Month: October 2022

Uncategorized Published - 6 October, 2022    By - Dr Clemens
Rescue Treatment of Postoperative Nausea and Vomiting

DG Journal Club Authors: Tong J Gan, Zhaosheng Jin, Tricia A Meyer Anesth Analg. 2022 Aug 31 Although prophylactic antiemetics are commonly used perioperatively, an estimated 30% of surgical patients still suffer from postoperative nausea and vomiting (PONV). Very few prospective trials have studied rescue treatment of PONV after failure of prophylaxis, providing limited evidence […]

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Uncategorized Published - 6 October, 2022    By - Dr Clemens
Arthroscopic surgery or exercise therapy for degenerative meniscal lesions

DG Journal Club AUTHORS: M Rotini et al Musculoskelet Surg. 2022 Sep 3 BACKGROUND Arthroscopic partial meniscectomy (APM) is widely applied for the treatment of degenerative meniscal lesions in middle-aged patients; however, such injury is often associated with mild or moderate osteoarthritis and has been reported by MRI in asymptomatic knees. Previous studies suggested, in […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Pericapsular nerve group (PENG) block for hip arthroscopy

DG Journal Club Authors: Peter E Amato et al Reg Anesth Pain Med. 2022 Aug 23 INTRODUCTION Arthroscopic hip surgery is associated with significant postoperative pain. Femoral nerve blocks have been shown to improve postoperative analgesia at the expense of quadriceps weakness. The pericapsular nerve group (PENG) block could be an alternative that may improve […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting

Authors: Zorrilla-Vaca, Andres B et al  Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 943-950 BACKGROUND: Perioperative IV dextrose infusions have been investigated for their potential to reduce the risk of postoperative nausea and vomiting. In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose for […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Changes in pain scores and walking distance after epidural steroid injection in patients with lumbar central spinal stenosis

Authors: Kim, Minsoo MD, PhD et al Medicine: June 17, 2022 – Volume 101 – Issue 24  Abstract Lumbar spinal stenosis is a common degenerative disorder that is characterized by pain and neurogenic claudication. Previous studies have evaluated the effects of an epidural steroid injection (ESI) on spinal stenosis, based on changes to the spinal canal […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Visual Analytics to Leverage Anesthesia Electronic Health Record

AUTHORS: Kahn, Ronald A. MD et al  Anesthesia & Analgesia: September 05, 2022 BACKGROUND: Visual analytics is the science of analytical reasoning supported by interactive visual interfaces called dashboards. In this report, we describe our experience addressing the challenges in visual analytics of anesthesia electronic health record (EHR) data using a commercially available business intelligence (BI) […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Effectiveness of Perioperative Opioid Educational Initiatives

AUTHORS: Zorrilla-Vaca, Andres MD et al  Anesthesia & Analgesia: May 2022 – Volume 134 – Issue 5 – p 940-951 BACKGROUND: Opioids are the most commonly prescribed analgesics in the United States. Current guidelines have proposed education initiatives to reduce the risk of chronic opioid consumption, yet there is lack of efficacy data on such interventions. […]

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Uncategorized Published - 4 October, 2022    By - Dr Clemens
Respiratory Effects of the Atypical Tricyclic Antidepressant Tianeptine in Human Models of Opioid-induced Respiratory Depression

Authors: Hyke Algera, M.D. et al  Anesthesiology October 2022, Vol. 137, 446–458. Background Animal data suggest that the antidepressant and α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor modulator tianeptine is able to prevent opioid-induced respiratory depression. The hypothesis was that oral or intravenous tianeptine can effectively prevent or counteract opioid-induced respiratory depression in humans. Methods Healthy male and female volunteers […]

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Uncategorized Published - 4 October, 2022    By - Dr Clemens
Bedside Diagnosis of Pulmonary Embolism Using Electrical Impedance Tomography

Authors: Kuk, Won-Jun MD; Wright, Nathan R. MD A & A Practice: July 2022 – Volume 16 – Issue 7 – p e01606 Abstract Electrical impedance tomography (EIT) is an emerging imaging modality that can be used to diagnose ventilatory and intrathoracic perfusion mismatches in unstable patients at the bedside. We present a case of […]

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Uncategorized Published - 4 October, 2022    By - Dr Clemens
Intravenous Amisulpride Does Not Meaningfully Prolong the QTc Interval at Doses Effective for the Management of Postoperative Nausea and Vomiting

Authors: Fox, Gabriel M. MB BChir et al  Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 150-159 Background:  Postoperative nausea and vomiting (PONV) are significant issues in surgical patients, and additional treatment options are needed. Dopaminergic antiemetics have been popular for their efficacy, but their use has been limited by safety […]

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