Author: Dr Clemens

Uncategorized Published - 30 January, 2023    By - Dr Clemens
APSF Patient Safety Priorities Advisory Group – Infectious Diseases

Authors: Jonathan E. Charnin, MD, FASA et al  ASA Monitor January 2023, Vol. 87, 36–37. There are always opportunities to improve perioperative patient safety, but some might escape notice because the agent of harm is invisible. The Anesthesia Patient Safety Foundation (APSF) Committee on Infection Prevention is a multidisciplinary, multiprofessional group of experts who convene to […]

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Uncategorized Published - 30 January, 2023    By - Dr Clemens
Prevention of Postoperative Cognitive Dysfunction by Minocycline in Elderly Patients after Total Knee Arthroplasty

Authors: Tomonori Takazawa, M.D., Ph.D. et al  Anesthesiology February 2023, Vol. 138, 172–183. Background There are no effective pharmacologic interventions for preventing postoperative cognitive dysfunction in daily practice. Since the antibiotic minocycline is known to suppress postoperative neuroinflammation, this study hypothesized and investigated whether minocycline might have a preventive effect on postoperative cognitive dysfunction after noncardiac […]

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Uncategorized Published - 30 January, 2023    By - Dr Clemens
Postoperative Acute Kidney Injury by Age and Sex

Authors: Jamie R. Privratsky, M.D., Ph.D. et al  Anesthesiology February 2023, Vol. 138, 184–194. Background Acute kidney injury (AKI) after noncardiac surgery is common and has substantial health impact. Preclinical and clinical studies examining the influence of sex on AKI have yielded conflicting results, although they typically do not account for age-related changes. The objective of […]

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Uncategorized Published - 27 January, 2023    By - Dr Clemens
Subcostal transversus abdominis plane block for postoperative analgesia in liver transplant recipients

AUTHORS: Mona Assefi, Emma Trillaud, Corinne Vezinet, Baptiste Duceau Reg Anesth Pain Med. 2023 Jan 17 INTRODUCTION Postoperative pain management after orthotopic liver transplantation is complex due to impaired liver function and frequent acute kidney dysfunction. Subcostal transversus abdominis plane (TAP) block may be of interest in this population. The aim of this study was […]

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Uncategorized Published - 27 January, 2023    By - Dr Clemens
Postoperative pulmonary complications in the ENIGMA II Trial

DG Journal Club AUTHORS: Philip J Peyton, Grace Liskaser, Alexander Ho, Harry Marsh Anesthesiology. 2023 Jan 16 BACKGROUND Nitrous oxide (N2O) promotes absorption atelectasis in poorly ventilated lung segments at high inspired concentrations. The ENIGMA Trial found a higher incidence of postoperative pulmonary complications (PPCs) and wound sepsis with N2O anesthesia in major surgery compared to […]

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Uncategorized Published - 27 January, 2023    By - Dr Clemens
Analgesics Drug Report 2022: The Pain Management Pipeline

Authors: Jacquot M et al Pract Pain Manag. 2023 January/February;23(1). In our 2022 drug report, we review emerging pain management agents, including CBD and THC preparations, nearing the market. Plus, a look at updated formulations in development for more targeted pain treatment. With more than 1 in 5 Americans experiencing chronic pain, pain management is […]

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Uncategorized Published - 27 January, 2023    By - Dr Clemens
DATA-Waiver for Buprenorphine Eliminated

Practical Pain Management Jan 2023 DEA Update on Buprenorphine Prescribing Waivers Clinicians now face one less hurdle in treating patients with opioid use disorder (OUD). As a part of the Consolidation Appropriations Act of 2023, the federal DATA-waiver, or X-waiver, has been removed, making it easier for clinicians to use buprenorphine (marketed under a variety […]

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Uncategorized Published - 27 January, 2023    By - Dr Clemens
Repeat surgery vs. PCI in patients with a history of CABG

Author: Michael Walter Cardiovascular Business When treating patients with prior coronary artery bypass grafting (CABG) surgery and recurrent angina, repeat CABG is associated with a better mortality rate than percutaneous coronary intervention (PCI). PCI, however, is associated with better operative outcomes, meaning clinicians will need to weight the risks and benefits of each treatment option […]

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Uncategorized Published - 26 January, 2023    By - Dr Clemens
Why ASCs are expected to see ‘continued growth’ in 2023

Author: Riz Hatton Becker’s ASC Review Several healthcare leaders see a bright future for ASCs and expect the market to grow in 2023. Three healthcare leaders connected with Becker’s to answer, “What does 2023 have in store for the ASC industry?” Editor’s note: Responses have been lightly edited for length and clarity. Braden Batkoff, MD. Chief Medical […]

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Uncategorized Published - 26 January, 2023    By - Dr Clemens
Aortic Biomechanics: Comment

Authors: Paul S. Pagel, M.D., Ph.D. et al  Anesthesiology January 2023. To the Editor: We read with interest the recent review of aortic biomechanics and their clinical applications by Gregory et al.  The authors should be congratulated for addressing this important but often underappreciated subject. Nevertheless, we are obligated to mention that the authors did not […]

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