Month: May 2023

Uncategorized Published - 31 May, 2023    By - Dr Clemens
Anesthesia Considerations for Radiation Therapy Patients 2021

Radius Anesthesia May blog Cancer treatment, including surgery, chemotherapy, and radiotherapy, results in major physiological and health changes. Impacts on everyday life can be significant and are relatively well-known. Impacts on other areas are also important. In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. Chemotherapy can damage […]

Read More
Uncategorized Published - 31 May, 2023    By - Dr Clemens
MY ANESTHESIOLOGIST ADMINISTERED FENTANYL TO ME. IS THAT OK? 2023

Author: Richard Novak MD THE ANESTHESIA CONSULTANT America is in the midst of a fentanyl crisis. There were 71,238 fentanyl overdose deaths in the United States in 2021. The Drug Enforcement Administration (DEA) states, “fentanyl is involved in more deaths of Americans under 50 than any cause of death, including heart disease, cancer, homicide, suicide and […]

Read More
Uncategorized Published - 31 May, 2023    By - Dr Clemens
Is Continuous Intraoperative Monitoring of Mean Arterial Pressure as Good as the Hypotension Prediction Index Algorithm?: Research Letter 2023

Authors: Marijn P. Mulder, M.Sc. et al  Anesthesiology June 2023, Vol. 138, 657–658. To the Editor: The Hypotension Prediction Index is a validated machine learning algorithm based on numerous characteristics of the arterial waveform and aimed at predicting hypotension up to 15 min in advance.  The recent special article by Enevoldsen and Vistisen focused on the data selection […]

Read More
Uncategorized Published - 31 May, 2023    By - Dr Clemens
Layering Migraine Medications Leads to More Effective Relief 2023

Author: Doheny K Pract Pain Manag. 2023 May/June;22(3). With additional medications now FDA-approved and available, combination therapy promises to give more patients improved outcomes. It’s an old concept in migraine management that’s been given a new name in recent years: layering. “Conceptually, it’s nothing new,” said Jay Joshi, MD, DABA, DABA-PM, FABA-PM, CEO and medical […]

Read More
Uncategorized Published - 31 May, 2023    By - Dr Clemens
Late-Onset PsA May Increase Risk for Cardiovascular Events 2023

Author: Avery Hurt Practical Pain Management May/June 2023 Retrospective study findings may urge clinicians to consider cardiac risk factors when evaluating and treating older adults with psoriatic arthritis. Psoriatic arthritis is a complex disease with many clinical manifestations and variations that can develop over its course. In addition to the common effects on the skin, […]

Read More
Uncategorized Published - 30 May, 2023    By - Dr Clemens
Motor Vehicle Crash Risk among Adults Undergoing General Surgery 2023

Authors: Timothy G. Gaulton, M.D., M.Sc. et al  Anesthesiology June 2023, Vol. 138, 602–610. Background Surgery causes transient impairment in cognition and function, which may impact driving safety. The authors hypothesized that the risk of a motor vehicle crash would increase after compared to before surgery. Methods The authors performed a nested case-crossover study within population-based […]

Read More
Uncategorized Published - 30 May, 2023    By - Dr Clemens
Layering Migraine Medications Leads to More Effective Relief 2023

Author: Doheny K. Pract Pain Manag. 2023 May/June;22(3). With additional medications now FDA-approved and available, combination therapy promises to give more patients improved outcomes. It’s an old concept in migraine management that’s been given a new name in recent years: layering. “Conceptually, it’s nothing new,” said Jay Joshi, MD, DABA, DABA-PM, FABA-PM, CEO and medical […]

Read More
Uncategorized Published - 30 May, 2023    By - Dr Clemens
Prevalence and Risk Factors for Chronic Post-Surgical Pain Following Cardiac Surgery 2023

Authors: Maggie ZX Xiao, BSc et al  Anesthesiology May 2023. Background Chronic post-surgical pain is a common complication of surgery. The role of psychological risk factors like depression and anxiety is substantially understudied in cardiac surgery. This study sought to identify perioperative factors associated with chronic pain at 3, 6, and 12 months after cardiac […]

Read More
Uncategorized Published - 30 May, 2023    By - Dr Clemens
Deep Isoflurane Anesthesia Is Associated with Alterations in Ion Homeostasis and Specific Na+/K+-ATPase Impairment in the Rat Brain 2023

Authors: Clemens Reiffurth, Ph.D. et al  Anesthesiology June 2023, Vol. 138, 611–623. Background Maintenance of ion homeostasis is essential for normal brain function. Inhalational anesthetics are known to act on various receptors, but their effects on ion homeostatic systems, such as sodium/potassium-adenosine triphosphatase (Na+/K+-ATPase), remain largely unexplored. Based on reports demonstrating global network activity and wakefulness […]

Read More
Uncategorized Published - 30 May, 2023    By - Dr Clemens
Chronic Pain at the Pharmacy: Methadone Initiation for CRPS and Comorbidities

Author: Amarquaye W. Pract Pain Manag. 2023 May/June;23(3). When a patient asks about beginning methadone therapy for CRPS, clinical pharmacist William Amarquaye advises on administration, titration, side effects, and interactions. Patient Scenario: Patient Prescribed Methadone for CRPS The Patient Patient Bob* called our pharmacy inquiring about a new prescription for methadone that he was placed […]

Read More