Author: Dr Clemens

Uncategorized Published - 28 October, 2022    By - Dr Clemens
Post-cardiac Arrest Sedation Promotes Electroencephalographic Slow-wave Activity and Improves Survival in a Mouse Model of Cardiac Arrest

Authors: Takamitsu Ikeda, M.D., Ph.D. et al   Anesthesiology September 2022. Background Patients resuscitated from cardiac arrest are routinely sedated during targeted temperature management, while the effects of sedation on cerebral physiology and outcomes after cardiac arrest remain to be determined. We hypothesized that sedation would improve survival and neurological outcomes in mice after cardiac […]

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Uncategorized Published - 28 October, 2022    By - Dr Clemens
Marijuana, meth, cocaine and opiates all linked to heart rhythm issues

Author: Michael Walter Cardiovascular Business Marijuana, methamphetamine, cocaine and opiates are all associated with an increased risk of developing atrial fibrillation (AFib), according to new findings published in European Heart Journal.[1] “Though alcohol and tobacco smoking have each been associated with a heightened risk of AFib, relationships between other drug use and AFib are poorly understood,” […]

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Uncategorized Published - 28 October, 2022    By - Dr Clemens
Pain nerves may help to maintain a healthy gut, study shows

Authors: Patricia Weiser PharmD MedicalNewsToday A new study in mice suggests that pain neurons in the gut help to regulate the secretion of protective mucus. A study in mice suggests that pain neurons in the gut help to regulate the secretion of protective mucus. The neurons responded to painful gut inflammation by signaling other cells […]

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Uncategorized Published - 28 October, 2022    By - Dr Clemens
What to know about hyperesthesia

This is for our readers who treat pain patients. Author: Rachel Ann Tee-Melegrito MedicalNewsToday Hyperesthesia is a heightened sensitivity to stimuli. It may affect any of the senses but often involves touch, pain, and temperature sensations. We take in the world around us through our senses. There are two basic types of senses: special and […]

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Uncategorized Published - 27 October, 2022    By - Dr Clemens
No Benefits of Adding Dexmedetomidine, Ketamine, Dexamethasone, and Nerve Blocks to an Established Multimodal Analgesic Regimen after Total Knee Arthroplasty

AUTHORS: Felipe Muñoz-Leyva, M.D. et al  Anesthesiology October 2022, Vol. 137, 459–470. Background An optimal opioid-sparing multimodal analgesic regimen to treat severe pain can enhance recovery after total knee arthroplasty. The hypothesis was that adding five recently described intravenous and regional interventions to multimodal analgesic regimen can further reduce opioid consumption. Methods In a double-blinded fashion, […]

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Uncategorized Published - 27 October, 2022    By - Dr Clemens
Anesthesiologists Drive Expanded Use of ECMO

Author: Kelly Wolfgang ASA Monitor Extracorporeal membrane oxygenation, or ECMO, was initially developed as an extension of cardiopulmonary bypass to replace the function of the heart and lungs by pumping and oxygenating a patient’s blood outside the body. The procedure, once only able to be used for hours or days at a time, can now […]

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Uncategorized Published - 27 October, 2022    By - Dr Clemens
What to know about Dilaudid vs morphine

Author: Caitlin Geng MedicalNewsToday Dilaudid and morphine are opioid analgesic drugs that a doctor may prescribe or administer to people in severe pain. They may recommend them when other medications are ineffective. Dilaudid is the brand name of the generic drug, hydromorphone, while morphine is a generic drug. The two work in similar ways but have some […]

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Uncategorized Published - 27 October, 2022    By - Dr Clemens
Frailty and Sarcopenia: Impact on Outcomes Following Elective Degenerative Lumbar Spine Surgery

AUTHORS: Silky Chotai et al Spine (Phila Pa 1976). 2022 10 15; 47(20): 1410-1417 STUDY DESIGN This is a retrospective review of prospectively collected data. OBJECTIVE The aim was to evaluate the impact of frailty and sarcopenia on outcomes after lumbar spine surgery. SUMMARY OF BACKGROUND DATA Elderly patients are commonly diagnosed with degenerative spine […]

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Uncategorized Published - 27 October, 2022    By - Dr Clemens
Value-based Care and Quality Improvement in Perioperative Neuroscience

Authors: Luoma, Astri M.V. MBChB, FRCA, FFICM et al  Journal of Neurosurgical Anesthesiology: October 2022 – Volume 34 – Issue 4 – p 346-351 Abstract Value-based care and quality improvement are related concepts used to measure and improve clinical care. Value-based care represents the relationship between the incremental gain in outcome for patients and cost efficiency. […]

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Uncategorized Published - 26 October, 2022    By - Dr Clemens
Dexmedetomidine and Propofol Sedation in Critically Ill Patients and Dose Associated 90-day Mortality

AUTHORS: Yahya Shehabi et al Am J Respir Crit Care Med. 2022 Oct 10 RATIONALE Sedation Practice in Intensive Care Evaluation (SPICE-III) trial reported significant heterogeneity in mortality with dexmedetomidine treatment. Supplemental propofol was commonly used to achieve desirable sedation. OBJECTIVES to quantify the association of different infusion rates of dexmedetomidine or propofol, given in […]

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