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Uncategorized Published - 12 January, 2023    By - Dr Clemens
Pectoral Nerve Blocks for Breast Augmentation Surgery: Comment

Author: Raghuraman M. Sethuraman, M.D. Anesthesiology December 2022. To the Editor: I read the recently published article on pectoral nerve blocks (PECS) for breast augmentation procedures with immense interest.  I greatly appreciate the authors for analyzing the efficacy of PECS blocks on breast augmentation procedures and congratulate them for publishing this wonderful study on this topic […]

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Uncategorized Published - 12 January, 2023    By - Dr Clemens
Pectoral Nerve Blocks for Breast Augmentation Surgery: Comment

Authors: Fu-Shan Xue, M.D et al Anesthesiology December 2022. To the Editor: By a randomized, double-blind, dual-centered controlled trial in 73 adult female patients undergoing aesthetic breast augmentation surgery under general anesthesia, Aarab et al.  showed that compared to multimodal analgesic regimen alone, pectoral nerve blocks combined with multimodal analgesia significantly improved postoperative pain control and decreased […]

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Uncategorized Published - 12 January, 2023    By - Dr Clemens
CHEST Perioperative Guidelines for Antithrombotic Therapy

NEJM Journal Watch Daniel D. Dressler, MD, MSc, MHM, FACP, reviewing Douketis JD et al. Chest 2022 Nov Douketis JD et al. Chest 2022 Nov New recommendations guide management of perioperative and periprocedural antithrombotic agents. Background In their previous guideline on perioperative antithrombotic management (published a decade ago; Chest 2012;141:2 Suppl:e326S. opens in new tab), the ACCP addressed 11 questions; now, […]

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Uncategorized Published - 11 January, 2023    By - Dr Clemens
Lidocaine Intraoperative Infusion Pharmacokinetics during Partial Hepatectomy for Living Liver Donation

Authors: Cara E. Crouch, M.D. et al  Anesthesiology January 2023, Vol. 138, 71–81. Background Postoperative pain associated with open partial hepatectomy can be intense and persistent. The multimodal approach used to lessen this problem includes an intraoperative intravenous infusion of lidocaine hydrochloride. Decreased hepatic metabolism after resection raises concerns about safe lidocaine dosing in this patient […]

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Uncategorized Published - 11 January, 2023    By - Dr Clemens
Ultrasound-guided Percutaneous Cryoneurolysis to Treat Chronic Postamputation Phantom Limb Pain

Authors: Brian M. Ilfeld, M.D., M.S. et al  Anesthesiology January 2023, Vol. 138, 82–97. Background Postamputation phantom pain is notoriously persistent with few validated treatments. Cryoneurolysis involves the application of low temperatures to reversibly ablate peripheral nerves. The authors tested the hypothesis that a single cryoneurolysis treatment would decrease phantom pain 4 months later. Methods The […]

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