Author: Dr Clemens

Uncategorized Published - 16 February, 2023    By - Dr Clemens
Modulation of Cerebral Function by Muscle Afferent Activity, with Reference to Intravenous Succinylcholine

Author: William L. Lanier, M.D. Anesthesiology February 2023, Vol. 138, 209–215. Cerebral Function and Muscle Afferent Activity Following Intravenous Succinylcholine in Dogs Anesthetized with Halothane: The Effects of Pretreatment with a Defasciculating Dose of Pancuronium. By WL Lanier, PA Iaizzo, and JH Milde. Anesthesiology 1989; 71:87–95. Reprinted with permission.By the mid-1980s, it was widely assumed that if […]

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Uncategorized Published - 15 February, 2023    By - Dr Clemens
ffect of 5% EMLA Cream on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia

AUTHORS: Murugaiyan, Abishek MD et al  Anesthesia & Analgesia 136(2):p 338-345, February 2023. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and […]

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Uncategorized Published - 15 February, 2023    By - Dr Clemens
Dopamine-Antagonist Antiemetics in PONV Management: Entering a New Era?

Authors: Connie Chung, MD; Joseph W. Szokol, MD, JD, MBA Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023  INTRODUCTION In the second half of the last century, dopamine D2-receptor antagonists were a mainstay of the management of post-operative nausea and vomiting (PONV).1 However, at the start of the 21st century, they sharply declined in […]

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Uncategorized Published - 15 February, 2023    By - Dr Clemens
Mechanical Power Ratio and Respiratory Treatment Escalation in COVID-19 Pneumonia

Authors: Simone Gattarello, M.D., Ph.D. et al  Anesthesiology March 2023, Vol. 138, 289–298. Background Under the hypothesis that mechanical power ratio could identify the spontaneously breathing patients with a higher risk of respiratory failure, this study assessed lung mechanics in nonintubated patients with COVID-19 pneumonia, aiming to (1) describe their characteristics; (2) compare lung mechanics between […]

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Uncategorized Published - 15 February, 2023    By - Dr Clemens
GABAergic Signaling During Spinal Cord Stimulation Reduces Cardiac Arrhythmias in a Porcine Model

Authors: Kimberly Howard-Quijano, M.D., M.S. et al  Anesthesiology January 2023. Background Neuraxial modulation, including spinal cord stimulation, reduces cardiac sympathoexcitation and ventricular arrhythmogenesis. There is an incomplete understanding of the molecular mechanisms through which spinal cord stimulation modulates cardiospinal neural pathways. We hypothesize that spinal cord stimulation reduces myocardial ischemia/reperfusion induced sympathetic excitation and ventricular […]

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Uncategorized Published - 15 February, 2023    By - Dr Clemens
How Physicians Frame Low Back Pain Affects Treatment Efficacy

Author: Avery Hurt Practical Pain Management Jan 2023 Low back pain is simultaneously one of the most common and vexing pain conditions physicians treat. According to the International Association for the Study of Pain (IASP), low back pain (LBP) is the leading cause of years lived with disability and is a major public health concern […]

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Uncategorized Published - 14 February, 2023    By - Dr Clemens
Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians

AUTHORS: Shaefi, Shahzad MD, MPH et al  Anesthesia & Analgesia 136(2):p 295-307, February 2023 BACKGROUND: Despite the growing contributions of critical care anesthesiologists to clinical practice, research, and administrative leadership of intensive care units (ICUs), relatively little is known about the subspecialty-specific clinical practice environment. An understanding of contemporary clinical practice is essential to recognize […]

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Uncategorized Published - 14 February, 2023    By - Dr Clemens
Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks: A Retrospective Analysis of 4033 Patients

AUTHORS: Kwon, Hyun-Jung MD et al  Anesthesia & Analgesia 136(2):p 365-372, February 2023 BACKGROUND: Although the ultrasound-guided rectus sheath block (RSB) is usually regarded as an easy and safe procedure in clinical settings, there is currently no report on complications incidence. Therefore, the present study investigated complications in a large cohort and described the technical considerations […]

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Uncategorized Published - 14 February, 2023    By - Dr Clemens
Effects of Goal-Directed Hemodynamic Therapy Using a Noninvasive Finger-Cuff Monitoring Device on Intraoperative Cerebral Oxygenation and Early Delayed Neurocognitive Recovery in Patients Undergoing Beach Chair Position Shoulder Surgery

AUTHORS: Lee, Chen-Tse MD et al  Anesthesia & Analgesia 136(2):p 355-364, February 2023. BACKGROUND: Perioperative cerebral desaturation events (CDEs) and delayed neurocognitive recovery are common among patients undergoing beach chair position (BCP) shoulder surgery and may be caused by cerebral hypoperfusion. This study tested the hypothesis that the application of goal-directed hemodynamic therapy (GDHT) would attenuate […]

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Uncategorized Published - 14 February, 2023    By - Dr Clemens
Perioperative Considerations for Patients with Mpox (Monkeypox)

Authors: Jonathan M. Tan, MD, MPH, MBI, FASA et al Anesthesia Patient Safety Foundation Volume 38, No. 1 • February 2023  INTRODUCTION Mpox, previously known as Monkeypox, is a global health concern.1 While first detected in humans in 1970 in the Republic of the Congo, its spread to nonendemic countries in 2022 led the World Health Organization […]

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