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Uncategorized Published - 6 March, 2023    By - Dr Clemens
Preoperative Identification of Patient-Dependent Blood Pressure Targets Associated With Low Risk of Intraoperative Hypotension During Noncardiac Surgery 2023

AUTHORS: Schnetz, Michael P. MD, PhD et al  Anesthesia & Analgesia 136(2):p 194-203, February 2023. BACKGROUND: Intraoperative hypotension (IOH) is strongly linked to organ system injuries and postoperative death. Blood pressure itself is a powerful predictor of IOH; however, it is unclear which pressures carry the lowest risk and may be leveraged to prevent subsequent hypotension. […]

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Uncategorized Published - 6 March, 2023    By - Dr Clemens
Pain treatment and prophylaxis on pain 2023

Authors: Raeder, Johan Current Opinion in Anaesthesiology 35(6):p 684-690, December 2022. Purpose of review Also in ambulatory surgery, there will usually be a need for analgesic medication to deal with postoperative pain. Even so, a significant proportion of ambulatory surgery patients have unacceptable postoperative pain, and there is a need for better education in how to provide […]

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Uncategorized Published - 6 March, 2023    By - Dr Clemens
Hyperlactatemia and other perioperative metabolic disturbances in neuroanesthesia 2023

Authors: Klimek, Markus et al  Current Opinion in Anaesthesiology 35(5):p 537-542, October 2022. Purpose of review The concept of ‘brain-body cross-talking’ has gained growing interest in the last years. The understanding of the metabolic disturbances (e.g., hypernatraemia/hyponatraemia and hyperlactatemia) in neurosurgical patients has improved during the last years. Recent findings The impact of elevated lactate without […]

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Uncategorized Published - 3 March, 2023    By - Dr Clemens
Efficacy of Duloxetine in Patients with Central Post-Stroke Pain 23023

DG Journal Club AUTHORS: Bandari Mahesh, Varun Kumar Singh, Abhishek Pathak, Anand Kumar Pain Med. 2022 Nov 21 OBJECTIVE Central post-stroke pain (CPSP) refers to neuropathic pain in areas of the body corresponding to stroke lesions. Duloxetine, a serotonin-norepinephrine reuptake inhibitor, is safe and effective against neuropathic pain. In this randomized double-blind placebo-controlled study, we […]

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Uncategorized Published - 3 March, 2023    By - Dr Clemens
Prioritizing Measures and Indicators Beyond a Payment Program 2023

Authors: Matthew T. Popovich, PhD; Katie Wochos, MPPA ASA Monitor March 2023, Vol. 87, 29. Much attention has been placed upon participation in the Quality Payment Program (QPP), including reporting quality measures for the Merit-based Incentive Payment System (MIPS) or joining an Alternative Payment Model (APM). But for many anesthesiologists, the need to participate and do well […]

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