Author: Dr Clemens

Uncategorized Published - 26 May, 2023    By - Dr Clemens
Hormones May Play a Role in Women’s Migraines 2023

Author: Heidi Splete Practical Pain Management May 15, 2023 Migraine headaches are approximately three times more common in women than in men, but the prevalence of migraine in women decreases after menopause, suggesting a role for sex hormones in migraine development, wrote Bianca Raffaelli, MD, of Charité-Universitätsmedizin Berlin, Germany, and colleagues. In their new study, […]

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Uncategorized Published - 25 May, 2023    By - Dr Clemens
Postoperative Transfusions following Administration of Delayed Cold Stored Platelets vs. Room Temperature Platelets in Cardiac Surgery 2023

Authors: Allan M. Klompas, MBBCh et al Anesthesiology May 2023. Background Delayed cold-storage of room temperature platelets may extend shelflife from 5 to 14 days. We hypothesized the use of delayed cold-stored platelets in cardiac surgery would be associated with decreased postoperative platelet count increments but similar transfusion and clinical outcomes compared to room temperatuve […]

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Uncategorized Published - 25 May, 2023    By - Dr Clemens
Best Practice Alerts Informed by Inpatient Opioid Intake to Reduce Opioid Prescribing After Surgery (PRIOR) 2023

Authors: Megan L. Rolfzen, M.D. et al  Anesthesiology May 2023. Background Over-prescription of opioids after surgery remains common. Residual and unnecessarily prescribed opioids can provide a reservoir for nonmedical use. We therefore tested the hypothesis that a decision-support tool embedded in electronic health records guides clinicians to prescribe fewer opioids at discharge after inpatient surgery. […]

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Uncategorized Published - 25 May, 2023    By - Dr Clemens
Scheduling surgery and COVID-19 2023

Authors: Paul Bramley and Andrew Klein TheAnesthesiaBlog June 2023 The effect of COVID-19 infection on peri-operative mortality was characterised by the first CovidSurg study, which found an increased postoperative mortality across an international cohort if surgery was undertaken within the first 7 weeks following infection. In this issue, a service evaluation examined perioperative mortality in an English […]

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Uncategorized Published - 25 May, 2023    By - Dr Clemens
Pain Management in Sickle Cell Disease 2023

Authors: Oladinni D et al Pract Pain Manag. 2023 May/June;23(3). Background There are approximately 100,000 people living with sickle cell disease in the United States and millions more globally. Sickle cell trait (SCT) is even more prevalent and occurs in 1 million to 3 million US adults, with an occurrence rate of 8% to 10% […]

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Uncategorized Published - 25 May, 2023    By - Dr Clemens
Connecting Ehler’s-Danlos Syndrome and Complex Regional Pain Syndrome 2023

Author: Tetef S. Pract Pain Manag. 2023 May/June;23(3). There is a compelling connection between EDS and chronic pain syndromes, and the missing link may be connective tissue disease. A clinical perspective and review. Introduction The primary objective of this review is to provide a connection between Ehler’s-Danlos syndrome (EDS) and Complex Regional Pain Syndrome (CRPS). […]

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Uncategorized Published - 24 May, 2023    By - Dr Clemens
Lack of Association between Diaphragm Thickening Fraction and Transdiaphragmatic Pressure Swing in COVID-19 Pneumonia during Helmet Continuous Positive Airway Pressure 2023

Authors: Sergio Lassola, M.D. et al  Anesthesiology May 2023. To the Editor: Recently, evaluation of the diaphragm by means of ultrasound has become popular.  The increase in diaphragm thickness during inspiration (thickening fraction) has been proposed as a noninvasive bedside measure of diaphragm function  although previous studies have reported wide variability between thickening, inspiratory effort, and […]

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Uncategorized Published - 24 May, 2023    By - Dr Clemens
Tidal Volume, Positive End-Expiratory Pressure, and Postoperative Hypoxemia: Comment 2023

Authors: Aiman Suleiman, M.D., M.Sc.; et al  Anesthesiology May 2023. To the Editor: We read the article by Turan et al.  with great interest and would like to congratulate the authors on conducting this large, important, factorial trial. The authors found that neither a “high” (8 cm H2O) positive end-expiratory pressure (PEEP), nor a low (6 ml/kg) tidal volume […]

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Uncategorized Published - 24 May, 2023    By - Dr Clemens
Tidal Volume, Positive End-Expiratory Pressure, and Postoperative Hypoxemia: Reply

Authors: Alparslan Turan, M.D. et al  Anesthesiology May 2023. In Reply: Suleiman et al.  assert that driving pressure and mechanical power (because of increased respiratory rate in low tidal volume groups) may be more important determinants of perioperative lung injury and postoperative pulmonary complications than tidal volume and positive end-expiratory pressure (PEEP). We used a factorial cluster […]

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Uncategorized Published - 24 May, 2023    By - Dr Clemens
Pain Trajectories in Nursing Home Residents

Author: Avery Hurt Practical Pain Management April 2023 Understanding how pain changes over time could help clinicians evaluate and treat pain in the elderly. Researchers identify four potential pathways. Pain among individuals in nursing homes is common, with 85% of residents experiencing pain and nearly 60% reporting persistent pain. Consequently, there has been a great […]

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