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Uncategorized Published - 1 November, 2023    By - Dr Clemens
The Stimulant Overdose Crisis

Authors: William Amarquaye, PharmD et al Pract Pain Manag. 2023 March/April;22(2). With an unprecedented surge in psychostimulant-related deaths due to cross-contamination of illicitly manufactured fentanyl, here’s what prescribers and physicians need to know, including monitoring and mitigating risk, for their patients who use methamphetamine and cocaine. A Special Report. Background: It Started with Opioids The […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Perioperative Culture and Its Impact on the Success or Failure of a Regional Anesthesia/Acute Pain Service

Authors: George Tewfik, MD, MBA, FASA, CPE, MSBA et al  ASA Monitor October 2023, Vol. 87, e2–e3. Picture two starkly different scenarios… In Hospital A, the regional anesthesia team mandates and directs the perioperative analgesic plan. When the acute pain attending for the day and the resident identify a patient on the OR schedule who may […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Baseline gastric volume of fasting diabetic patients is not higher than that of non-diabetics

Authors: Anahi Perlas, MD, FRCPC et al  Anesthesiology October 2023. Background The physiology of diabetes mellitus can increase the risk of perioperative aspiration but there is limited and contradictory evidence on the incidence of “full stomach” in fasting diabetic patients. The aim of this study is to assess the baseline gastric content (using gastric ultrasound) […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Long-term outcomes with spinal versus general anesthesia for hip fracture surgery

Authors: Emily A. Vail, MD MSc. et al  Anesthesiology October 2023. Background The effects of spinal versus general anesthesia on long-term outcomes have not been well-studied. We tested the hypothesis that spinal anesthesia is associated with better long-term survival and functional recovery than general anesthesia. Methods We conducted a pre-specified analysis of long-term outcomes of […]

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Uncategorized Published - 31 October, 2023    By - Dr Clemens
Perioperative Mortality of the COVID-19 Recovered Patient Compared to a Matched Control

Authors: Michael F. Aziz, MD et al  Anesthesiology October 2023. Background: Surgical procedures performed on patients with recent exposure to COVID-19 infection have been associated with increased mortality risk in prior studies. Accordingly, elective surgery is often delayed after infection. We aimed to compare 30-day hospital mortality and postoperative complications (acute kidney injury, pulmonary complications) […]

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