiff knee following total knee arthroplasty and excellent patientreported outcomes after manipulation under anesthesia

DG Journal Club AUTHORS: Mikko T Rantasalo et al Acta Orthop. 2022 Apr 14; 93 432-437 BACKGROUND AND PURPOSE Manipulation under anesthesia (MUA) is the first-choice treatment for stiffness following total knee arthroplasty (TKA) unresponsive to pain management and physiotherapy. Some of the predisposing factors and patient-reported outcome measures (PROMs) following MUA remain poorly studied. […]

Read More
Uncategorized Published - 2 May, 2022    By - Dr Clemens
Should We Use Race-Based Corrections for Spirometry?

NEJM Journal Watch David J. Amrol, MD, reviewing Elmaleh-Sachs A et al.  Am J Respir Crit Care Med 2022 Mar 15 Schluger NW.  This practice doesn’t help predict adverse respiratory events. When interpreting spirometry, published normative values differ among various ethnic groups. In the U.S., spirometers use either race-specific reference values based on the National Health […]

Read More