Author: Dr Clemens

Uncategorized Published - 4 May, 2022    By - Dr Clemens
Anesthetic Practice Trends and Perceptions Toward Postoperative Delirium

AUTHORS: Ragheb, Jacqueline MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Delirium is the most common postoperative complication in older adults, though anesthesiologist awareness of delirium prevention guidelines—and associated practice trends—remains unknown. METHODS: This was a convergent mixed-methods study, which simultaneously analyzed quantitative and qualitative data to determine delirium guideline awareness among anesthesiologists and practice […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
I see so much of this in pain management

Author: MERIDETH C. NORRIS, DO  KevinMD .com In 2017, the CDC rolled out a “solution” to the opioid crisis. The recommendations, which were never intended to become laws, were mostly level of evidence three or below. To put it another way, they were not robust, nor were they based on research in any way that […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Tension headache vs. migraine: What is the difference?

Author: Rachel Ann Tee-Melegrito MedicalNewsToday People sometimes use the terms tension headache and migraine interchangeably to describe pain or pressure in the head. Differentiating the two is vital to get appropriate treatment and prevent future headaches. Tension headache and migraine are two of the most common types of headaches. About 3 in 4 of the general […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Pulse Wave Analysis Using the Pressure Recording Analytical Method to Measure Cardiac Output in Pediatric Cardiac Surgery Patients

AUTHORS: Greiwe, Gillis MD et al  Anesthesia & Analgesia: April 2022 Abstract   BACKGROUND: Cardiac output (CO) is a key determinant of oxygen delivery, but choosing the optimal method to obtain CO in pediatric patients remains challenging. The pressure recording analytical method (PRAM), implemented in the MostCareUp system (Vygon), is an invasive uncalibrated pulse wave analysis […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Dose Escalation Pharmacokinetic Study of Intranasal Atomized Dexmedetomidine in Pediatric Patients With Congenital Heart Disease

AUTHORS: Grogan, Kelly MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Atomized intranasal dexmedetomidine is an attractive option when sedation is required for pediatric patients as either premedication or the sole agent for noninvasive, nonpainful procedures. While intranasal dexmedetomidine is used frequently in this population, it is still unclear what dose and time of administration […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Presurgical Thalamus Volume in Postoperative Delirium

AUTHORS: Fislage, Marinus PhD student et al Anesthesia & Analgesia: April 2022 BACKGROUND: Previous studies suggest a role of the thalamus in cognitive function, while others implicate it as a central effect site of anesthetics. Yet, its role in postoperative neurocognition in the aging brain remains uncertain. We used presurgical thalamic volume as a functional indicator […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Compatibility of intravenous acetaminophen with morphine, fentanyl and ketamine in acute pediatric pain setting

DG Journal Club AUTHORS: Edmond O’Loughlin et al Paediatr Anaesth. 2022 Apr 10 BACKGROUND Intravenous acetaminophen and opioid analgesics are routinely given concurrently to children after major surgery, where intravenous access can be limited. There is limited information about the compatibility of acetaminophen with opioid analgesics and ketamine in concentrations commonly used in pediatric setting. […]

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Uncategorized Published - 2 May, 2022    By - Dr Clemens
Relationships Between Body Mass Index, Allogeneic Transfusion, and Surgical Site Infection After Knee and Hip Arthroplasty Surgery

DG Journal Club AUTHORS: Kenichi A Tanaka et al Anesth Analg. 2022 Apr BACKGROUND Increased body mass index (BMI) is considered as an important factor that affects the need for total knee and hip arthroplasty (TKA/THA) and the rate of perioperative complications. Previous investigations have not fully established the relationship of BMI and perioperative transfusion […]

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Uncategorized Published - 2 May, 2022    By - Dr Clemens
Center Variation in Use of Preoperative Dual Antiplatelet Therapy and Platelet Function Testing at the Time of Coronary Artery Bypass Grafting in Maryland

AUTHORS: Hensley, Nadia B. MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Patients presenting with acute coronary syndrome are administered a P2Y12 inhibitor and aspirin before coronary catheterization to prevent further myocardial injury from thrombosis. Guidelines recommend a standard waiting period between the time patients are administered dual antiplatelet therapy (DAPT) and elective cardiac surgery. Since […]

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Uncategorized Published - 2 May, 2022    By - Dr Clemens
Identification of Foramen Ovale With H-Figure Fluoroscopic Landmark Improves Treatment Outcomes in Idiopathic Trigeminal Neuralgia

AUTHORS: He, Liang-Liang MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Because it is traditionally difficult and time-consuming to identify the foramen ovale (FO) with fluoroscopy, we recently developed the H-figure method to acquire fluoroscopic view of FO with shorter procedure time and less radiation. However, the impact of such an H-figure approach on the […]

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