Author: Dr Clemens

Uncategorized Published - 11 July, 2023    By - Dr Clemens
Perioperative immediate hypersensitivity incidence, clinical characteristics, and outcomes after allergological evaluation

DG Journal Club AUTHORS: Thanachit Krikeerati et al Asian Pac J Allergy Immunol. 2023 Feb 11 BACKGROUND Perioperative immediate hypersensitivity reaction (POH) is an immediate hypersensitivity reaction during an anesthesiologist monitored procedure. We report data of clinically-suspected POH (csPOH) patients undergoing an allergist-performed unified diagnostic workup algorithm for POH. OBJECTIVE To describe the characteristics of […]

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Uncategorized Published - 10 July, 2023    By - Dr Clemens
Observational analysis of criteria for a difficult airway alert

Authors: Milne, Andrew D. MD, MSc et al Journal of Head & Neck Anesthesia 6(2):p e44, December 2022. Introduction: Difficult airway alerts are a tool used to document difficulties encountered with the patient’s airway and assist with future management. There is no universally accepted criterion as to who should get a difficult airway alert and the […]

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Uncategorized Published - 10 July, 2023    By - Dr Clemens
Targeting Pain Science Education in Youth With Chronic Pain What Are the Sticking Points for Youth and Their Parents?

Authors: Pate, Joshua W. PhD et al The Clinical Journal of Pain 39(2):p 60-67, February 2023. Objectives: An important part of providing pain science education is to first assess baseline knowledge and beliefs about pain, thereby identifying misconceptions and establishing individually-tailored learning objectives. The Concept of Pain Inventory (COPI) was developed to support this need. This study aimed to characterize […]

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Uncategorized Published - 10 July, 2023    By - Dr Clemens
Haemodynamic monitoring and management in patients having noncardiac surgery

AUTHORS: Flick, Moritz et al  European Journal of Anaesthesiology and Intensive Care 2(1):p e0017, February 2023. BACKGROUND Haemodynamic monitoring and management is a mainstay of peri-operative anaesthetic care. OBJECTIVE To determine how anaesthesiologists measure and manage blood pressure and cardiac output, and how they guide fluid administration and assess fluid responsiveness in patients having noncardiac surgery. […]

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Uncategorized Published - 10 July, 2023    By - Dr Clemens
A Prospective Trial Examining Future Pain Relief for Ultrasound-Guided Corticosteroid-Anesthetic Injections

Authors: Cushman, Daniel M. MD et al  American Journal of Physical Medicine & Rehabilitation 101(11):p 1020-1025, November 2022. Objectives The aim of the study was to prospectively evaluate the association between immediate pain relief from injections of local anesthetic with corticosteroid and subsequent pain relief up to 3 mos. The secondary aim was to examine the time until subjective pain relief after these injections. Design […]

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Uncategorized Published - 10 July, 2023    By - Dr Clemens
Effects of a Continuous Adductor Canal Block After Total Knee Arthroplasty.

DG Journal Club Authors: Timothy G Visser et al Orthopedics. 2023 Jan 30 1-7 This retrospective cohort study analyzed the short-term outcomes of patients undergoing total knee arthroplasty receiving periarticular anesthetic injections (PAIs) with and without continuous adductor canal blocks (CACBs) regarding early postoperative narcotic use, pain scores, and range of motion with otherwise similar postoperative […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Periprocedural Polypharmacy in Lumbar Fusions Performed Under Spinal Anesthesia Compared With General Anesthesia

AUTHORS: Olmos, Michelle BA et al  Neurosurgery 92(3):p 632-638, March 2023. BACKGROUND:  Spinal anesthesia (SA) is a safe and effective alternative to general endotracheal anesthesia (GEA) for lumbar surgery. Foremost among the reasons to avoid GEA is the desire to minimize postoperative cognitive dysfunction (POCD). Although POCD is a complex and multifactorial entity, the risk of its […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Electroencephalographic characteristics of children and adolescents with chronic musculoskeletal pain

AUTHORS: Ocay, Don Daniel et al  PAIN Reports 7(6):p e1054, November/December 2022. | Introduction:  The pathophysiology of pediatric musculoskeletal (MSK) pain is unclear, contributing to persistent challenges to its management. Objectives: This study hypothesizes that children and adolescents with chronic MSK pain (CPs) will show differences in electroencephalography (EEG) features at rest and during thermal pain modalities when […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Balanced Nonopioid General Anesthesia With Lidocaine Is Associated With Lower Postoperative Complications Compared With Balanced Opioid General Anesthesia With Sufentanil for Cardiac Surgery With Cardiopulmonary Bypass

AUTHORS: Guinot, Pierre-Grégoire MD, PhD et al  Anesthesia & Analgesia 136(5):p 965-974, May 2023. BACKGROUND: There are no data on the effect of balanced nonopioid general anesthesia with lidocaine in cardiac surgery with cardiopulmonary bypass. The main study objective was to evaluate the association between nonopioid general balanced anesthesia and the postoperative complications in relation to […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Validation of Automated Data Extraction From the Electronic Medical Record to Provide a Pediatric Risk Assessment Score

AUTHORS: Faraoni, David MD, PhD et al  Anesthesia & Analgesia 136(4):p 738-744, April 2023. BACKGROUND: Although the rate of pediatric postoperative mortality is low, the development and validation of perioperative risk assessment models have allowed for the stratification of those at highest risk, including the Pediatric Risk Assessment (PRAm) score. The clinical application of such tools […]

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