Author: Dr Clemens

Uncategorized Published - 12 October, 2022    By - Dr Clemens
Randomized Assessment of the Optimal Time Interval Between Programmed Intermittent Epidural Boluses When Combined With the Dural Puncture Epidural Technique for Labor Analgesia

AUTHORS: Yao, Han-Qing MD et al  Anesthesia & Analgesia: September 15, 2022 BACKGROUND: The dural puncture epidural (DPE) and programmed intermittent epidural bolus (PIEB) techniques are recent advances in neuraxial labor analgesia. Previous studies have investigated the PIEB optimal interval for effective analgesia when a standard epidural technique is used to initiate labor analgesia. However, it […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Effect of intravenous lidocaine on pain after head and neck cancer surgery (ELICO trial)

AUTHORS: Wallon, Grégoire et al  European Journal of Anaesthesiology: September 2022 – Volume 39 – Issue 9 – p 735-742 BACKGROUND Treatment of postoperative pain after ear, nose and throat (ENT) cancer surgery is mainly morphine administration. Additional systemic lidocaine has shown promising results in some surgical procedures. OBJECTIVE The main objective was to evaluate morphine […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Comparison of rectus sheath block and local anesthetic for analgesia in pediatric umbilical hernia repair

AUTHORS: Lun-Hui Zhen et al Medicine (Baltimore). 2022 Sep 9; 101(36): e30391 BACKGROUND Pediatric umbilical hernia repair could cause considerable postoperative discomfort. This study aimed to compare the analgesia between rectus sheath block and local anesthetic infiltration in child pediatric umbilical hernia repair. METHODS The relevant randomized controlled trials were searched from PubMed, Embase, Web […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Association between post-operative delirium and use of volatile anesthetics in the elderly

AUTHORS: Thomas Saller et al J Clin Anesth. 2022 Sep 6; 83 110957 STUDY OBJECTIVE Early post-operative delirium is a common perioperative complication in the post anesthesia care unit. To date it is unknown if a specific anesthetic regime can affect the incidence of delirium after surgery. Our objective was to examine the effect of […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Fibromyalgia in spondyloarthritis: prevalence and effect on disease activity and treatment

AUTHORS: Saidane Olfa et al Curr Rheumatol Rev. 2022 Sep 2 BACKGROUNG Fibromyalgia may be associated to Spondyloarthritis with which it shares some common symptoms such as sleep disorders, fatigue and diffuse pain, leading to diagnostic and treatment dilemmas. OBJECTIVES We aimed to determine the prevalence of fibromyalgia in axial spondyloarthritis and to determine how […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Anesthesia and ABNs

Author: Tony Mira F1rstNews A Series of Services While this article is primarily focused on ABN usage in connection with an anesthesia practice, we are aware that many anesthesia groups have a chronic pain practice.  For such groups, it is important to note a particular rule that may come into play when (a) a pain […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
A Best Practice for Anesthesia Work Area Infection Control Measures: What Are You Waiting For?

AUTHORS: Jonathan E. Charnin, MD, FASA et al  Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022   SUMMARY:Evidence-based, basic infection control measures implemented effectively in the anesthesia work area can generate substantial reductions in pathogen transmission and surgical site infection development. These measures are indicated to improve patient safety. In this brief review, […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Evolving Standards for Anesthesia During Advanced GI Endoscopic Procedures

AUTHORS: Richard C. Prielipp, MD, MBA, FCCM et al  Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022   Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1189–1191, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within the text consistent with APSF […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Pro-Con Debate: Monitored Anesthesia Care Versus General Endotracheal Anesthesia for Endoscopic Retrograde Cholangiopancreatography

AUTHORS: Luke S. Janik, MD et al Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1192–1200, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within the text consistent with APSF policy. In this Pro-Con […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

AUTHORS: Elmi-Sarabi, Mahsa MSc et al  Anesthesia & Analgesia: September 15, 2022 BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning from […]

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