Author: Dr Clemens

Uncategorized Published - 18 August, 2023    By - Dr Clemens
Skill Translation Following the Vital Anesthesia Simulation Training Facilitator Course

AUTHORS: Mossenson, Adam I. FANZCA, MPH, MBBS et al  Anesthesia & Analgesia April 12, 2023. BACKGROUND: Simulation-based education (SBE) is common in resource-rich locations, but barriers exist to widespread implementation in low-resource settings (LRSs). Vital Anesthesia Simulation Training (VAST) was developed to offer low-cost, immersive simulation to teach core clinical practices and nontechnical skills to […]

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Uncategorized Published - 18 August, 2023    By - Dr Clemens
Prediction of Acute Myocardial Injury in Noncardiac Surgery in Patients at Risk for Major Adverse Cardiovascular and Cerebrovascular Events

AUTHORS: Mases, Anna MD et al  Anesthesia & Analgesia April 12, 2023. BACKGROUND: The best use of perioperative cardiac biomarkers assessment is still under discussion. Massive postoperative troponin surveillance can result in untenably high workloads and costs for health care systems and potentially harmful interventions for patients. In a cohort of patients at risk for […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Effect of Red Blood Cell Transfusion on Regional Tissue Oxygenation in Pediatric Cardiac Surgery Patients

AUTHORS: Surma, Victoria J. MD, MS et al  Anesthesia & Analgesia April 10, 2023. BACKGROUND: Red blood cell (RBC) transfusions are used frequently in pediatric patients admitted to the intensive care unit (ICU) after cardiac surgery. To improve data-driven transfusion decision-making in the ICU, we conducted a retrospective analysis to assess the effect of RBC […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Outpatient Treatment With Gabapentin in Women With Severe Acute Pain After Cesarean Delivery Is Ineffective

AUTHORS: Fowler, Cedar MD, Ph et al Anesthesia & Analgesia 136(6): p 1122-1132, June 2023. BACKGROUND: Most of the 1.1 million women who deliver by cesarean in the United States each year have an uncomplicated recovery. However, severe pain resistant to standard multimodal therapy within the first days after surgery is associated with an increased risk […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Postoperative Catatonia After Fentanyl, Hydromorphone, and Ketamine Administration in a Patient Taking Sertraline: A Case Report

AUTHORS: Ketigian, Laura A. DO; Kidambi, Shantanu S. MD A & A Practice 17(7):p e01695, July 2023.  Abstract Opioid-induced catatonia is underrecognized and poorly understood in the literature. An 81-year-old woman with chronic kidney disease stage III taking sertraline underwent surgery with general anesthesia, receiving fentanyl, hydromorphone, and ketamine. Postoperatively, she was unresponsive, rigid, and […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Racial Disparities in Compensation Among US Anesthesiologists: Results of a National Survey of Anesthesiologists

AUTHORS: Vandenberg, Megan T. BA et al  Anesthesia & Analgesia 137(2):p 268-276, August 2023. BACKGROUND: A racial compensation disparity among physicians across numerous specialties is well documented and persists after adjustment for age, sex, experience, work hours, productivity, academic rank, and practice structure. This study examined national survey data to determine whether there are racial differences […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Centralized pain syndrome: What to know

Author: Carly Werner, RD MedicalNewsToday Centralized pain syndrome is a disorder of the central nervous system (CNS). It develops due to changes in how the brain and spinal cord interpret pain signals, resulting in much higher sensitivity. The brain is constantly receiving and interpreting messages from the body. In central pain syndrome, the pain receptors […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
Incidence of hypoglycaemia in fasting children after induction of anaesthesia for elective procedures

AUTHORS: Sigurdsson, Theodor S et al  European Journal of Anaesthesiology July 11, 2023.  Editor, Hypoglycaemia should always be of specific concern for anaesthesiologists as clinical signs of hypoglycaemia are concealed during anaesthesia. A new definition of intraoperative hypoglycaemia in children was recently defined at blood glucose values less than 3.3 mmol l−1 (60 mg dl−1) by […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations

AUTHORS: Mestdagh, François P et al  European Journal of Anaesthesiology July 07, 2023. BACKGROUND Pain after craniotomy can be intense and its management is often suboptimal. OBJECTIVES We aimed to evaluate the available literature and develop recommendations for optimal pain management after craniotomy. DESIGN A systematic review using procedure-specific postoperative pain management (PROSPECT) methodology was […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
Case Report of Cryo Nerve Block in a Patient Undergoing Full Sternotomy

Author: Caparrelli, David J. MD, FACS A & A Practice 17(2):p e01654, February 2023.  Abstract We present the case of a 65-year-old man undergoing open-heart surgery through a full sternotomy with the use of bilateral intercostal cryo nerve block (cryoNB) as adjunctive therapy for postoperative analgesia. CryoNB has been previously demonstrated as safe and effective […]

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