Author: Dr Clemens

Uncategorized Published - 19 January, 2023    By - Dr Clemens
Mystery solved? How shingles can increase stroke risk

This is important for our readers that treat chronic pain patients. Author: Robby Berman MedicalNewsToday When a person recovers from chickenpox, typically in childhood, the virus that causes it, varicella zosterTrusted Source (VZV), remains in the body. For one in three people, the virus reactivates later in life as shingles. The other name for shingles is herpes zoster, as VZV is […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
Distribution of ventilation and oxygenation in surgical obese patients ventilated with high versus low positive end-expiratory pressure

AUTHORS: Ellenberger, Christoph et al  European Journal of Anaesthesiology 39(11):p 875-884, November 2022. BACKGROUND Intra-operative ventilation using low/physiological tidal volume and positive end-expiratory pressure (PEEP) with periodic alveolar recruitment manoeuvres (ARMs) is recommended in obese surgery patients. OBJECTIVES To investigate the effects of PEEP levels and ARMs on ventilation distribution, oxygenation, haemodynamic parameters and cerebral oximetry. […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
The Effect of Night Float Rotation on Resident Sleep, Activity, and Well-Being

Authors: Ruan, Alexandra MD et al Anesthesia & Analgesia November 07, 2022. Background:  Night float call systems are becoming increasingly common at training programs with the goal of reducing fatigue related to sleep deprivation and sleep disturbance. Previous studies have shown that trainees obtain less sleep during the night float rotation and have decreased sleep efficiency […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
Chemotherapy-Induced Peripheral Neuropathy Treatments

Authors: Aranke M, Kolcun G, Huh B, Javed S. Pract Pain Manag. 2023 January/February;23(1). Introduction Chemotherapy-induced peripheral neuropathy (CIPN) affects between 40% and 70% of individuals undergoing chemotherapy and may significantly affect quality of life by worsening symptomatic clusters, such as psychological distress, fatigue-related pain, and abdominal discomfort.¹˒² There are several proposed mechanisms for CIPN. […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Cervical spine movements during laryngoscopy and orotracheal intubation

DG Journal Club AUTHORS Jaqueline Betina Broenstrup Correa, Vinicius Brenner Felice, Graciele Sbruzzi, Gilberto Friedman Emerg Med J. 2022 Oct 31 BACKGROUND Airway management is challenging in trauma patients because of the fear of worsening cervical spinal cord damage. Video-integrated and optic-integrated devices and intubation laryngeal mask airways have been proposed as alternatives to direct laryngoscopy […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Mechanically Ventilated Patients With Coronavirus Disease 2019 Had a Higher Chance of In-Hospital Death If Treated With High-Flow Nasal Cannula Oxygen Before Intubation

AUTHORS: Nurok, Michael MBChB, PhD et al  Anesthesia & Analgesia November 04, 2022. BACKGROUND: The impact of high-flow nasal cannula (HFNC) on outcomes of patients with respiratory failure from coronavirus disease 2019 (COVID-19) is unknown. We sought to assess whether exposure to HFNC before intubation was associated with successful extubation and in-hospital mortality compared to […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Salted or sweet? Hypertonic saline or mannitol for treatment of intracranial hypertension

Authors: Lamperti, Massimo et al Anaesthesiology 35(5):p 555-561, October 2022.  Purpose of review The aim of this review article is to present current recommendations regarding the use of hypertonic saline and mannitol for the treatment of intracranial hypertension. Recent findings In recent years, a significant number of studies have been published comparing hypertonic saline with mannitol in patients with […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
How to Talk to Patients about Addiction

Author: Li B, Moukaddam N. Pract Pain Manag. 2023 January/February;23(1). Background In the journey to help patients recover from chronic pain and disability, clinicians must be vigilant for signs of an evolving opioid use disorder (OUD). It is not uncommon for a pain practice to inherit patients with a pre-existing OUD, but it is also […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic

AUTHORS: Burns, Karen E. A. MD et al Critical Care Medicine 50(12):p 1689-1700, December 2022 OBJECTIVES:  Few surveys have focused on physician moral distress, burnout, and professional fulfilment. We assessed physician wellness and coping during the COVID-19 pandemic. DESIGN: Cross-sectional survey using four validated instruments. SETTING: Sixty-two sites in Canada and the United States. SUBJECTS: Attending physicians (adult, […]

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Uncategorized Published - 17 January, 2023    By - Dr Clemens
Effect of Preoperative Oral Saline Administration on Postoperative Delirium in Older Persons

DG Journal Club Authors: Jinzhuan Chen, Siyu Xie, Ying Chen, Ting Qiu Clin Interv Aging. 2022; 17 1539-1548 Objective Postoperative delirium (POD) seriously affects recovery of older persons, increasing their mortality rate after surgery. We aimed to evaluate preoperative oral saline administration on postoperative delirium in older persons undergoing spinal decompression. Design A randomised controlled […]

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