Month: May 2022

Uncategorized Published - 27 May, 2022    By - Dr Clemens
What are some after-effects of shingles?

Author: Karen Veazey MedicalNewsToday Shingles, also known as herpes zoster, is a type of rash that occurs due to the varicella-zoster virus (VZV). Although shingles usually resolve after a few weeks, complications can develop that affect the nerves, ears, eyes, or organ systems. VZV is the virus that causes chickenpox. After chickenpox resolves, the virus […]

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Uncategorized Published - 26 May, 2022    By - Dr Clemens
ACE Question

ASA Monitor April 2022, Vol. 86, 14. A patient experiences a seizure 12 hours after tumescent liposuction of the abdomen and thighs. What is the MOST likely reason for the delay in this complication? □ (A) Third-space crystalloid redistribution □ (B) Epinephrine added to the tumescent solution □ (C) Postprocedure blood loss The tumescent liposuction technique uses large volumes […]

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Uncategorized Published - 26 May, 2022    By - Dr Clemens
Is Your Workplace Hazardous to Your Health?

Author: Karen S. Sibert, MD, FASA ASA Monitor April 2022, Vol. 86, 15. I found myself on the wrong side of the ether screen last week, having surgery on my left hand to release Dupuytren’s contracture, a genetic gift from my father and generations of our Viking forebears (asamonitor.pub/33BeNvR). Wondering how long it will take to […]

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Uncategorized Published - 26 May, 2022    By - Dr Clemens
If You Can’t Take the Heat… Stay Out of the ORs!

Authors: Stacey Watt, MD, MBA, MHPE, FASA et al  ASA Monitor April 2022, Vol. 86, 25–28. “Is there anyone so wise as to learn from the experience of others?” – Voltaire For years, wildfires along the west coast of the United States have threatened public safety and led to loss of life, property, and natural resources. […]

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Uncategorized Published - 26 May, 2022    By - Dr Clemens
What to know about COVID-19 and headache relief

This is for our readers who treat pain pts. Author: Zawn Villines MedicalNewsToday A headache is a common symptom of COVID-19, particularly when the disease is due to the Omicron variant of the coronavirus. Headaches may occur as a primary symptom of COVID-19 or as a secondary symptom due to factors such as dehydration, sleep […]

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Uncategorized Published - 26 May, 2022    By - Dr Clemens
Hurricanes: A Disastrous Storm or Famous Louisiana Cocktail? A Headache Either Way

Authors: Kyle P. Nester, MD, FASA; Katherine S. Cox, MD, FASA ASA Monitor April 2022, Vol. 86, 29. Living in Louisiana is great: the food, the people, the vibrant culture. But there are six months out of the year that give many of us pause. Hurricane season can lead to unpredictable events that present unique challenges […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
Evaluation of Diaphragmatic Function after Interscalene Block with Liposomal Bupivacaine

Authors: Aaron A. Berg, D.O. et al  Anesthesiology April 2022, Vol. 136, 531–541. Background Interscalene blocks provide analgesia for shoulder surgery but also cause phrenic nerve paralysis. Liposomal bupivacaine is approved for use in interscalene blocks with the potential to provide longer pain control. However, the impact of liposomal bupivacaine on the phrenic nerve has not […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
Prophylactic Penehyclidine Inhalation for Prevention of Postoperative Pulmonary Complications in High-risk Patients

Authors: Ting Yan, M.D. et al  Anesthesiology April 2022, Vol. 136, 551–566. Background Postoperative pulmonary complications are common. Aging and respiratory disease provoke airway hyperresponsiveness, high-risk surgery induces diaphragmatic dysfunction, and general anesthesia contributes to atelectasis and peripheral airway injury. This study therefore tested the hypothesis that inhalation of penehyclidine, a long-acting muscarinic antagonist, reduces the […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
How Will You Respond to the Next Emergency?

Authors: Stacey Watt, MD, MBA, MHPE, FASA et al  ASA Monitor April 2022, Vol. 86, 26–30. Any hospital can be impacted by a mass casualty event regardless of the size, location, or capabilities of the facility. A coordinated response cannot be developed between the first warning of a mass casualty event and the arrival of the […]

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Uncategorized Published - 25 May, 2022    By - Dr Clemens
Cocaine: How long does it stay in your system?

This is important because we often have to give an anesthetic to a pt who uses cocaine. Author: Mate Jarai MedicalNewsToday The length of time cocaine stays in a person’s system depends on the dosage, how often a person uses it, and other factors. Cocaine has a shorter half-life than many other drugs, which means that the […]

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