Author: Dr Clemens

Uncategorized Published - 5 April, 2023    By - Dr Clemens
Postoperative pulmonary complications in the ENIGMA II Trial 2023

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 FIO2 […]

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Uncategorized Published - 4 April, 2023    By - Dr Clemens
The Effect of Intrathecal Morphine on Postoperative Opioid Consumption in Patients Undergoing Abdominal Surgery for Gynecologic Malignancy 2023

AUTHORS: Bang, Yu Jeong MD et al  Anesthesia & Analgesia January 20, 2023. BACKGROUND: Surgery for gynecologic malignancy via midline-laparotomy leads to severe postoperative pain. Adequate pain control while sparing opioid consumption does offer benefits in postoperative complications and recovery. Intrathecal morphine (ITM) provides simple and effective analgesia. In this randomized trial, we compared postoperative […]

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Uncategorized Published - 4 April, 2023    By - Dr Clemens
Appropriate Duration of Perioperative Intravenous Administration of Lidocaine to Provide Satisfactory Analgesia for Adult Patients Undergoing Colorectal Surgery 2023

AUTHORS: Yang, Wei MD et al Anesthesia & Analgesia 136(3):p 494-506, March 2023. BACKGROUND: Perioperative lidocaine infusion has been reported to alleviate pain intensity after colorectal surgery. However, there is no consensus on whether prolonged lidocaine infusion is more effective than short lidocaine infusion. This meta-analysis aimed to determine an appropriate duration of lidocaine infusion in […]

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Uncategorized Published - 4 April, 2023    By - Dr Clemens
Postoperative Risk of Transfusion After Reversal of Residual Neuromuscular Block With Sugammadex Versus Neostigmine 2023

AUTHORS: Schmidt, Marc T et al  Anesthesia & Analgesia 136(4):p 745-752, April 2023. BACKGROUND: Sugammadex and neostigmine are routinely used to reverse residual neuromuscular blocks at the end of surgery. Sugammadex has been linked with prolongation of laboratory coagulation markers, but clinical relevance on postoperative blood loss and transfusions remains unclear. METHODS: In this retrospective, single-center, […]

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Uncategorized Published - 4 April, 2023    By - Dr Clemens
Role of Tumor Necrosis Factor Receptor 1—Reactive Oxygen Species—Caspase 11 Pathway in Neuropathic Pain Mediated by HIV gp120 With Morphine in Rats 2023

AUTHORS: Hayashi, Kentaro MD et al  Anesthesia & Analgesia 136(4):p 789-801, April 2023. | BACKGROUND: Recent clinical research suggests that repeated use of opioid pain medications can increase neuropathic pain in people living with human immunodeficiency virus (HIV; PLWH). Therefore, it is significant to elucidate the exact mechanisms of HIV-related chronic pain. HIV infection and chronic morphine […]

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Uncategorized Published - 4 April, 2023    By - Dr Clemens
An updated look at surgically repairing the mitral valve due to mitral regurgitation 2023

Author: Michael Walter Cardiovascular Business Surgically repairing the mitral valve (MV) due to primary mitral regurgitation (MR) is associated with an incredibly low risk of death, according to a new analysis published in both The Annals of Thoracic Surgery and the Journal of the American College of Cardiology.[1,2] The study, a collaboration between cardiologists and cardiothoracic surgeons, was designed to […]

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Uncategorized Published - 3 April, 2023    By - Dr Clemens
Conservative Management of Cervical Radiculopathy 2023

DG Journal Club AUTHORS: Joshua Plener, Ben Csiernik, Daphne To, Sophia da Silva-Oolup Clin J Pain. 2023 Jan 2 OBJECTIVE The purpose of this systematic review is to assess the effectiveness and safety of conservative interventions compared to other interventions, placebo/sham interventions, or no intervention on disability, pain, function, quality of life, and psychological impact in […]

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Uncategorized Published - 3 April, 2023    By - Dr Clemens
Role of video-based learning on competency level of direct laryngoscopic skills of novice anaesthesiologists 2023

Authors: Bakshi, Sumitra G et al  Indian Journal of Anaesthesia 66(10):p 712-718, October 2022. Background and Aims: Video laryngoscopes are often used for education and training of intubation skills. This study aimed to examine the influence of video-assisted guidance and video replay on intubation skills of novice anaesthesiologists. Methods: Adult patients of American Society of Anesthesiologists […]

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Uncategorized Published - 3 April, 2023    By - Dr Clemens
A randomized comparative evaluation of C-MAC video-laryngoscope with Miller laryngoscope for neonatal endotracheal intubation 2023

Authors: Goel, Sachin et al Journal of Anaesthesiology Clinical Pharmacology 38(3):p 464-468, Jul–Sep 2022. | Background and Aims: An efficient neonatal airway management is peculiarly challenging even in the most experienced hands. Considering the recent interest in assessing the performance of various video-laryngoscopes (VL) in pediatric cohort, the prospective randomized study was contemplated to stage a comparative […]

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Uncategorized Published - 3 April, 2023    By - Dr Clemens
Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians 2023

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 the […]

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