Author: Dr Clemens

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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Uncategorized Published - 16 March, 2023    By - Dr Clemens
The Illicit Drug Market: A Clinical Primer 2023

Author: Bettinger J. Pract Pain Manag. 2023 March/April;23(2). Polysubstance and Illicit Substance Use Continue to Rise Drug-related overdose deaths have continued to climb over the past decade, while the United States struggles to combat the harsh reality of the new phase of the overdose crisis. One particular concern of this phase is that overdose deaths […]

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Uncategorized Published - 15 March, 2023    By - Dr Clemens
Brain Cancer Progression: A Retrospective Multicenter Comparison of Awake Craniotomy Versus General Anesthesia in High-grade Glioma Resection 2023

AUTHORS: Chowdhury, Tumul MD, DM, FRCPC et al  Journal of Neurosurgical Anesthesiology 34(4):p 392-400, October 2022. Background: High-grade gliomas impose substantial morbidity and mortality due to rapid cancer progression and recurrence. Factors such as surgery, chemotherapy and radiotherapy remain the cornerstones for treatment of brain cancer and brain cancer research. The role of anesthetics on glioma progression is largely unknown. Methods: This […]

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Uncategorized Published - 15 March, 2023    By - Dr Clemens
Oxytocin at Elective Cesarean Delivery: A Dose-Finding Study in Pregnant People With Twin Pregnancy 2023

AUTHORS: Peska, Emil MD et al  Anesthesia & Analgesia December 08, 2022. BACKGROUND: Multiple pregnancy is associated with higher risk of uterine atony, postpartum hemorrhage (PPH), blood transfusion, hysterectomy, and death. The optimal dose of oxytocin at cesarean delivery in people with twin pregnancy is unknown. We sought to determine the effective bolus dose of […]

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