Author: Dr Clemens

Uncategorized Published - 21 February, 2023    By - Dr Clemens
Maternal Fever Associated With Continuous Spinal Versus Epidural Labor Analgesia

AUTHORS: Seiler, F. Arran MD et al  Anesthesia & Analgesia 135(6):p 1153-1158, December 2022. BACKGROUND: Neuraxial labor analgesia is associated with elevations in maternal temperature; the mechanism responsible is unknown. Proposed mechanisms have included infection, altered thermoregulation, and inflammation, potentially triggered by local anesthetics. Studies of the association between neuraxial labor analgesia and maternal fever have […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Postoperative Analgesic Efficacy and Safety of Ropivacaine Plus Diprospan for Preemptive Scalp Infiltration in Patients Undergoing Craniotomy

AUTHORS: Han, Xueye MD et al  Anesthesia & Analgesia 135(6):p 1253-1261, December 2022. BACKGROUND: Preemptive injection of local anesthetics can prevent postoperative pain at the incision site, but the analgesic effect is insufficient and is maintained only for a relatively short period of time. Diprospan is a combination of quick-acting betamethasone sodium phosphate and long-acting betamethasone […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Incidence, Outcomes, and Risk Factors for Preincision Cardiac Arrest in Cardiac Surgery Patients

AUTHORS: Geube, Mariya A. MD, FASE et al  Anesthesia & Analgesia 135(6):p 1189-1197, December 2022. BACKGROUND: We examined the incidence, postoperative outcomes, and patient-related factors associated with preincision cardiac arrest in patients undergoing cardiac surgery. METHODS: We retrospectively examined adult patients undergoing elective or urgent cardiac surgery at the Cleveland Clinic between 2008 and 2019. The […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
A Systematic Review of The Efficacy and Safety of Ketamine in Total Joint Arthroplasty

DG Journal Club AUTHORS: Charles P Hannon, Yale A Fillingham, Jeremy M Gililland, Scott M Sporer J Arthroplasty. 2022 Oct 31 [Epub ahead of print] BACKGROUND Ketamine is administered intraoperatively to treat pain associated with primary total hip (THA) and knee arthroplasty (TKA). The purpose of this study was to evaluate the efficacy and safety […]

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Uncategorized Published - 21 February, 2023    By - Dr Clemens
Barriers to Quality Perioperative Care Delivery in Low- and Middle-Income Countries

AUTHORS: Bedwell, Gillian J. MScn et al  Anesthesia & Analgesia 135(6):p 1217-1232, December 2022. BACKGROUND: Provision of timely, safe, and affordable surgical care is an essential component of any high-quality health system. Increasingly, it is recognized that poor quality of care in the perioperative period (before, during, and after surgery) may contribute to significant excess mortality […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Obstetric Anesthesia Procedure-Based Workload and Facility Utilization of Society of Obstetric Anesthesia and Perinatology Centers of Excellence Designated Institutions

AUTHORS: Im, Mary MD et al  Anesthesia & Analgesia 135(6):p 1142-1150, December 2022. BACKGROUND: Optimal workload and staffing for obstetric anesthesia services have yet to be determined. We surveyed Society of Obstetric Anesthesia and Perinatology (SOAP) Centers of Excellence (COE) for Obstetric Anesthesia Care institutions to evaluate procedure-based obstetric anesthesia workload and facility use. METHODS: After […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Identification of Preanesthetic History Elements by a Natural Language Processing Engine

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

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 - 20 February, 2023    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 6(1):p e41, May 2022. 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 tracheal resections and endoscopic dilatations. Tracheal transplantation […]

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Uncategorized Published - 20 February, 2023    By - Dr Clemens
Brain-specific genes contribute to chronic but not to acute back pain

Authors: Bortsov, Andrey V. et al  PAIN Reports 7(5):p e1018, September/October 2022. Introduction: Back pain is the leading cause of disability worldwide. Although most back pain cases are acute, 20% of acute pain patients experience chronic back pain symptoms. It is unclear whether acute pain and chronic pain have similar or distinct underlying genetic mechanisms. Objectives: […]

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