Author: Dr Clemens

Uncategorized Published - 18 January, 2023    By - Dr Clemens
Cervical spine movements during laryngoscopy and orotracheal intubation

DG Journal Club AUTHORS Jaqueline Betina Broenstrup Correa, Vinicius Brenner Felice, Graciele Sbruzzi, Gilberto Friedman Emerg Med J. 2022 Oct 31 BACKGROUND Airway management is challenging in trauma patients because of the fear of worsening cervical spinal cord damage. Video-integrated and optic-integrated devices and intubation laryngeal mask airways have been proposed as alternatives to direct laryngoscopy […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Mechanically Ventilated Patients With Coronavirus Disease 2019 Had a Higher Chance of In-Hospital Death If Treated With High-Flow Nasal Cannula Oxygen Before Intubation

AUTHORS: Nurok, Michael MBChB, PhD et al  Anesthesia & Analgesia November 04, 2022. BACKGROUND: The impact of high-flow nasal cannula (HFNC) on outcomes of patients with respiratory failure from coronavirus disease 2019 (COVID-19) is unknown. We sought to assess whether exposure to HFNC before intubation was associated with successful extubation and in-hospital mortality compared to […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Salted or sweet? Hypertonic saline or mannitol for treatment of intracranial hypertension

Authors: Lamperti, Massimo et al Anaesthesiology 35(5):p 555-561, October 2022.  Purpose of review The aim of this review article is to present current recommendations regarding the use of hypertonic saline and mannitol for the treatment of intracranial hypertension. Recent findings In recent years, a significant number of studies have been published comparing hypertonic saline with mannitol in patients with […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
How to Talk to Patients about Addiction

Author: Li B, Moukaddam N. Pract Pain Manag. 2023 January/February;23(1). Background In the journey to help patients recover from chronic pain and disability, clinicians must be vigilant for signs of an evolving opioid use disorder (OUD). It is not uncommon for a pain practice to inherit patients with a pre-existing OUD, but it is also […]

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Uncategorized Published - 18 January, 2023    By - Dr Clemens
Wellness and Coping of Physicians Who Worked in ICUs During the Pandemic

AUTHORS: Burns, Karen E. A. MD et al Critical Care Medicine 50(12):p 1689-1700, December 2022 OBJECTIVES:  Few surveys have focused on physician moral distress, burnout, and professional fulfilment. We assessed physician wellness and coping during the COVID-19 pandemic. DESIGN: Cross-sectional survey using four validated instruments. SETTING: Sixty-two sites in Canada and the United States. SUBJECTS: Attending physicians (adult, […]

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Uncategorized Published - 17 January, 2023    By - Dr Clemens
Effect of Preoperative Oral Saline Administration on Postoperative Delirium in Older Persons

DG Journal Club Authors: Jinzhuan Chen, Siyu Xie, Ying Chen, Ting Qiu Clin Interv Aging. 2022; 17 1539-1548 Objective Postoperative delirium (POD) seriously affects recovery of older persons, increasing their mortality rate after surgery. We aimed to evaluate preoperative oral saline administration on postoperative delirium in older persons undergoing spinal decompression. Design A randomised controlled […]

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Uncategorized Published - 17 January, 2023    By - Dr Clemens
Derivation and Validation of Clinical Phenotypes of the Cardiopulmonary Bypass–Induced Inflammatory Response

AUTHORS: Milam, Adam J. MD, PhD et al  Anesthesia & Analgesia November 04, 2022. BACKGROUND: Precision medicine aims to change treatment from a “one-size-fits-all” approach to customized therapies based on the individual patient. Applying a precision medicine approach to a heterogeneous condition, such as the cardiopulmonary bypass (CPB)–induced inflammatory response, first requires identification of homogeneous subgroups […]

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Uncategorized Published - 17 January, 2023    By - Dr Clemens
Reducing Volatile Anesthetic Waste Using a Commercial Electronic Health Record Clinical Decision Support Tool to Lower Fresh Gas Flows

AUTHORS: Olmos, Andrea V. MD et al  Anesthesia & Analgesia November 04, 2022. BACKGROUND: Volatile anesthetic consumption can be reduced by minimizing excessive fresh gas flows (FGFs). Currently, it is unknown whether decision support tools embedded within commercial electronic health record systems can be successfully adopted to achieve long-term reductions in FGF rates. The authors […]

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Uncategorized Published - 17 January, 2023    By - Dr Clemens
‘Another challenging year for ASCs’: What’s in store for surgery centers in 2023

Author: Riz Hatton Becker’s ASC Review As elective procedures continue to shift to the ASC setting, the growth of surgery centers seems inevitable, but the movement is not without its challenges. Four healthcare leaders connected with Becker’s to answer, “What does 2023 have in store for the ASC industry?” Editor’s note: Responses have been lightly edited for […]

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Uncategorized Published - 17 January, 2023    By - Dr Clemens
Rheumatoid Arthritis: Pulmonary and Cardiovascular Manifestations

We often have patients that suffer from Rheumatoid Arthritis so I wanted to share it with our readers. Author: Goldenberg D. Pract Pain Manag. 2023 January/February;23(1). The most common extra-articular manifestations of rheumatoid arthritis involve the lungs and the heart. This article discusses the most important pulmonary and cardiac complications in individuals diagnosed with rheumatoid […]

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