Author: Dr Clemens

Uncategorized Published - 24 March, 2022    By - Dr Clemens
Anesthetic Management and Outcomes of Patients With Epidermolysis Bullosa

AUTHORS: Brooks Peterson, Melissa MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 810-821 BACKGROUND:  Epidermolysis bullosa (EB) is a group of rare epithelial disorders caused by abnormal or absent structural proteins at the epidermal-dermal junction. As a result, patients experience blisters and wounds from mild shearing forces. Some […]

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Uncategorized Published - 24 March, 2022    By - Dr Clemens
Frequent Use of Over-the-Counter Analgesics Associated With Increased Risk of Tinnitus

This is for our readers who treat chronic pain patients DG News Frequent use of non-steroidal anti-inflammatory drugs (NSAIDs) or acetaminophen or regular use of COX-2 inhibitors was associated with an almost 20% higher risk of tinnitus, according to a study published in the Journal of General Internal Medicine. Frequent use of moderate-dose aspirin was associated […]

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Uncategorized Published - 23 March, 2022    By - Dr Clemens
Use of Epidural in Childbirth Is Linked to Decreased Severe Maternal Morbidity

DG News In a study of vaginal births in New York State hospitals, labour neuraxial analgesia  was associated with a decreased risk of severe maternal morbidity. Deliveries with a neuraxial analgesia also lessened the risk of postpartum haemorrhage, the leading cause of preventable severe maternal morbidity, according to Jean Guglielminotti, MD, Columbia University Mailman School […]

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Uncategorized Published - 23 March, 2022    By - Dr Clemens
Airway Ultrasound as Predictor of Difficult Direct Laryngoscopy

AUTHORS: Carsetti, Andrea MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 740-750 BACKGROUND:  Despite several clinical index tests that are currently applied for airway assessment, unpredicted difficult laryngoscopy may still represent a serious problem in anesthesia practice. The aim of this systematic review and meta-analysis was to evaluate […]

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Uncategorized Published - 23 March, 2022    By - Dr Clemens
Why a Propofol Infusion Should Be the Anesthetic of Choice for Auditory Brainstem Response Testing in Children

AUTHORS: Kandil, Ali I. DO et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 802-809 BACKGROUND:  Auditory brainstem response (ABR) testing is considered to be relatively resistant to effects of volatile anesthetics. The impact of newer anesthetics on interpretability of ABR testing is unknown. This study compared sevoflurane versus propofol […]

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Uncategorized Published - 23 March, 2022    By - Dr Clemens
Mindfulness-Based Therapy Reduces Opioid Misuse, Chronic Pain in Primary Care

DG News An 8-week mindfulness-based therapy — Mindfulness-Oriented Recovery Enhancement (MORE) — decreased opioid use and misuse while reducing chronic pain symptoms, with effects lasting as long as 9 months, according to a study published in JAMA Internal Medicine. This is the first large-scale clinical trial to demonstrate that a psychological intervention can simultaneously reduce opioid […]

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Uncategorized Published - 23 March, 2022    By - Dr Clemens
Leeches and Caudal Analgesia after Replantation for Glans Amputation During Neonatal Circumcision

DG Journal Club Authors: Ahmad Mousa et al Urology. 2022 Mar Neonatal circumcision is one of the most commonly performed surgical procedures in the world. As with all surgeries, it carries risks, including rare, but devastating complications, such as glans and/or penile shaft amputation. Complete glans amputation with successful replantation has been previously reported. Herein […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
Continuous interscalene versus phrenic nerve-sparing high-thoracic erector spinae plane block for total shoulder arthroplasty

DG Journal Club AUTHORS: Lisa Y Sun et al Can J Anaesth. 2022 Mar PURPOSE The high-thoracic erector spinae plane block (HT-ESPB) has been reported as an effective analgesic modality for the shoulder region without phrenic nerve palsy. The goal of this study was to compare the HT-ESPB as a phrenic nerve-sparing alternative to an […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
What is the Value of Chronic Pain to an Anesthesia Practice?

Author: Tony Mira F1rstNews Summary Many anesthesia groups have a chronic pain component; but how beneficial is it from an overall financial standpoint?  While some make it work, it is very difficult to set up and maintain a profitable pain practice. Some of our anesthesia clients are actively involved in the provision of chronic pain […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
Wound Infusion of 0.35% Levobupivacaine Reduces Mechanical Secondary Hyperalgesia and Opioid Consumption After Cesarean Delivery

AUTHORS: Gómez-Ríos, Manuel Á. MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 791-801 BACKGROUND:  Some patients still report moderate-to-severe postoperative pain after cesarean delivery. Local anesthetic wound infusion improves acute pain and might act on peripheral and central sensitization mechanisms; however, no studies have proved this hypothesis. We […]

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