Author: Dr Clemens

Uncategorized Published - 6 January, 2023    By - Dr Clemens
Spinal Anaesthesia Linked to Higher Opioid Use After Hip Fracture Surgery

DG News Spinal anaesthesia was associated with more pain in the first 24 hours after hip fracture surgery and more prescription analgesic use at 60 days compared with general anaesthesia, according to a study published in the Annals of Internal Medicine. “In our study, patients who got spinal anaesthesia did get fewer opioids in the operating […]

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Uncategorized Published - 6 January, 2023    By - Dr Clemens
Arginine Therapy Shows Benefits for Children With Sickle Cell Disease Hospitalised With Vaso-Occlusive Pain

This is for our readers who treat pain DG News Arginine administered intravenously resulted in changes in biomarkers that signalled less oxidative stress in patients with sickle cell disease who were hospitalised with vaso-occlusive pain, and arginine also led to a trend in decreased opioid use, according to a study presented at the 64th Annual […]

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Uncategorized Published - 6 January, 2023    By - Dr Clemens
ASA’s COTEP Addressing Opioid Epidemic with New Naloxone Awareness Project

Author: Lalitha Sundararaman, MBBS, MD ASA Monitor January 2023, Vol. 87, 29. OPIOID CRISIS I have had the privilege of being part of the ASA Monitor Editorial Board for a few years, and one article that has touched my heart is the wrenching story of Dr. Bonnie Milas and her efforts in collaboration with the ASA Committee on […]

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Uncategorized Published - 6 January, 2023    By - Dr Clemens
CDC: Prescribe Opioids When Needed

The US Centers for Disease Control and Prevention (CDC) said that a crackdown on opioids is harming patients who need them Opioid prescriptions and overdoses quadrupled from 1999 to 2010. Amid criticism that they had over-prescribed opioids, doctors approved 44% fewer opioid prescriptions between 2012 and 2020 The CDC now says that people with intense pain are being […]

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Uncategorized Published - 6 January, 2023    By - Dr Clemens
What is the connection between migraine and depression?

Author: Beth Sissons MedicalNewsToday People with migraine have an increased risk of depression. In addition, depression can also increase the risk of migraine. Although there is no clear explanation for the link between migraine and depression, they may share similar causes. Genetic factors, changes in the brain, and alterations of chemicals in the body can […]

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Uncategorized Published - 5 January, 2023    By - Dr Clemens
Association between preoperative prolonged QTc and all-cause mortality after non-cardiac surgery

DG Journal Club AUTHORS: Helena Xiang et al Acta Anaesthesiol Scand. 2022 Dec 12 INTRODUCTION Prolonged QTc interval has been linked to risk of arrhythmias and mortality in the general population. Preoperative electrocardiography (ECG) is often obtained for patient-and procedural cardiovascular risk assessment. The aim of this study was to investigate the association of preoperative […]

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Uncategorized Published - 5 January, 2023    By - Dr Clemens
The Next Next Wave: How Critical Care Might Learn From COVID in Responding to the Next Pandemic

Authors: Tung, Avery MD, FCCM et al  Anesthesia & Analgesia 135(5):p 903-910, November 2022. Drs. Thomas Vetter and Avery Tung discuss the article “The Next Next Wave: How Critical Care Might Learn From COVID in Responding to the Next Pandemic” published in the November 2022 issue of Anesthesia & Analgesia. Creator: Anesthesia & Analgesia Editorial Board Now […]

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Uncategorized Published - 5 January, 2023    By - Dr Clemens
ACE Question

ASA Monitor January 2023, Vol. 87, 17. It is your first day in Guatemala, where you are scheduled to provide anesthesia as part of a medical mission. In checking your anesthesia machine on the first morning, you notice there are no gas cylinders attached to the machine. You are directed to a storage closet with multiple […]

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Uncategorized Published - 5 January, 2023    By - Dr Clemens
A Review of Adverse Events Associated with Perioperative Intrahospital Transport of Pediatric Patients and Guidance on Improving Safety

Authors: Anila B Elliott, MD et al  Anesthesia Patient Safety Foundation  Intrahospital transport is a common occurrence for many hospitalized patients. Critically ill children are an especially vulnerable population who experience preventable adverse events at least once a week, on average.1 Transporting these patients throughout the hospital introduces additional hazards and increases the risk of adverse […]

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Uncategorized Published - 5 January, 2023    By - Dr Clemens
Medication Errors Related to Look-Alike, Sound-Alike Drugs—How Big is the Problem and What Progress is Being Made?

Authors: Tricia A. Meyer et al  Anesthesia Patient Safety Foundation Volume 38, No. 2 • June 2023  BACKGROUND Administering the wrong medication is one of the most feared complications in any field of medicine. Anesthesia professionals are some of the only providers who prescribe, prepare, and administer their own medications. Therefore, the perceived fear among anesthesia […]

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