Author: Dr Clemens

Uncategorized Published - 30 August, 2022    By - Dr Clemens
Carbon Dioxide, Blood Pressure, and Perioperative Stroke

DG Journal Club AUTHORS: Phillip E Vlisides et al Anesthesiology. 2022 Aug 12 BACKGROUND The relationship between intraoperative physiology and postoperative stroke is incompletely understood. Preliminary data suggest that either hypo- or hypercapnia coupled with reduced cerebrovascular inflow (e.g., due to hypotension) can lead to ischemia. This study tested the hypothesis that the combination of […]

Read More
Uncategorized Published - 30 August, 2022    By - Dr Clemens
Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care

Authors: Blacker, Samuel N. MD, FASA et al  Journal of Neurosurgical Anesthesiology: July 2022 – Volume 34 – Issue 3 – p 257-276 Abstract Evidence-based standardization of the perioperative management of patients undergoing complex spine surgery can improve outcomes such as enhanced patient satisfaction, reduced intensive care and hospital length of stay, and reduced costs. The […]

Read More
Uncategorized Published - 30 August, 2022    By - Dr Clemens
Estimates of Probabilities of Successful Development of Pain Medications: An Analysis of Pharmaceutical Clinical Development Programs from 2000 to 2020

Authors: Dermot P. Maher, M.D., M.S., M.H.S. et al  Anesthesiology August 2022, Vol. 137, 243–251. Background The authors estimate the probability of successful development and duration of clinical trials for medications to treat neuropathic and nociceptive pain. The authors also consider the effect of the perceived abuse potential of the medication on these variables. Methods This […]

Read More
Uncategorized Published - 29 August, 2022    By - Dr Clemens
Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with adrenaline for vitreoretinal surgery

DG Journal Club AUTHORS: Filippo Confalonieri et al J Med Case Rep. 2022 Aug 9; 16(1): 303 BACKGROUND We describe a patient presenting with central retinal artery occlusion (CRAO) of the right eye after retrobulbar anesthesia with adrenaline for macular pucker surgery. CASE PRESENTATION The patient, a 67-year-old Caucasian man, developed a CRAO postoperatively by […]

Read More
Uncategorized Published - 29 August, 2022    By - Dr Clemens
Whole-organ deceased donor tracheal allograft transplantation for the treatment of refractory tracheal stenosis: a case report

Authors: Dickerson, Shane C. MD et al Journal of Head & Neck Anesthesia: May 2022 – Volume 6 – Issue 1 – p e41 Abstract Tracheal stenosis involving >5 cm of trachea is debilitating for patients, impedes their quality of life and may even become life-threatening. Large, open defects often result in these patients because of multiple failed […]

Read More
Uncategorized Published - 29 August, 2022    By - Dr Clemens
Single-injection regional analgesia techniques for mastectomy surgery

Authors: De Cassai, Alessandro et al  European Journal of Anaesthesiology: July 2022 – Volume 39 – Issue 7 – p 591-601 BACKGROUND  Patients undergoing mastectomy surgery experience severe postoperative pain. Several regional techniques have been developed to reduce pain intensity but it is unclear, which of these techniques is most effective. OBJECTIVES To synthesise direct and […]

Read More
Uncategorized Published - 29 August, 2022    By - Dr Clemens
Peripheral neuropathy, myopathy are common after COVID-19 Infection

This is important for our readers who treat chronic pain patients. Author:  Denise Baez DG Alerts Muscle involvement and peripheral nerve affection are common problems after infection with coronavirus disease 2019 (COVID-19), even among individuals who were asymptomatic, according to a study published in International Journal of Rheumatic Diseases. The study, which included 400 patients […]

Read More
Uncategorized Published - 29 August, 2022    By - Dr Clemens
15 home remedies for migraine relief and prevention

Author: Zia Sherell MPH MedicalNewsToday Migraine is a neurological condition that affects people of all ages. While there is no cure for migraine, there are various home remedies that can provide relief from symptoms and help prevent episodes. Migraine headaches are different from other types of headache. The symptoms can include: visual changes sensitivity to sound, […]

Read More
Uncategorized Published - 26 August, 2022    By - Dr Clemens
Prevent Patient Injury During a Transfer

ASA Monitor August 2022, Vol. 86, 8. Anesthesiologists must be constantly vigilant to prevent injuries to patients during the perioperative period. One often under-recognized hazard is the bed-to-bed transfer at the start and end of nearly every surgical procedure. This process can create risk, particularly for those patients who are unable to assist with the transfer. […]

Read More
Uncategorized Published - 26 August, 2022    By - Dr Clemens
Your Hospital Put Out an RFP – What Do You Do Now?

Authors: Jason Greenberg, MD et al  ASA Monitor August 2022, Vol. 86, 1–7. Consider this (not uncommon) scenario: Sleepy Anesthesia Group (SAG) has been providing exclusive services at Hospital XYZ for over 15 years, and suddenly they learn that the hospital has put out a request for proposal (RFP) for anesthesia services. SAG feels caught off […]

Read More