Author: Dr Clemens

Uncategorized Published - 18 April, 2022    By - Dr Clemens
Association Between Race and Opioid-Induced Respiratory Depression

AUTHORS: Sim, Ming Ann MBBS et al Anesthesia & Analgesia: March 2022 BACKGROUND: Opioid-induced respiratory depression (OIRD) is common on the medical and surgical wards and is associated with increased morbidity and health care costs. While previous studies have investigated risk factors for OIRD, the role of race remains unclear. We aim to investigate the association […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
The impact of pain on quality of life in patients with osteoarthritis

DG Journal Club AUTHORS: Mojahed Shalhoub, Mohammad Anaya, Soud Deek, Anwar H Zaben BMC Musculoskelet Disord. 2022 Mar 14; 23(1): 248 BACKGROUND Osteoarthritis is one of the most common musculoskeletal problems. Pain is the most common complaint and the most significant cause of decreased health-related quality of life (HRQOL) among osteoarthritic patients. The objectives of […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Comparison Between Subparaneural Upper Trunk and Conventional Interscalene Blocks for Arthroscopic Shoulder Surgery

AUTHORS: Zhang, Hongye MD et al Anesthesia & Analgesia: March 2022 BACKGROUND: Although interscalene nerve block is the standard for shoulder analgesia, the risk of hemidiaphragmatic paralysis restricts its use in patients with compromised pulmonary function. We hypothesized that a novel subparaneural upper trunk block would provide noninferior postoperative analgesia but superior diaphragmatic sparing effect compared […]

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Uncategorized Published - 15 April, 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: March 2022 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 essential safety measure, recommended by the surgeon general, but […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Diabetes mellitus and perioperative outcomes

DG Journal Club AUTHORS: Daniel J Drayton, Rebecca J Birch, Carlota D’Souza-Ferrer, Michael Ayres Br J Anaesth. 2022 Mar BACKGROUND Diabetes mellitus (DM) is frequently encountered in the perioperative period. DM may increase the risk of adverse perioperative outcomes owing to the potential vascular complications of DM. We conducted a scoping review to examine the […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Burnout: What are the symptoms?

Author: Zawn Villines MedicalNewsToday Burnout is a reaction to intense and usually chronic stress. Most research discusses burnout in relation to a person’s job. However, other roles, such as being a parent or caregiver, can also sometimes lead to burnout. Burnout symptoms can affect a person’s work and relationships, as well as their emotional and […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Future of Perioperative Precision Medicine: Integration of Molecular Science, Dynamic Health Care Informatics, and Implementation of Predictive Pathways in Real Time

Authors: Nirvik, Pal MBBS, MD, FASE*; Kertai, Miklos D. MD, PhD† Anesthesia & Analgesia: March 2022 Abstract Conceptually, precision medicine is a deep dive to discover disease origin at the molecular or genetic level, thus providing insights that allow clinicians to design corresponding individualized patient therapies. We know that a disease state is created by not […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
Factors Associated With Postreperfusion Syndrome in Living Donor Liver Transplantation

AUTHORS: Umehara, Kaoru MD, PhD et al Anesthesia & Analgesia: March 2022 BACKGROUND: Postreperfusion syndrome (PRS) after portal vein reperfusion during liver transplantation (LT) has been reported to cause rapid hemodynamic changes and is associated with a prolonged postoperative hospital stay, renal failure, and increased mortality. Although there are some reports on risk factors for PRS […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
What’s the link between back pain and kidney cancer?

Author: Beth Sissous MedicalNewsToday Kidney cancer can cause persistent lower back pain on one side, but this is usually when a tumor has grown very large. Early-stage kidney cancer often has no symptoms. Back pain is a very common medical problem in the United States. It is most often due to injury or overuse but can […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
Regional Anesthesia Associated With Decreased Inpatient and Outpatient Opioid Demand in Tibial Plateau Fracture Surgery

AUTHORS: Cunningham, Daniel J. MD, MHSc et al Anesthesia & Analgesia: March 2022 BACKGROUND: Regional anesthesia (RA) has been used to reduce pain and opioid usage in elective orthopedic surgery. The hypothesis of this study was that RA would be associated with decreased opioid demand in tibial plateau fracture surgery. METHODS: Inpatient opioid consumption and 90-day […]

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