Author: Dr Clemens

Uncategorized Published - 14 March, 2022    By - Dr Clemens
Association Between Perioperative Medication Use and Postoperative Delirium and Cognition in Older Adults Undergoing Elective Noncardiac Surgery

AUTHORS: Duprey, Matthew S. PharmD, PhD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Postoperative delirium is frequent in older adults and is associated with postoperative neurocognitive disorder (PND). Studies evaluating perioperative medication use and delirium have generally evaluated medications in aggregate and been poorly controlled; the association between perioperative medication use and PND remains unclear. […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
Effectiveness and acceptability of noninvasive brain and nerve stimulation techniques for migraine prophylaxis

DG Journal Club AUTHORS: Yu-Chen Cheng et al J Headache Pain. 2022 Feb 20; 23(1): 28 BACKGROUND Current pharmacologic prophylactic strategies for migraine have exhibited limited efficacy, with response rates as low as 40%-50%. In addition to the limited efficacy, the acceptability of those pharmacologic prophylactic strategies were unacceptable. Although noninvasive brain/nerve stimulation strategies may […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
Wireless Single-Lead ECG Monitoring to Detect New-Onset Postoperative Atrial Fibrillation in Patients After Major Noncardiac Surgery

AUTHORS: Jokinen, Johan D. V. MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: New-onset postoperative atrial fibrillation (POAF) is associated with several cardiovascular complications and higher mortality. Several pathophysiological processes such as hypoxia can trigger POAF, but these are sparsely elucidated, and POAF is often asymptomatic. In patients undergoing major gastrointestinal cancer surgery, we aimed […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
Pilot Findings of Pharmacogenomics in Perioperative Care

AUTHORS: Truong, Tien M. PharmD, PhD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Pharmacogenomics, which offers a potential means by which to inform prescribing and avoid adverse drug reactions, has gained increasing consideration in other medical settings but has not been broadly evaluated during perioperative care. METHODS: The Implementation of Pharmacogenomic Decision Support in Surgery […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
What’s to know about alcoholic hepatitis?

Author: Valencin Higuera MedicalNewsToday Alcoholic hepatitis is an inflammatory liver condition. The main cause is frequent, heavy alcohol use. Processing excessive amounts of alcohol can result in injury to the liver cells, which can lead to swelling and scarring of the liver. The condition can be mild or severe. In severe cases, a person may […]

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Uncategorized Published - 11 March, 2022    By - Dr Clemens
Respiratory Adverse Events After LMA® Mask Removal in Children

AUTHORS: Karam, Cynthia MD et al Anesthesia & Analgesia: February 2022 Abstract Export BACKGROUND: The removal of the laryngeal mask airway (LMA®) in children may be associated with respiratory adverse events. The rate of occurrence of these adverse events may be influenced by the type of anesthesia. Studies comparing total intravenous anesthesia (TIVA) with propofol and […]

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Uncategorized Published - 10 March, 2022    By - Dr Clemens
Pediatric spinal anesthesia at a tertiary care hospital

DG Journal Club AUTHORS: RamC3n Eizaga Rebollar et al Paediatr Anaesth. 2022 Feb BACKGROUND Pediatric spinal anesthesia is an old technique whose use is not widespread, in spite of reducing the risk of cardiorespiratory events (hypoxemia, bradycardia, and hypotension) associated with general anesthesia, especially in neonates and infants. This retrospective cohort study aimed to assess […]

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Uncategorized Published - 10 March, 2022    By - Dr Clemens
Association of Medicaid Expansion With Neuraxial Labor Analgesia Use in the United States

AUTHORS: Xiao, Maggie Z. X. BSc et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 505-514 BACKGROUND:  The Affordable Care Act has been associated with increased Medicaid coverage for childbirth among low-income US women. We hypothesized that Medicaid expansion was associated with increased use of labor neuraxial analgesia. METHODS: We […]

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Uncategorized Published - 10 March, 2022    By - Dr Clemens
Association Between Changes in Postoperative Opioid Utilization and Long-Term Health Care Spending Among Surgical Patients With Chronic Opioid Utilization

AUTHORS: Sun, Eric C. MD, PhD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 515-523 BACKGROUND:  There is growing interest in identifying and developing interventions aimed at reducing the risk of increased, long-term opioid use among surgical patients. While understanding how these interventions impact health care spending has important […]

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Uncategorized Published - 10 March, 2022    By - Dr Clemens
What is the difference between a sinus headache and migraine?

Author: Meredith Goodwin MedicalNewsToday Sinus headaches are those that cause pain and pressure in the sinuses, which are a network of hollow cavities inside the skull. Migraine is a neurological condition that causes moderate to severe headaches, usually on one side of the head. Sinus headaches and migraine are different conditions with different symptoms, causes, […]

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