Month: August 2022

Uncategorized Published - 15 August, 2022    By - Dr Clemens
Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours

AUTHORS: Sarhan, Khaled Abdelfattah MD, DESA et al  Anesthesia & Analgesia: July 26, 2022 BACKGROUND:  This study aimed to compare the gastric fluid volume (GFV) in children who fasted 1 versus 2 hours using ultrasound, after ingestion of a defined volume of clear fluid. METHODS: Children scheduled for elective surgery were enrolled in this randomized, double-blinded, […]

Read More
Uncategorized Published - 15 August, 2022    By - Dr Clemens
Trial of Preoperative Antithrombin Supplementation in Patients at Risk for Antithrombin Deficiency After Cardiac Surgery

AUTHORS: Moront, Michael George MD et al  Anesthesia & Analgesia: July 25, 2022 BACKGROUND: Antithrombin (AT) activity is reduced during cardiac operations with cardiopulmonary bypass (CPB), which is associated with adverse outcomes. Preoperative AT supplementation, to achieve >58% and <100% AT activity, may potentially reduce postoperative morbidity and mortality in cardiac operations with CPB. This prospective, […]

Read More
Uncategorized Published - 15 August, 2022    By - Dr Clemens
Factors Associated With In-Hospital Post–Cardiac Arrest Survival in a Referral Level Hospital in Uganda

AUTHORS: Alum, Rachel Aguma MD Anesthesia & Analgesia: July 25, 2022 BACKGROUND: Cardiac arrest (CA) is still associated with high mortality and morbidity across all practice settings despite resuscitation attempts and advancements in its management. Patient outcomes vary and are affected by multiple factors. Nonetheless, there is a paucity of information on survival after CA and […]

Read More
Uncategorized Published - 15 August, 2022    By - Dr Clemens
Spontaneous ventilation anesthesia combined with uniportal and tubeless thoracoscopic sympathectomy in selected patients with primary palmar hyperhidrosis

DG Journal Club AUTHORS: Guang-Qiang Shao, Da-Zhi Pang, Ji-Tian Zhang, Hong-Xia Wang J Cardiothorac Surg. 2022 Jul 15; 17(1): 177 BACKGROUND To assess the feasibility and safety of tubeless video-assisted thoracoscopic sympathectomy (VATS) with a single 5 mm port under nonintubated, intravenous anesthesia with spontaneous ventilation in selected patients with primary palmar hyperhidrosis (PPH). METHODS Adults […]

Read More
Uncategorized Published - 15 August, 2022    By - Dr Clemens
2023 Proposed Fee Schedule: Impact on Chronic Pain

Author: Tony Mira F1rstNews Summary There are a few changes in store for chronic pain providers in 2023 based on the most recent government proposals.  Today’s alert summarizes some of the key pain-specific provisions coming from CMS. Coding Changes The Centers for Medicare and Medicaid Services (CMS) is proposing new HCPCS codes and valuation for […]

Read More
Uncategorized Published - 12 August, 2022    By - Dr Clemens
Comparing the effectiveness and safety between local anesthesia vs. epidural anesthesia for percutaneous transforaminal endoscopic discectomy

DG Journal Club AUTHORS: Zhilong Zhen, Jianmin Zhao, Chao Chen, Xun Sun World Neurosurg. 2022 Jul 16 OBJECTIVES To compare the effectiveness and safety of local anesthesia (LA) and epidural anesthesia (EA) for percutaneous transforaminal endoscopic discectomy (PTED) and provide reference data for clinical decision-making. METHODS We searched PubMed, EMBASE, the Cochrane library, Web of […]

Read More
Uncategorized Published - 12 August, 2022    By - Dr Clemens
Pediatric Ventilation Liberation: Bundled Extubation Readiness and Analgosedation Pathways Decrease Mechanical Ventilation Duration and Benzodiazepine Exposure

DG Journal Club AUTHORS: Jeremy M Loberger, Kristen C Waddell, Priya Prabhakaran, Ryan M Jones Respir Care. 2022 Jul 12 BACKGROUND Recent studies reported that children on mechanical ventilation who were managed with an analgosedation approach and standardized extubation readiness testing experienced better outcomes, including decreased delirium and invasive mechanical ventilation duration. METHODS This was […]

Read More
Uncategorized Published - 12 August, 2022    By - Dr Clemens
As overdose deaths exploded during the pandemic, racial disparities widened, CDC report shows

Author: Andrew Joseph STAT As U.S. overdose deaths soared to devastating new heights in the first year of the pandemic, racial disparities widened sharply, with rates spiking much more among Black people and American Indians and Alaska Natives than among white people, according to a federal report released Tuesday. While overall overdose deaths increased by 30% from 2019 […]

Read More
Uncategorized Published - 12 August, 2022    By - Dr Clemens
Interactions of the protease inhibitor, ritonavir, with common anesthesia drugs

DG Journal Club Anders Svedmyr, Henrik Hack, Brian J Anderson Paediatr Anaesth. 2022 Jul 17 The protease inhibitor, ritonavir, is a strong inhibitor of CYP 3A. The drug is used for management of the human immunovirus and is currently part of an oral antiviral drug combination (nirmatrelvir-ritonavir) for the early treatment of SARS-2 COVID-19-positive patients […]

Read More
Uncategorized Published - 12 August, 2022    By - Dr Clemens
Best pain medication for severe arthritis

Author: Suchandrima Bhowmik MedicalNewsToday Arthritis is a chronic inflammation of the joint that affects people worldwide. Doctors will create treatment plans for people based on the level of pain they experience, such as those with severe arthritis. According to the Centers for Disease Control and Prevention (CDC), 58.5 million people in the United States have arthritis. The Arthritis […]

Read More