Author: Dr Clemens

Uncategorized Published - 7 October, 2022    By - Dr Clemens
Long term evaluation of a multidisciplinary trigeminal neuralgia service

DG Journal Club AUTHORS: Sanjeet Singhota et al J Headache Pain. 2022 Sep 3; 23(1): 114 BACKGROUND Trigeminal neuralgia is an episodic severe neuralgic pain and can be managed both medically and surgically. If possible, this should be directed by a Multidisciplinary Team (MDT) of specialised surgeons, physicians, dentists, psychologists and specialist nurses with access […]

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Uncategorized Published - 6 October, 2022    By - Dr Clemens
Jugular venous congestion during off-pump lung transplantation is not associated with an increased risk of postoperative delirium

DG Journal Club Authors: Talha Mubashir et al Clin Transplant. 2022 Aug 27 INTRODUCTION Delirium occurs frequently after lung transplantation and is associated with poor clinical outcomes. Significantly prolonged jugular venous congestion (JVC) occurs during off-pump lung transplantation and is thought to impair cerebral perfusion. Our study aimed to test the hypothesis that increased intraoperative […]

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Uncategorized Published - 6 October, 2022    By - Dr Clemens
Impact of demographic factors on chronic pain among adults in the United States

Authors: Mullins, Peter M et al PAIN Reports: July/August 2022 – Volume 7 – Issue 4 Introduction: Chronic pain affects more than 1 in 5 American adults, and its effects are not evenly distributed throughout the population. Methods: Using the National Health Interview Survey (NHIS), a household-based annual survey of self-reported health status of U.S. adults, this […]

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Uncategorized Published - 6 October, 2022    By - Dr Clemens
Regional anesthesia in trauma patients

Authors: Ryan Perlman, Sam Bonge Eur J Trauma Emerg Surg. 2022 Sep 4 Background: Traumatic injury is associated with severe pain that is often inadequately managed. Opioids remain the mainstay of pain management in this population because of their ease of use. However, opioids have significant side effects including nausea, delirium, and respiratory depression. Regional anesthesia […]

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Uncategorized Published - 6 October, 2022    By - Dr Clemens
Rescue Treatment of Postoperative Nausea and Vomiting

DG Journal Club Authors: Tong J Gan, Zhaosheng Jin, Tricia A Meyer Anesth Analg. 2022 Aug 31 Although prophylactic antiemetics are commonly used perioperatively, an estimated 30% of surgical patients still suffer from postoperative nausea and vomiting (PONV). Very few prospective trials have studied rescue treatment of PONV after failure of prophylaxis, providing limited evidence […]

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Uncategorized Published - 6 October, 2022    By - Dr Clemens
Arthroscopic surgery or exercise therapy for degenerative meniscal lesions

DG Journal Club AUTHORS: M Rotini et al Musculoskelet Surg. 2022 Sep 3 BACKGROUND Arthroscopic partial meniscectomy (APM) is widely applied for the treatment of degenerative meniscal lesions in middle-aged patients; however, such injury is often associated with mild or moderate osteoarthritis and has been reported by MRI in asymptomatic knees. Previous studies suggested, in […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Pericapsular nerve group (PENG) block for hip arthroscopy

DG Journal Club Authors: Peter E Amato et al Reg Anesth Pain Med. 2022 Aug 23 INTRODUCTION Arthroscopic hip surgery is associated with significant postoperative pain. Femoral nerve blocks have been shown to improve postoperative analgesia at the expense of quadriceps weakness. The pericapsular nerve group (PENG) block could be an alternative that may improve […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting

Authors: Zorrilla-Vaca, Andres B et al  Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 943-950 BACKGROUND: Perioperative IV dextrose infusions have been investigated for their potential to reduce the risk of postoperative nausea and vomiting. In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose for […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Changes in pain scores and walking distance after epidural steroid injection in patients with lumbar central spinal stenosis

Authors: Kim, Minsoo MD, PhD et al Medicine: June 17, 2022 – Volume 101 – Issue 24  Abstract Lumbar spinal stenosis is a common degenerative disorder that is characterized by pain and neurogenic claudication. Previous studies have evaluated the effects of an epidural steroid injection (ESI) on spinal stenosis, based on changes to the spinal canal […]

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Uncategorized Published - 5 October, 2022    By - Dr Clemens
Visual Analytics to Leverage Anesthesia Electronic Health Record

AUTHORS: Kahn, Ronald A. MD et al  Anesthesia & Analgesia: September 05, 2022 BACKGROUND: Visual analytics is the science of analytical reasoning supported by interactive visual interfaces called dashboards. In this report, we describe our experience addressing the challenges in visual analytics of anesthesia electronic health record (EHR) data using a commercially available business intelligence (BI) […]

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