Author: Dr Clemens

Uncategorized Published - 26 July, 2022    By - Dr Clemens
Intravenous ondansetron reduced nausea but not pruritus following intrathecal morphine in children

DG Journal Club AUTHORS: Elizabeth M Putnam, Rebecca A Hong, John M Park, Ying Li Paediatr Anaesth. 2022 Jul 2 STUDY OBJECTIVE This study’s purpose was to determine if ondansetron can prevent pruritus after administration of intrathecal morphine in children, as has been demonstrated in adults. DESIGN A double- blinded, randomized placebo-controlled trial. SETTING Operating […]

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Uncategorized Published - 26 July, 2022    By - Dr Clemens
The impact of midazolam used in cataract surgery sedation on frontal QRS-T angle

DG Journal Club AUTHORS: Gokhan Gokalp, Nail Burak Ozbeyaz J Clin Pharm Ther. 2022 Jun 28 WHAT IS KNOWN AND OBJECTIVE Midazolam is one of the most commonly used drugs in procedures requiring sedoanalgesia. It affects the myocardium’s ventricular depolarization and repolarization. Previous studies examining the arrhythmogenic effects of midazolam yielded conclusive results. These studies […]

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Uncategorized Published - 26 July, 2022    By - Dr Clemens
Personalized pain medication: Why is it necessary?

Author:  Annie Lennon MedicalNewsToday Pain conditions are leading contributors to disability worldwide. Despite this, treatments vary in efficacy between individuals, and some carry a high potential for misuse. Personalized pain medicine is an emerging field that aims to produce safe and effective treatments tailored to individual needs. Around 1.71 billion people live with a pain- or […]

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Uncategorized Published - 26 July, 2022    By - Dr Clemens
What is the cause of back pain and shortness of breath?

Author:  Nicole Galan, RN MedicalNewsToday The back is prone to injury because it works hard to keep the body in an upright position and support the basic daily movements. When back pain occurs alongside shortness of breath, causing difficult or painful breathing, some people may worry that the cause is more serious. In most cases, back […]

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Uncategorized Published - 26 July, 2022    By - Dr Clemens
Tension headaches: Researchers find acupuncture helps reduce frequency

Author: Corrie Pelc MedicalNewsToday Frequent or chronic tension headaches can impact a person’s quality of life. Researchers from the Chengdu University of Traditional Chinese Medicine found acupuncture helps lower the frequency of chronic tension-type headaches by 50 percent. Researchers hope their findings will encourage medical professionals to recommend acupuncture for people with primary headaches. Headaches are […]

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Uncategorized Published - 25 July, 2022    By - Dr Clemens
Open Reimplementation of the BIS Algorithms for Depth of Anesthesia

AUTHOR: Connor, Christopher W. MD, PhD Anesthesia & Analgesia: June 27, 2022 BACKGROUND: BIS (a brand of processed electroencephalogram [EEG] depth-of-anesthesia monitor) scores have become interwoven into clinical anesthesia care and research. Yet, the algorithms used by such monitors remain proprietary. We do not actually know what we are measuring. If we knew, we could […]

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Uncategorized Published - 25 July, 2022    By - Dr Clemens
Characterizing the Heart Rate Effects From Administration of Sugammadex to Reverse Neuromuscular Blockade

AUTHORS: Ebert, Thomas J. MD, PhD et al  Anesthesia & Analgesia: June 22, 2022 BACKGROUND: Reversal of neuromuscular blockade (NMB) with sugammadex can cause marked bradycardia and asystole. Administration of sugammadex typically occurs in a dynamic period when anesthetic adjuvants and gas concentrations are being titrated to achieve emergence. This evaluation examined the heart rate (HR) […]

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Uncategorized Published - 25 July, 2022    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: June 21, 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 institutional […]

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Uncategorized Published - 25 July, 2022    By - Dr Clemens
Dexmedetomidine Diminishes, but Does Not Prevent, Developmental Effects of Sevoflurane in Neonatal Rats

AUTHORS: Yang, Zhengbo MD et al  Anesthesia & Analgesia: June 21, 2022 BACKGROUND: Sevoflurane (SEVO) increases neuronal excitation in neonatal rodent brains through alteration of gamma aminobutyric acid (GABA)(A) receptor signaling and increases corticosterone release. These actions may contribute to mechanisms that initiate the anesthetic’s long-term neuroendocrine and neurobehavioral effects. Dexmedetomidine (DEX), a non-GABAergic α2-adrenergic receptor […]

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Uncategorized Published - 25 July, 2022    By - Dr Clemens
The Specialist Anesthesiology Workforce in East, Central, and Southern Africa

AUTHORS: Asingei, Juventine MPH et al  Anesthesia & Analgesia: June 22, 2022  BACKGROUND: The populations of the East, Central, and Southern African regions receive only a fraction of the surgical procedures they require, and patients are more likely to die after surgery than the global average. An insufficient anesthetic workforce is a key barrier to safe […]

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