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Uncategorized Published - 3 August, 2017    By - Dr Clemens
Total Spinal Anesthesia Failure: Have You Assessed the Sensory Anesthesia in Sacral Dermatomes?

Authors: Ronaldo Rodrigo MD, PhD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1674–1677 Intrathecal local anesthetic maldistribution is a well-known cause of spinal anesthesia failure (SAF). This could potentially result in sensory blockade restricted to the sacral dermatomes. We sought to determine the overall incidence of SAF and […]

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Uncategorized Published - 3 August, 2017    By - Dr Clemens
DRG Stimulation Superior to Spinal Cord Stimulation for Lower Extremity Pain

The DRG has been shown to undergo pathophysiologic changes in animal models of chronic pain, and may be a viable target for neurostimulation. Dorsal root ganglion (DRG) stimulation is more likely than spinal cord stimulation (SCS) to provide pain relief in patients with neuropathic pain affecting the lower extremities, according to the ACCURATE study published […]

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Uncategorized Published - 3 August, 2017    By - Dr Clemens
Patient Satisfaction After THA Varies by Sex

Factors influencing patient satisfaction after total hip arthroplasty (THA) vary by sex, according to a new study. Staff responsiveness followed by clear communication from nurses and doctors are most important to female patients, whereas optimal pain management is most important to male patients, researchers have found. The study was conducted to see whether patients’ sex […]

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Uncategorized Published - 3 August, 2017    By - Dr Clemens
Efficacy of TAP Block Unreliable In Morbidly Obese Parturients

Different ropivacaine concentrations in transversus abdominis plane (TAP) block for post-cesarean analgesia yield unpredictably varying analgesic benefits and wide confidence intervals in morbidly obese women, according to a randomized clinical trial. The results have served to add fuel to the fire over the controversy of the block’s efficacy. “At our institution, morbidly obese parturients do […]

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Uncategorized Published - 3 August, 2017    By - Dr Clemens
Generative Retrieval Improves Learning and Retention of Cardiac Anatomy Using Transesophageal Echocardiography

AUTHORS: Kleiman, Amanda M. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1440–1444 BACKGROUND: Transesophageal echocardiography (TEE) is a valuable monitor for patients undergoing cardiac and noncardiac surgery as it allows for evaluation of cardiovascular compromise in the perioperative period. It is challenging for anesthesiology residents and medical […]

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