Author: Dr Clemens

Uncategorized Published - 18 March, 2022    By - Dr Clemens
Opioid use disorder in anaesthesia and intensive care

DG Journal Club AUTHORS: Bridin P Murnion, Apo Demirkol Anaesth Intensive Care. 2022 Feb Opioid misuse is common, as is opioid agonist treatment of opioid dependence. Almost 3% of Australians and over 3.5% of those living in New Zealand report misuse of analgesics. Over 50,000 Australians receive opioid agonist treatment with methadone or buprenorphine for […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Twins in patient with thrombocytopenia

Author: Rex Russell Case Report in Anesthesia A 28 year G3P2 carrying twins vertex vertex, presents the day before induction for consultation with anesthesia.  She states that she was diagnosed with thrombocytopenia by MFM, and started on 10 mg of prednisone for a platelet count of 71K.  She has had two prior deliveries without epidural […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
What to know about taking ibuprofen during pregnancy

This is important for our readers that treat pain patients. Author: Zawn Villines MedicalNewsToday Aches and pains are common throughout pregnancy, and some people take pain relievers to reduce their discomfort. However, experts recommend that pregnant individuals avoid ibuprofen (Advil) after 20 weeks. This recommendation comes from the Food and Drug Administration (FDA). Additionally, some research suggests […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Early cryoprecipitate transfusion versus standard care in severe postpartum haemorrhage

Authors: L. Green et al  Anaesthesia October 2021   Summary There is a lack of evidence evaluating cryoprecipitate transfusion in severe postpartum haemorrhage. We performed a pilot cluster-randomised controlled trial to evaluate the feasibility of a trial on early cryoprecipitate delivery in severe postpartum haemorrhage. Pregnant women (>24 weeks gestation), actively bleeding within 24 h of delivery […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Excess use of thyroid hormone treatment among patients with fibromyalgia

DG Journal Club AUTHORS: Varinen Aleksi, Kosunen Elise, Tuomas H Koskela BMC Res Notes. 2022 Feb 24; 15(1): 83 OBJECTIVE From previous studies, it is known that the association between fibromyalgia and thyroid autoimmunity diseases exists. On the other hand, it was recently suggested that in many cases thyroid hormone treatment might be unnecessary. The […]

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Uncategorized Published - 17 March, 2022    By - Dr Clemens
Early Vasopressor Utilization Strategies and Outcomes in Critically Ill Patients With Severe Traumatic Brain Injury

AUTHORS: Toro, Camilo BA et al Anesthesia & Analgesia: February 2022 BACKGROUND: Early hypotension after severe traumatic brain injury (sTBI) is associated with increased mortality and poor long-term outcomes. Current guidelines suggest the use of intravenous vasopressors, commonly norepinephrine and phenylephrine, to support blood pressure after TBI. However, guidelines do not specify vasopressor type, resulting in […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
Intra-operative hypotension – how low should you go?

Authors: Cara Hughes and Andrew Klein TheAnesthesiaBlog The February issue of Anaesthesia attempts to answer the age-old question plaguing anaesthetists – what blood pressure should we be targeting and how much does it matter? We are delighted to present the first publication from the iHype study – a prospective cohort study designed and conducted by the Research and […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
RESETTING THE BAR FOR ACUTE PERIOPERATIVE PAIN MANAGEMENT

Author: Ed Mariano MD, MAS, FASA EdMarinao.com Despite previously published guidelines and practice recommendations, there remains unwarranted variation in the quality of pain management provided to patients having surgery. Unwarranted variations in healthcare are inconsistencies in clinical practice that have no basis in science or patient preference. In 2019, the U.S. Health and Human Services (HHS) Pain Management […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
Analgesic comparison between perineural and intravenous dexamethasone for shoulder arthroscopy

DG Journal Club AUTHORS: Liangku Huang et al J Orthop Surg Res. 2022 Feb 17; 17(1): 103 INTRODUCTION The analgesic comparison between perineural and intravenous dexamethasone on interscalene block for pain management after shoulder arthroscopy remains controversial. We conduct this meta-analysis to explore the influence of perineural versus intravenous dexamethasone on interscalene block for pain […]

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Uncategorized Published - 16 March, 2022    By - Dr Clemens
Advancing global health research equity

Authors: Mike Charlesworth and Andrew Klein TheAnesthesiaBlog Parachute (or ‘helicopter’) research is the practice of conducting primary research within a host country and subsequently publishing findings with inadequate recognition of local researchers, staff and/or supporting infrastructure. In fact, almost 30% of publications of primary research conducted in LMICs did not contain any local authors. This new […]

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