Author: Dr Clemens

Uncategorized Published - 2 August, 2022    By - Dr Clemens
Combination Therapy of High-flow Nasal Cannula and Upper-body Elevation for Postoperative Sleep-disordered Breathing

Authors: Yuichi Sakaguchi, M.D. et al  Anesthesiology July 2022, Vol. 137, 15–27. Background The low acceptance rate of continuous positive airway pressure therapy in postoperative patients with untreated obstructive sleep apnea (OSA) indicates the necessity for development of an alternative postoperative airway management strategy. The authors considered whether the combination of high-flow nasal cannula and upper-body […]

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Uncategorized Published - 2 August, 2022    By - Dr Clemens
Managing COVID-19 in the Perioperative Setting

Authors: Jeremy Laney, MD; Joseph W. Szokol, MD, FASA Anesthesia Patient Safety Foundation  Newsletter Volume 37, No. 2 • June 2022   For the past 2 years, the COVID-19 pandemic has bequeathed a plethora of barriers and unleashed its desolation on nearly every person on the planet. Infections have surpassed 445 million globally along with an […]

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Uncategorized Published - 2 August, 2022    By - Dr Clemens
Fully Endoscopic Microvascular Decompression for Trigeminal Neuralgia

DG Journal Club AUTHORS: Ho Lim Pak, Giorgio Lambru, Mohamed Okasha, Eleni Maratos World Neurosurg. 2022 Jul 8 BACKGROUND Microscopic microvascular decompression of the trigeminal nerve is the gold standard surgical treatment for medically refractory classical trigeminal neuralgia (TN). Endoscopy has significantly advanced surgery and provides enhanced visualisation of the cerebellopontine angle and its critical […]

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Uncategorized Published - 1 August, 2022    By - Dr Clemens
CMS Proposed Rule for Calendar Year 2023

The American Society of Anesthesiologists (ASA) released a statement on the Proposed Rule and below are the top issues affecting anesthesia providers: • The Proposed Rule reduces the anesthesia conversion factor to $20.71, a 3.9% reduction from the current rate of $21.56. • An additional potential reduction of 1% based on actual payment rates that are impacted […]

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Uncategorized Published - 1 August, 2022    By - Dr Clemens
Effectiveness of emergency general surgery

Authors: Mike Charlesworth and Andrew Klein #theanesthesiablog We are all familiar with the successes of the National Emergency Laparotomy Audit, but what about those patients where emergency surgery is not appropriate? For five common acute surgical conditions, this new database study from Hutchings et al. compares those who did and did not receive emergency general surgery. […]

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Uncategorized Published - 1 August, 2022    By - Dr Clemens
Anesthesia Pain and Safety Considerations in Cancer Patients

Authors: Dylan Irvine, BScH; Jeffrey Huang, MD Anesthesia Patient Safety Foundation Newsletter Volume 37, No. 2 • June 2022 Introduction The subspeciality of onco-anesthesia has gradually gained traction over the past few years. In addition to the comorbid diseases that some cancer patients present with, the interactions and consequences of their antineoplastic regimens must also be […]

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Uncategorized Published - 1 August, 2022    By - Dr Clemens
Ultrasound assessment of gastric contents in children before general anaesthesia for acute appendicitis

Authors: J.-N. Evain et al Anaesthesia 23 March 2022 Presented in part at the annual meeting of the French Society of Anaesthesia and Intensive Care Medicine in Paris, France, September 2021. Summary There is increasing evidence that a minority of adults with acute appendicitis have gastric contents, posing an increased risk of pulmonary aspiration. This […]

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Uncategorized Published - 1 August, 2022    By - Dr Clemens
Hypoperfusion in nucleus accumbens in chronic migraine using 3D pseudo-continuous arterial spin labeling imaging MRI

DG Journal Club AUTHORS: Mengqi Liu, Yijie Sun, Xin Li, Zhiye Chen J Headache Pain. 2022 Jun 27; 23(1): 72 BACKGROUND Nucleus accumbens (NAcc) played an important role in pain mediation, and presents changes of neuronal plasticity and functional connectivity. However, less is known about altered perfusion of NAcc in chronic migraine (CM). The aim […]

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Uncategorized Published - 29 July, 2022    By - Dr Clemens
Novel uses of ketamine in the emergency department

DG Journal Club AUTHORS: Brian N Corwell, Sergey M Motov, Natalie Davis, Hong K Kim Expert Opin Drug Saf. 2022 Jul 13 INTRODUCTION : Ketamine is gaining renewed interest among healthcare providers due to its novel clinical applications in the emergency department (ED) setting. AREAS COVERED : This article provides a comprehensive discussion of ketamine’s […]

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Uncategorized Published - 29 July, 2022    By - Dr Clemens
What are the most likely causes of upper back pain?

Author:  Jon Johnson MedicalNewsToday Pain in the upper back is usually the result of poor posture, muscle overuse, or injury. Treatment may include home remedies, such as rest and gentle exercises, or possibly seeing a physical therapist. The upper back is the area between the base of the neck and the bottom of the ribcage. […]

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