Author: Dr Clemens

Uncategorized Published - 20 March, 2023    By - Dr Clemens
Impact of Genetic Variants on Postoperative Pain and Fentanyl Dose Requirement in Patients Undergoing Major Breast Surgery 2023

AUTHORS: Kumar, Shathish MD et al  Anesthesia & Analgesia December 20, 2022. BACKGROUND: Postoperative analgesia is crucial for the early and effective recovery of patients undergoing surgery. Although postoperative multimodal analgesia is widely practiced, opioids such as fentanyl are still one of the best analgesics. The analgesic response of fentanyl varies widely among individuals, probably […]

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Uncategorized Published - 17 March, 2023    By - Dr Clemens
Benefit of Flow-Controlled Over Pressure-Regulated Volume Control Mode During One-Lung Ventilation 2023

AUTHORS: Schranc, Álmos MD et al  Anesthesia & Analgesia 136(3):p 605-612, March 2023. BACKGROUND: Application of a ventilation modality that ensures adequate gas exchange during one-lung ventilation (OLV) without inducing lung injury is of paramount importance. Due to its beneficial effects on respiratory mechanics and gas exchange, flow-controlled ventilation (FCV) may be considered as a protective […]

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Uncategorized Published - 17 March, 2023    By - Dr Clemens
Complications of Pediatric Midline Catheters 2023

AUTHORS: Östlund, Åsa MD et al Anesthesia & Analgesia December 12, 2022. BACKGROUND: Midline catheters are peripheral intravenous (IV) catheters in which the tip of the catheter does not reach the central circulation. In children, the use of midline catheters could lead to decreased complications from central venous catheters. To validate the safety of midline […]

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Uncategorized Published - 17 March, 2023    By - Dr Clemens
Comparison Among Ultrasound-Guided Thoracic Paravertebral Block, Erector Spinae Plane Block and Serratus Anterior Plane Block for Analgesia in Thoracotomy for Lung Surgery.

DG Journal Club AUTHORS: Soumi Das et al J Cardiothorac Vasc Anesth. 2022 Dec; 36(12): 4386-4392 BACKGROUND To compare the analgesic efficacy and safety of preoperative, single-shot ultrasound-guided thoracic paravertebral block (TPVB), erector spinae plane block (ESB), and serratus anterior plane block (SAPB) in thoracotomy pain. DESIGN A prospective, randomized study. SETTING The cardiothoracic operating room […]

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Uncategorized Published - 17 March, 2023    By - Dr Clemens
Identification of Preanesthetic History Elements by a Natural Language Processing Engine 2023

AUTHORS: Suh, Harrison S. BS et al Anesthesia & Analgesia 135(6):p 1162-1171, December 2022. | BACKGROUND: Methods that can automate, support, and streamline the preanesthesia evaluation process may improve resource utilization and efficiency. Natural language processing (NLP) involves the extraction of relevant information from unstructured text data. We describe the utilization of a clinical NLP pipeline intended […]

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Uncategorized Published - 17 March, 2023    By - Dr Clemens
Prolotherapy for Chronic Musculoskeletal Pain 2023

Author: Israel J, Alderman D. Pract Pain Manag. 2023 March/April;23(2). Introduction: Prolotherapy for Musculoskeletal Pain The prevalence of chronic primary musculoskeletal pain has led to a variety of effective non-surgical treatments, including physical therapy, pharmacologic management, and injection-based therapies. Injection therapies are typically utilized after exercise and medication management have failed. Many types of injection […]

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Uncategorized Published - 16 March, 2023    By - Dr Clemens
Minimizing Lung Injury During Laparoscopy in Head-Down Tilt 2023

AUTHORS: De Meyer, Gregory R. A. MD et al  Anesthesia & Analgesia December 14, 2022. | BACKGROUND: Increased intra-abdominal pressure during laparoscopy induces atelectasis. Positive end-expiratory pressure (PEEP) can alleviate atelectasis but may cause hyperinflation. Cyclic opening of collapsed alveoli and hyperinflation can lead to ventilator-induced lung injury and postoperative pulmonary complications. We aimed to study […]

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Uncategorized Published - 16 March, 2023    By - Dr Clemens
Increased time from COVID-19 diagnosis to surgery associated with decreased odds of major postoperative cardiovascular morbidity 2023

DG Alerts Increased time from coronavirus disease 2019 (COVID-19) diagnosis to surgery was associated with a decreased odds of experiencing major postoperative cardiovascular morbidity, according to a study published in JAMA Network Open. John M. Bryant, MD, Vanderbilt University Medical Center, Nashville, Tennessee, and colleagues noted that “this information should be used to better inform risk-benefit discussions […]

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Uncategorized Published - 16 March, 2023    By - Dr Clemens
Radiofrequency ablation for back pain 2023

This is for our readers who treat chronic pain patients. Author: Zia Sherrell, MPH MedicalNewsToday Radiofrequency ablation (RFA) is minimally invasive treatment that can sometimes relieve chronic back pain. r During the procedure, a doctor inserts a thin metal probe into the painful area. The probe emits radiofrequency energy that creates heat and destroys the […]

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Uncategorized Published - 16 March, 2023    By - Dr Clemens
Dropped head syndrome: report of a rare complication after multilevel bilateral cervical radiofrequency neurotomy 2023

AUTHORS: Bajaj, Harnek S.et al PAIN Reports 7(5):p e1037, September/October 2022. Introduction:  Cervical radiofrequency neurotomy is a safe and relatively low-risk procedure commonly used to treat facet joint–mediated axial neck pain. Severe complications are extremely rare and can be avoided with proper technique and appropriate imaging guidance. This article describes the development and subsequent management […]

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