Author: Dr Clemens

Uncategorized Published - 16 August, 2022    By - Dr Clemens
Effectiveness of Cricoid and Paratracheal Pressures in Occluding the Upper Esophagus Through Induction of Anesthesia and Videolaryngoscopy

AUTHORS: Kim, Hyerim MD et al  Anesthesia & Analgesia: August 2022  BACKGROUND: Maneuvers for preventing passive regurgitation of gastric contents are applied to effectively occlude the esophagus throughout rapid sequence induction and intubation. The aim of this randomized, crossover study was to investigate the effectiveness of cricoid and paratracheal pressures in occluding the esophagus through induction […]

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Uncategorized Published - 16 August, 2022    By - Dr Clemens
Single-Shot Lumbar Erector Spinae Plane Block in Total Hip Replacement

AUTHORS: Chan, Anyon MBChB et al  Anesthesia & Analgesia: August 2022 BACKGROUND: Lumbar erector spinae plane block (ESPB) has been proposed to relieve pain after total hip replacement (THR), but high-quality evidence is scarce. METHODS: This double-blinded (patient and assessor) randomized clinical trial, performed in 2 tertiary centers in Hong Kong, recruited patients undergoing primary unilateral […]

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Uncategorized Published - 16 August, 2022    By - Dr Clemens
Outcomes and Disposition of Patients After Case Cancellation on Day of Surgery for Reasons Attributed to Medical or Anesthetic Care

AUTHORS: Tewfik, George L. MD et al  Anesthesia & Analgesia: August 2022 BACKGROUND: Many day-of-surgery cancellations are avoidable, and different strategies are used to prevent these costly adverse events. Despite these past analyses and evaluations of positive interventions, studies have not examined the final disposition of patients whose cases were canceled in this late manner. This […]

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Uncategorized Published - 15 August, 2022    By - Dr Clemens
Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours

AUTHORS: Sarhan, Khaled Abdelfattah MD, DESA et al  Anesthesia & Analgesia: July 26, 2022 BACKGROUND:  This study aimed to compare the gastric fluid volume (GFV) in children who fasted 1 versus 2 hours using ultrasound, after ingestion of a defined volume of clear fluid. METHODS: Children scheduled for elective surgery were enrolled in this randomized, double-blinded, […]

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Uncategorized Published - 15 August, 2022    By - Dr Clemens
Trial of Preoperative Antithrombin Supplementation in Patients at Risk for Antithrombin Deficiency After Cardiac Surgery

AUTHORS: Moront, Michael George MD et al  Anesthesia & Analgesia: July 25, 2022 BACKGROUND: Antithrombin (AT) activity is reduced during cardiac operations with cardiopulmonary bypass (CPB), which is associated with adverse outcomes. Preoperative AT supplementation, to achieve >58% and <100% AT activity, may potentially reduce postoperative morbidity and mortality in cardiac operations with CPB. This prospective, […]

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Uncategorized Published - 15 August, 2022    By - Dr Clemens
Factors Associated With In-Hospital Post–Cardiac Arrest Survival in a Referral Level Hospital in Uganda

AUTHORS: Alum, Rachel Aguma MD Anesthesia & Analgesia: July 25, 2022 BACKGROUND: Cardiac arrest (CA) is still associated with high mortality and morbidity across all practice settings despite resuscitation attempts and advancements in its management. Patient outcomes vary and are affected by multiple factors. Nonetheless, there is a paucity of information on survival after CA and […]

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Uncategorized Published - 15 August, 2022    By - Dr Clemens
Spontaneous ventilation anesthesia combined with uniportal and tubeless thoracoscopic sympathectomy in selected patients with primary palmar hyperhidrosis

DG Journal Club AUTHORS: Guang-Qiang Shao, Da-Zhi Pang, Ji-Tian Zhang, Hong-Xia Wang J Cardiothorac Surg. 2022 Jul 15; 17(1): 177 BACKGROUND To assess the feasibility and safety of tubeless video-assisted thoracoscopic sympathectomy (VATS) with a single 5 mm port under nonintubated, intravenous anesthesia with spontaneous ventilation in selected patients with primary palmar hyperhidrosis (PPH). METHODS Adults […]

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Uncategorized Published - 15 August, 2022    By - Dr Clemens
2023 Proposed Fee Schedule: Impact on Chronic Pain

Author: Tony Mira F1rstNews Summary There are a few changes in store for chronic pain providers in 2023 based on the most recent government proposals.  Today’s alert summarizes some of the key pain-specific provisions coming from CMS. Coding Changes The Centers for Medicare and Medicaid Services (CMS) is proposing new HCPCS codes and valuation for […]

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Uncategorized Published - 12 August, 2022    By - Dr Clemens
Comparing the effectiveness and safety between local anesthesia vs. epidural anesthesia for percutaneous transforaminal endoscopic discectomy

DG Journal Club AUTHORS: Zhilong Zhen, Jianmin Zhao, Chao Chen, Xun Sun World Neurosurg. 2022 Jul 16 OBJECTIVES To compare the effectiveness and safety of local anesthesia (LA) and epidural anesthesia (EA) for percutaneous transforaminal endoscopic discectomy (PTED) and provide reference data for clinical decision-making. METHODS We searched PubMed, EMBASE, the Cochrane library, Web of […]

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Uncategorized Published - 12 August, 2022    By - Dr Clemens
Pediatric Ventilation Liberation: Bundled Extubation Readiness and Analgosedation Pathways Decrease Mechanical Ventilation Duration and Benzodiazepine Exposure

DG Journal Club AUTHORS: Jeremy M Loberger, Kristen C Waddell, Priya Prabhakaran, Ryan M Jones Respir Care. 2022 Jul 12 BACKGROUND Recent studies reported that children on mechanical ventilation who were managed with an analgosedation approach and standardized extubation readiness testing experienced better outcomes, including decreased delirium and invasive mechanical ventilation duration. METHODS This was […]

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