Author: Dr Clemens

Uncategorized Published - 13 March, 2023    By - Dr Clemens
Extended-age Out-of-sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claims 2023

Authors: Scott Greenwald, Ph.D. et al  Anesthesiology March 2023, Vol. 138, 264–273. Background The authors previously reported a broad suite of individualized Risk Stratification Index 3.0 (Health Data Analytics Institute, Inc., USA) models for various meaningful outcomes in patients admitted to a hospital for medical or surgical reasons. The models used International Classification of Diseases, Tenth […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
Predictors of treatment-response to acute prescription medications in migraine: Results from the American Migraine Prevalence and Prevention (AMPP) Study. 2023

DG Journal Club AUTHORS: Ali Ezzati, Dawn C Buse, Kristina M Fanning, Michael L Reed Clin Neurol Neurosurg. 2022 Dec; 223 107511 OBJECTIVE To identify predictors of acute treatment optimization with prescription drugs among people with episodic migraine. METHODS A total of 2896 individuals from the American Migraine Prevalence and Prevention study were included in this […]

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Uncategorized Published - 13 March, 2023    By - Dr Clemens
Intravenous dabigatran provides adequate anticoagulation for cardiopulmonary bypass using a rabbit model 2023

Authors: Sergiy M Nadtochiy, PhD et al  Anesthesiology February 2023. Background– Heparin anticoagulation has been used successfully for cardiopulmonary bypass (CPB). However, an alternative anticoagulant approach is desirable due to the cases of heparin-induce thrombocytopenia. Dabigatran provides anticoagulation for an in-vitro model of simulated CPB. The current analysis tests the hypothesis that dabigatran provides sufficient […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Intercostal Nerve Cryoablation is Associated with Reduced Opioid Use in Pediatric Oncology Patients 2023

DG Journal Club Authors: Stephanie Y Chen, Shale J Mack, James E Stein, Lorraine I Kelley-Quon J Surg Res. 2022 Nov 22; 283 377-384 INTRODUCTION Intercostal nerve cryoablation reduces postoperative pain in adults undergoing thoracotomy and children undergoing pectus excavatum repair. We hypothesize that cryoablation is associated with decreased post-thoracotomy pain and opioid use in […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Shingles linked to 30% increased risk of stroke, coronary heart disease 2023

This is for our readers who treat chronic pain patients Author: Robby Berman MedicalNewsToday Health experts and researchers have long suspected that shingles can lead to stroke and coronary heart disease. New research has found that the association between shingles and cardiovascular events is more significant than previously thought. The long-term study reveals that the […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Burnout Among Chinese Anesthesiologists After the COVID-19 Pandemic Peak 2023

AUTHORS: Che, Lu MD et al  Anesthesia & Analgesia December 02, 2022. BACKGROUND: Evidence has shown that large-scale pandemics can have prolonged psychological impacts on health care professionals. The current study aimed to evaluate the prevalence of burnout after the coronavirus disease 2019 (COVID-19) epidemic peak and to explore the prolonged impact of COVID-19 on […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time 2023

AUTHORS: Liu, Jia MD et al  Anesthesia & Analgesia December 02, 2022. BACKGROUND: The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 to develop leaders in caring for children with complex medical and surgical conditions. While existing dual-trained practitioners report continued practice in both pediatric anesthesiology (PA) and pediatric critical care […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Effect of Intraoperative Esketamine Infusion on Postoperative Sleep Disturbance After Gynecological Laparoscopy

DG Journal Club AUTHORS: Di Qiu, Xing-Ming Wang, Jin-Jin Yang, Sai Chen JAMA Netw Open. 2022 Dec 1; 5(12): e2244514 IMPORTANCE Postoperative sleep disturbance (PSD) is common in patients after surgery. OBJECTIVE To examine the effect of intraoperative esketamine infusion on the incidence of PSD in patients who underwent gynecological laparoscopic surgery. DESIGN, SETTING, AND PARTICIPANTS […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Incidence of Postreperfusion Hyperfibrinolysis in Liver Transplantation by Donor Type and Observed Treatment Strategies 2023

AUTHORS: Krom, Russell J. MD, PhD et al  Anesthesia & Analgesia 136(3):p 518-523, March 2023. BACKGROUND: Hyperfibrinolysis is a possible complication during liver transplantation, particularly immediately after reperfusion. METHODS: We performed a retrospective study to examine the incidence, treatment, and resolution of postreperfusion hyperfibrinolysis in patients undergoing liver transplantation at Duke University Hospital from 2015 to […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks 2023

AUTHORS: Kwon, Hyun-Jung MD et al  Anesthesia & Analgesia 136(2):p 365-372, February 2023. BACKGROUND: Although the ultrasound-guided rectus sheath block (RSB) is usually regarded as an easy and safe procedure in clinical settings, there is currently no report on complications incidence. Therefore, the present study investigated complications in a large cohort and described the technical considerations […]

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