Author: Dr Clemens

Uncategorized Published - 28 March, 2023    By - Dr Clemens
Energy Expenditure Under General Anesthesia 2023

AUTHORS: Briesenick, Luisa MD et al  Anesthesia & Analgesia January 09, 2023. BACKGROUND: Perioperative hemodynamic management aims to optimize organ perfusion pressure and blood flow—assuming this ensures that oxygen delivery meets cellular metabolic needs. Cellular metabolic needs are reflected by energy expenditure. A better understanding of energy expenditure under general anesthesia could help tailor perioperative […]

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Uncategorized Published - 28 March, 2023    By - Dr Clemens
How does sickle cell disease affect the peri-operative outcome in patients undergoing total knee arthroplasty? 2023

DG Journal Club AUTHORS: Vibhu Krishnan Viswanathan, Sruthi Priyavadhana Ramanan, Jack Beale, Surabhi Subramanian Arch Orthop Trauma Surg. 2023 Jan 2 [Epub ahead of print] INTRODUCTION In view of the vaso-occlusive pathophysiology affecting osseous micro-circulation, sickle cell disease (SCD) is well known to present with diverse skeletal and arthritic manifestations. With prolonged life-expectancy over the […]

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Uncategorized Published - 28 March, 2023    By - Dr Clemens
How are poor sleep and lower back pain related? 2023

Author: Clarissa Brincat MedicalNewsToday Researchers assessed the causal relationship between different sleep disturbances — insomnia, short sleep duration, long sleep duration, and daytime sleepiness — and lower back pain. The findings suggest that insomnia could cause lower back pain and vice versa. This hypothesis needs to be supported by more studies with larger samples. Lower back […]

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Uncategorized Published - 27 March, 2023    By - Dr Clemens
Cigna to lower reimbursements for certain CRNA procedures 2023

Author: Patsy Newitt Becker’s ASC Review As of March 12, Cigna is lowering reimbursements for non-medically directed procedures performed by certified registered nurse anesthetists by 15 percent, Tony Mira, CEO of Anesthesia Business Consultants, wrote in a blog post. Cigna will lower its reimbursement for claims submitted with the QZ modifier, which indicated a non-medically directed […]

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Uncategorized Published - 27 March, 2023    By - Dr Clemens
Dose Escalation Pharmacokinetic Study of Intranasal Atomized Dexmedetomidine in Pediatric Patients With Congenital Heart Disease 2023

AUTHORS: Grogan, Kelly MD et al Anesthesia & Analgesia 136(1):p 152-162, January 2023. BACKGROUND: Atomized intranasal dexmedetomidine is an attractive option when sedation is required for pediatric patients as either premedication or the sole agent for noninvasive, nonpainful procedures. While intranasal dexmedetomidine is used frequently in this population, it is still unclear what dose and time […]

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Uncategorized Published - 27 March, 2023    By - Dr Clemens
Respiratory Adverse Events After LMA® Mask Removal in Children 2023

AUTHORS: Karam, Cynthia MD et al  Anesthesia & Analgesia 136(1):p 25-33, January 2023. Abstract BACKGROUND: The removal of the laryngeal mask airway (LMA®) in children may be associated with respiratory adverse events. The rate of occurrence of these adverse events may be influenced by the type of anesthesia. Studies comparing total intravenous anesthesia (TIVA) with propofol […]

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Uncategorized Published - 27 March, 2023    By - Dr Clemens
Cluster headaches may be more common in men, but more severe in women

Author: Hanna Flynn MedicalNewsToday Cluster headaches affect more men than women. However, the gap in diagnosis is narrowing. It is a severely painful condition that can prove debilitation to people affected. Researchers have been aware of the differences between the sexes in the symptoms and triggers for the condition. A recent study of a Swedish […]

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Uncategorized Published - 27 March, 2023    By - Dr Clemens
General anesthesia in early childhood and possible association with autism

by SmartTots Nov 2, 2022 Background: In experimental animal studies, exposure to general anesthesia in early childhood may results in changes in infant brain morphology and behavior, potentially leading to the development of autistic behaviors in the long-term. However, in clinical studies the role of exposure to general anesthesia in early childhood and the risk of autism is […]

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Uncategorized Published - 24 March, 2023    By - Dr Clemens
Analgesic Effects of Regional Analgesic Techniques in Pediatric Inguinal Surgeries 2023

AUTHORS: Hung, Tsung-Yu MD et al  Anesthesia & Analgesia December 26, 2022. BACKGROUND: Various regional analgesic techniques have been used in pediatric inguinal surgery to facilitate postoperative recovery. However, each technique’s relative performance was undetermined owing to the lack of quantitative analysis. Methods: We systematically searched MEDLINE, Cochrane Library, EMBASE, and Web of Science for […]

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Uncategorized Published - 24 March, 2023    By - Dr Clemens
Failure to Rescue and Mortality Differences After Appendectomy in a Low-Middle-Income Country and the United States 2023

AUTHORS: Rosero, Eric B. MD, MSc et al  Anesthesia & Analgesia December 26, 2022. BACKGROUND: Major disparities in complications and mortality after appendectomy between countries with different income levels have not been well characterized, as comparative studies at patient level between countries are scant. This study aimed to investigate variations in postoperative complications, mortality, and […]

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