Month: November 2022

Uncategorized Published - 28 November, 2022    By - Dr Clemens
Needle-free pharmacological sedation techniques in paediatric patients for imaging procedures

DG Journal Club AUTHORS: Ingeborg de Rover et al Br J Anaesth. 2022 Oct 22 BACKGROUND Sedation techniques and drugs are increasingly used in children undergoing imaging procedures. In this systematic review and meta-analysis, we present an overview of literature concerning sedation of children aged 0-8 yr for magnetic resonance imaging (MRI) procedures using needle-free […]

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Uncategorized Published - 28 November, 2022    By - Dr Clemens
The Lateral Femoral Cutaneous and Over the Hip (LOH) Block for the Surgical Management of Hip Fractures

DG Journal Club AUTHORS: Alexa R Deemer, David L Furgiuele, Abhishek Ganta, Philipp Leucht J Orthop Trauma. 2022 Oct 17 OBJECTIVES To examine the efficacy of regional anesthesia with sedation only for a variety of hip fractures using the newly described lateral femoral cutaneous with over the hip Block (LOH Block). DESIGN Retrospective. SETTING Level-I […]

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Uncategorized Published - 28 November, 2022    By - Dr Clemens
Consequences of General Anesthesia in Infancy on Behavior and Brain Structure

AUTHORS: Salaün, Jean-Philippe MD, PhD et al Anesthesia & Analgesia: October 27, 2022 BACKGROUND: One in 7 children will need general anesthesia (GA) before the age of 3. Brain toxicity of anesthetics is controversial. Our objective was to clarify whether exposure of GA to the developing brain could lead to lasting behavioral and structural brain changes. […]

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Uncategorized Published - 28 November, 2022    By - Dr Clemens
Volatile Versus Total Intravenous Anesthesia on Postoperative Delirium in Adult Patients Undergoing Cardiac Valve Surgery

AUTHORS: Jiang, Jia-Li MD et al  Anesthesia & Analgesia: October 27, 2022 BACKGROUND: The effect of anesthesia regimens on postoperative delirium after on-pump cardiac valve surgery is yet undetermined. This study aimed to evaluate the effect of volatile anesthesia compared with propofol-based total intravenous anesthesia (TIVA) on the occurrence of delirium after on-pump cardiac valve surgery. […]

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Uncategorized Published - 28 November, 2022    By - Dr Clemens
Longitudinal Profiling of Plasma Cytokines and Its Association With Postoperative Delirium in Elderly Patients Undergoing Major Lower Limb Surgery

AUTHORS: Zhang, Yu MD et al  Anesthesia & Analgesia: October 26, 2022 Abstract BACKGROUND: Surgery is accompanied by a systemic inflammatory response that may presage delirium in susceptible individuals. Little is known about the trajectory of plasma proinflammatory cytokines and their potential associations with postoperative delirium (POD). The current study longitudinally assessed both pro and anti-inflammatory […]

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Uncategorized Published - 25 November, 2022    By - Dr Clemens
Neurodevelopmental outcomes after prenatal exposure to anaesthesia for maternal surgery

DG Journal Club AUTHORS: T Bleeser et al Anaesthesia. 2022 Oct 25 Up to 1% of pregnant women undergo anaesthesia for non-obstetric surgery. This study investigated neurodevelopmental outcomes after prenatal anaesthesia for maternal surgery. A bidirectional cohort study of children born between 2001 and 2018 was performed: neurodevelopmental outcomes of children who had received prenatal […]

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Uncategorized Published - 25 November, 2022    By - Dr Clemens
Middle Ear Condition at the Time of Pediatric Myringotomy Tube Placement: Pain Associations Following Intraoperative Fentanyl/Ketorolac and Seasonal Variation

AUTHORS: Cohen, William G. BA et al  Anesthesia & Analgesia: November 02, 2022 BACKGROUND: Ketorolac-refractory pain behavior following bilateral myringotomy and pressure equalization tube placement (BMT) is associated with the absence of middle ear fluid. Intraoperative fentanyl/ketorolac affords more reliable pain control than ketorolac alone. We hypothesized that middle ear condition would correlate with postoperative pain […]

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Uncategorized Published - 25 November, 2022    By - Dr Clemens
Effect of Ice Slush on Reducing the Oculocardiac Reflex During Strabismus Surgery

AUTHORS: Qi, Xin MD et al  Anesthesia & Analgesia: November 02, 2022 BACKGROUND: The aim of this study was to explore whether ice slush (IS) causing local hypothermia can effectively inhibit the oculocardiac reflex (OCR) during strabismus surgery. METHODS: This prospective, randomized, double-blind study included 58 patients with concomitant strabismus scheduled for lateral rectus (LR) recession […]

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Uncategorized Published - 25 November, 2022    By - Dr Clemens
Atrial fibrillation: Cannabis and other drugs linked to increased AFib risk

Author: Robby Berman MedicalNewsToday This is important since many states have legalized smoking cannabis An observational study found associations between methamphetamine, cocaine, opiates, and cannabis use and atrial fibrillation (AFib). Compared to non-users, the researchers’ analysis shows that the substances were individually associated with an increased risk of developing AFib after adjusting for cardiovascular risk […]

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Uncategorized Published - 25 November, 2022    By - Dr Clemens
What to know about an epidural steroid injection

Author: Beth Sissons MedicalNewsToday An epidural steroid injection is a nonsurgical procedure that provides pain relief. A doctor will inject steroids into the epidural space to reduce inflammation due to certain spinal conditions. An epidural steroid injection (ESI) delivers steroids directly into the epidural space around the spinal cord. They may help reduce inflammation and relieve pain […]

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