Author: Dr Clemens

Uncategorized Published - 6 April, 2023    By - Dr Clemens
What causes migraine? Risk factors, triggers, and more 2023

Author: Jenna Fletcher MedicalNewsToday Migraine is a neurological disease that causes various symptoms. Experts do not know the exact cause of the condition but have some theories regarding genetics and environmental triggers. Migraine may affect at least 39 million Americans, according to the American Migraine Foundation (AMF). It can cause severe symptoms that affect a person’s ability to […]

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Uncategorized Published - 6 April, 2023    By - Dr Clemens
Performance of the SEDLine Monitor: Age Dependency and Time Delay 2023

AUTHORS: Obert, David P. MD et al Anesthesia & Analgesia January 20, 2023. BACKGROUND: Devices monitoring the hypnotic component of general anesthesia can help to guide anesthetic management. The main purposes of these devices are the titration of anesthesia dose. While anesthesia at low doses can result in awareness with intraoperative memory formation, excessive administration […]

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Uncategorized Published - 6 April, 2023    By - Dr Clemens
Comparison of Sedation and Analgesia Requirements in Patients With SARS-CoV-2 Versus Non-SARS-CoV-2 Acute Respiratory Distress Syndrome on Veno-Venous ECMO. 2023

DG Journal Club AUTHORS Mariah I Sigala, Diane Dreucean, Jesse E Harris, Kevin R Donahue Ann Pharmacother. 2023 Jan 13 BACKGROUND Increased analgosedation requirements have been described in patients with acute respiratory distress syndrome (ARDS) on extracorporeal membrane oxygenation (ECMO) support due to unique pharmacokinetic challenges. There is a paucity of data comparing sedation requirements […]

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Uncategorized Published - 5 April, 2023    By - Dr Clemens
Subcostal transversus abdominis plane block for postoperative analgesia in liver transplant recipients 2023

DG Journal Club AUTHORS: Mona Assefi, Emma Trillaud, Corinne Vezinet, Baptiste Duceau Reg Anesth Pain Med. 2023 Jan 17 INTRODUCTION Postoperative pain management after orthotopic liver transplantation is complex due to impaired liver function and frequent acute kidney dysfunction. Subcostal transversus abdominis plane (TAP) block may be of interest in this population. The aim of […]

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Uncategorized Published - 5 April, 2023    By - Dr Clemens
People with cluster headaches more likely to have other illnesses, study finds 2023

Author: Anna Guildford, Ph.D. MedicalNewsToday Cluster headaches are a rare condition affecting 1 in every 1,000 people. They are dramatic, painful, debilitating attacks of pain centered around one side of the head. People with cluster headaches are nearly twice as likely to take time off work than those without. New research has shown 92% of […]

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Uncategorized Published - 5 April, 2023    By - Dr Clemens
Incidence of Interstitial Alveolar Syndrome on Point-of-Care Lung Ultrasonography in Pre-eclamptic Women With Severe Features 2023

AUTHORS: Yagani, Seshagiribabu MD et al  Anesthesia & Analgesia January 20, 2023. BACKGROUND: Lung interstitial edema is a clinically silent pathology that develops before overt pulmonary edema among pre-eclamptic women with severe features. Point-of-care lung ultrasonography (LUS) has been suggested as an accessible bedside tool that may identify lung interstitial edema before developing clinical signs […]

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Uncategorized Published - 5 April, 2023    By - Dr Clemens
Nociception Level Index–Guided Intraoperative Analgesia for Improved Postoperative Recovery 2023

AUTHORS: Ruetzler, Kurt MD, PhD, FAHA et al  Anesthesia & Analgesia 136(4):p 761-771, April 2023. BACKGROUND: Nociception is the physiological response to nociceptive stimuli, normally experienced as pain. During general anesthesia, patients experience and respond to nociceptive stimuli by increasing blood pressure and heart rate if not controlled by preemptive analgesia. The PMD-200 system from Medasense […]

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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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