Author: Dr Clemens

Uncategorized Published - 18 July, 2022    By - Dr Clemens
Awake cardiac surgery using the novel pectoralis-intercostal-rectus sheath (PIRS) plane block and subxiphoid approach

DG Journal Club AUTHORS: Toscano Antonio, et al J Card Surg. 2022 Jun 4 BACKGROUND Postoperative pain after cardiac surgery is a very important issue and affects recovery, risk of postoperative complications and quality of life. The pain management has been traditionally based on intravenous opioids with growing evidence suggesting the use of opioid-free and […]

Read More
Uncategorized Published - 18 July, 2022    By - Dr Clemens
Comparing the effects of peripheral nerve block and general anesthesia with general anesthesia alone on postoperative delirium and complications in elderly patients

DG Journal Club AUTHORS: Manabu Yoshimura, Hiroko Shiramoto, Mami Koga, Aya Yoshimatsu Reg Anesth Pain Med. 2022 May 30 INTRODUCTION The difference between the effects of peripheral nerve block (PNB) with general anesthesia (GA) and GA alone on the patients’ postoperative clinical outcomes remains unknown. We assessed whether there is a difference in postoperative delirium […]

Read More
Uncategorized Published - 18 July, 2022    By - Dr Clemens
Assessment of a Naloxone Coprescribing Alert for Patients at Risk of Opioid Overdose

AUTHORS: Nelson, Scott D. PharmD, MS, CPHIMS, FAMIA et al Anesthesia & Analgesia: July 2022 – Volume 135 – Issue 1 – p 26-34 BACKGROUND:  Patients taking high doses of opioids, or taking opioids in combination with other central nervous system depressants, are at increased risk of opioid overdose. Coprescribing the opioid-reversal agent naloxone is an […]

Read More
Uncategorized Published - 18 July, 2022    By - Dr Clemens
Identifying patterns of utilization of single-use video laryngoscopy and supraglottic airway devices to reduce waste

AUTHORS: Baerg, Tim MD, MBA et al  Journal of Head & Neck Anesthesia: December 2021 – Volume 5 – Issue 2 – p e35 Introduction:  Lean management, a systematic method of reducing waste in manufacturing, is an approach that has led to quality improvement and cost reduction in health systems. Utilization of single-use airway equipment, such […]

Read More
Uncategorized Published - 18 July, 2022    By - Dr Clemens
Can COVID-19 cause neck pain?

Author: Zawn Villines MedicalNewsToday Some people with COVID-19 experience neck pain, soreness, and stiffness. In some cases, neck pain can be a persistent symptom of long COVID. All data and statistics are based on publicly available data at the time of publication. Some information may be out of date. Visit our coronavirus hub for the most recent […]

Read More
Uncategorized Published - 16 July, 2022    By - Dr Clemens
Rivaroxaban Reduces the Dabigatran Dose Required for Anticoagulation During Simulated Cardiopulmonary Bypass

AUTHOPRS: Nadtochiy, Sergiy M. PhD et al Anesthesia & Analgesia: July 2022 – Volume 135 – Issue 1 – p 52-59 BACKGROUND: Heparin is the standard anticoagulant for cardiopulmonary bypass (CPB); however, there are problems with its use that make the development of suitable alternatives desirable. Currently, no ideal alternative exists. We have previously reported that […]

Read More
Uncategorized Published - 15 July, 2022    By - Dr Clemens
Preventing Spinal Hypotension During Cesarean Birth With Two Initial Boluses of Norepinephrine in Chinese Parturients

AUTHORS: Lyu, Wenyuan MD et al  Anesthesia & Analgesia: June 06, 2022 BACKGROUND: Norepinephrine is effective in preventing spinal hypotension during cesarean birth; however, an optimal regimen has not been determined. We hypothesized that an initial bolus of norepinephrine improves efficacy of spinal hypotension prophylaxis beyond continuous norepinephrine alone. METHODS: In this double-blind, controlled study, 120 […]

Read More
Uncategorized Published - 15 July, 2022    By - Dr Clemens
Highlights from the ISMP Summit: The Future of Perioperative Medication Safety: Charting Our Path Forward

Authors: Elizabeth Rebello, Rph, MD, CPPS, CMQ, FASA; JW Beard, MD Anesthesia Patient Safety Foundation Volume 37, No. 2 June 2022  The Institute for Safe Medication Practices (ISMP) convened on November 10–11, 2021, as a virtual national summit on Perioperative Medication Safety. The intent of the summit was to leverage the current understanding of the […]

Read More
Uncategorized Published - 15 July, 2022    By - Dr Clemens
Anesthesia Pain and Safety Considerations in Cancer Patients

Authors: Dylan Irvine, BScH; Jeffrey Huang, MD Anesthesia Patient Safety Foundation 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 considered […]

Read More
Uncategorized Published - 15 July, 2022    By - Dr Clemens
Does pollution cause migraine attacks?

Author: Morgan Meissner PhD MedicalNewsToday Stress, hormonal changes, and certain types of foods can all trigger migraine attacks. Some people with migraine find that environmental conditions, including air quality, also affect their symptoms. For people living with migraine, identifying triggers that cause migraine episodes can be a helpful way to minimize the disruptive nature of […]

Read More