Author: Dr Clemens

Uncategorized Published - 5 April, 2022    By - Dr Clemens
Cervical Injury after Videolaryngoscopy in Patient with Ankylosing Spondylitis: Comment

Authors: Bradley J. Hindman, M.D. et al  Anesthesiology March 2022, Vol. 136, 517–519. To the Editor: We express our condolences to Epaud et al. and to their patient with ankylosing spondylitis who experienced a C5–C6 cervical spine fracture in association with a difficult videolaryngoscopic intubation.  Their image report adds to existing reports of intubation-mediated cervical spine injury […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Cervical Injury after Videolaryngoscopy in Patient with Ankylosing Spondylitis

Authors: Simon Clariot, M.D. et al  Anesthesiology March 2022, Vol. 136, 519–520. In Reply: We thank Drs. Hindman and Dexter and Dr. Cometa  for their interest in our image in clinical medicine relaying a cervical spine injury secondary to videolaryngoscopy.  The main purpose of this image is educative, highlighting airway management in patients with ankylosing spondylitis […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Dorsal Root Ganglion Stimulation Device Explantation

DG Journal Club AUTHORS: Kenneth B Chapman et al Pain Pract. 2022 Apr INTRODUCTION Dorsal root ganglion stimulation (DRG-S) is a relatively new neuromodulation modality. Therefore, data on long-term device explantation rates is limited. This investigation aimed to assess DRG-S device explantation rates at long-term follow-up. METHODS We retrospectively reviewed individuals implanted with DRG-S in […]

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Uncategorized Published - 5 April, 2022    By - Dr Clemens
Anesthesia Incident Reporting System (AIRS): Case 2022-2: Failure to Communicate

ASA Monitor February 2022, Vol. 86, 20. What We’ve Got Here Is Failure to Communicate A first dose of ketorolac was given early by a different provider. After scanning the ketorolac at the end of the case, I did not confirm that any had already been administered. The error was discovered during handoff as I was […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Adverse Mechanical Ventilation and Pneumococcal Pneumonia Induce Immune and Mitochondrial Dysfunctions Mitigated by Mesenchymal Stem Cells in Rabbits

Authors: Mathieu Blot, M.D., Ph.D. et al Anesthesiology February 2022, Vol. 136, 293–313. Background Mechanical ventilation for pneumonia may contribute to lung injury due to factors that include mitochondrial dysfunction, and mesenchymal stem cells may attenuate injury. This study hypothesized that mechanical ventilation induces immune and mitochondrial dysfunction, with or without pneumococcal pneumonia, that could […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Preoperative Frailty Assessment: An Opportunity to Add Value to Perioperative Care

AUTHOR: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. Anesthesiology February 2022, Vol. 136, 255–257. Anesthesiologists routinely assess and provide perioperative care for patients who are older and vulnerable to adverse postoperative outcomes.  For many older patients, this vulnerability can be traced back to the presence of frailty, a multidimensional syndrome related to the accumulation of age- and […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Prolonging Sympathetic Blockade for Complex Regional Pain Syndrome: Is Botulinum Toxin the Answer?

AUTHOR: Vinita Singh, M.D. and Steven P. Cohen, M.D. Anesthesiology February 2022, Vol. 136, 261–264.   There are more than a dozen terms denoting “complex regional pain syndrome,” a condition previously known as “reflex sympathetic dystrophy.” The numerous “synonyms” reflect not only its importance in pain medicine (not unlike the linguistic lore that within Eskimo-Aleut languages, there […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Trends in Routine Opioid Dispensing After Common Pediatric Surgeries in the United States: 2014–2019

Authors: Tori N. Sutherland, MD, MPH et al  Pediatrics  April 2022 BACKGROUND: Children who undergo common outpatient surgeries are routinely prescribed opioids, although available evidence suggests opioids should be used with discretion for procedures associated with mild to moderate pain. The study assessed trends in postoperative opioid prescribing over time to determine if prescribing declined. […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Efficacy of liposomal bupivacaine for pain control in shoulder surgeries

AUTHORS: Yujia Li et al J Shoulder Elbow Surg. 2022 Apr 14 BACKGROUND Total shoulder arthroplasties and rotator-cuff repair surgeries result in considerable postoperative pain. Optimal postoperative pain management based on a multidisciplinary approach are necessary to promote early postoperative rehabilitation. The purpose of this study was to compare liposomal bupivacaine (LB) to traditional, non-liposomal […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Carbon Dioxide Changes during High-flow Nasal Oxygenation in Apneic Patients

Authors: Thomas Riva, M.D. et al  Anesthesiology January 2022, Vol. 136, 82–92. Background Anesthesia studies using high-flow, humidified, heated oxygen delivered via nasal cannulas at flow rates of more than 50 l · min–1 postulated a ventilatory effect because carbon dioxide increased at lower levels as reported earlier. This study investigated the increase of arterial partial pressure of […]

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