Author: Dr Clemens

Uncategorized Published - 3 July, 2023    By - Dr Clemens
Transforaminal versus interlaminar CT-guided lumbar epidural steroid injections

DG Journal Club AUTHORS: Sylvain Bise et al Skeletal Radiol. 2023 Feb 2 OBJECTIVE To compare the efficacy of the transforaminal approach (TFA) versus the interlaminar approach (ILA) for CT-guided epidural steroid injection (CTESI) in the treatment of persistent lumbosacral radicular pain (LRP > 6 weeks) with long-term follow-up. METHODS Patients were prospectively assessed for pain by visual […]

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Uncategorized Published - 3 July, 2023    By - Dr Clemens
Pre-operative anemia and peri-operative transfusion are associated with poor oncologic outcomes in cancers of the esophagus

DG Journal Club AUTHORS: Joseph P Connor et al BMC Cancer. 2023 Jan 28; 23(1): 99 BACKGROUND Both Red Blood Cell (RBC) transfusion and anemia are thought to negatively impact cancer survival. These effects have been reported with mixed findings in cancer of the esophagus. The potential impact of the application of restrictive transfusion strategies […]

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Uncategorized Published - 3 July, 2023    By - Dr Clemens
Enhanced Recovery After Surgery Program and Opioid Consumption in Pulmonary Resection Surgery

AUTHORS: Son, Jongbae MD et al  Anesthesia & Analgesia 136(4):p 719-727, April 2023. BACKGROUND: Pulmonary resection surgery causes severe postoperative pain and usually requires opioid-based analgesia, particularly in the early postoperative period. However, the administration of large amounts of opioids is associated with various adverse events. We hypothesized that patients who underwent pulmonary resection under an […]

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Uncategorized Published - 3 July, 2023    By - Dr Clemens
Phosphate NIMA-Related Kinase 2-Dependent Epigenetic Pathways in Dorsal Root Ganglion Neurons Mediates Paclitaxel-Induced Neuropathic Pain

AUTHORS: Hsieh, Ming-Chun PhD et al  Anesthesia & Analgesia February 08, 2023.  BACKGROUND:  The microtubule-stabilizing drug paclitaxel (PTX) is an important chemotherapeutic agent for cancer treatment and causes peripheral neuropathy as a common side effect that substantially impacts the functional status and quality of life of patients. The mechanistic role for NIMA-related kinase 2 (NEK2) […]

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Uncategorized Published - 3 July, 2023    By - Dr Clemens
γ-Aminobutyric Acid-Ergic Development Contributes to the Enhancement of Electroencephalogram Slow-Delta Oscillations Under Volatile Anesthesia in Neonatal Rats

AUTHORS: Zhang, Mingyue MD et al Anesthesia & Analgesia February 08, 2023. BACKGROUND: General anesthetics (eg, propofol and volatile anesthetics) enhance the slow-delta oscillations of the cortical electroencephalogram (EEG), which partly results from the enhancement of (γ-aminobutyric acid [GABA]) γ-aminobutyric acid-ergic (GABAergic) transmission. There is a GABAergic excitatory-inhibitory shift during postnatal development. Whether general anesthetics […]

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Uncategorized Published - 30 June, 2023    By - Dr Clemens
Using PEEP in the OR and ICU

Author: Shahla Siddiqui, MD, MS, FCCM et al ASA Monitor July 2023, Vol. 87, 30. Although the use of positive end expiratory pressure (PEEP) for pulmonary edema was described by Barach in 1938, PEEP did not enter routine clinical practice until the late 1960s, when it was used by Gregory and colleagues in neonates with respiratory […]

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Uncategorized Published - 30 June, 2023    By - Dr Clemens
Tips for sciatic nerve pain relief at night

Author: Jenna Fletcher MedicalNewsToday February 1, 2023 There are several ways a person can help manage sciatic nerve pain at night, including adjusting sleep positions and trying pain relief remedies before bed. Sciatic nerve pain typically starts in the lower back or buttocks and radiates to the back of the thigh and legs or feet. […]

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Uncategorized Published - 30 June, 2023    By - Dr Clemens
Comparison of cooled versus conventional radiofrequency treatment of the genicular nerves for chronic knee pain

DG Journal Club AUTHORS: Thibaut Vanneste et al Reg Anesth Pain Med. 2023 Jan 18 BACKGROUND Radiofrequency (RF) treatment of the genicular nerves has the potential to reduce chronic knee pain due to osteoarthritis or persistent postsurgical pain, however, a direct comparison between the two main modalities METHODS This double blind, non-inferiority, pilot, randomized controlled […]

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Uncategorized Published - 30 June, 2023    By - Dr Clemens
Pituitary tumor headache location and symptoms

 Author: Amy Murnan MedicalNewsToday January 26, 2023 The pituitary gland is a small gland that sits behind the bridge of the nose, beneath the brain. Tumors around this gland may cause various types of headaches, but they often cause pain in the forehead. This information comes from the American Association of Neurological Surgeons. Most pituitary tumors […]

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Uncategorized Published - 30 June, 2023    By - Dr Clemens
UpToDate®

ASA Monitor July 2023, Vol. 87, 20. UpToDate® and ASA Monitor are collaborating to present select content abstracts on “What’s New in Anesthesiology.” UpToDate is an evidence-based, clinical support resource used worldwide by health care practitioners to make decisions at the point of care. For complete, current “What’s New” content, or to become a subscriber for full […]

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