Author: Dr Clemens

Uncategorized Published - 8 March, 2022    By - Dr Clemens
What to know about high potassium

Author: Adrienne Stinson MedicalNewsToday Hyperkalemia is the medical term for when a person has higher than normal levels of potassium. Usually, people with hyperkalemia do not have any symptoms, which makes it challenging for a doctor to diagnose. The leading causes of hyperkalemia are chronic kidney disease, uncontrolled diabetes, dehydration, an injury causing severe bleeding, consuming excessive dietary potassium, and some […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
The analgesic efficacy of transversus abdominis plane block vs. wound infiltration after inguinal and infra-umbilical hernia repairs

DG Journal Club AUTHORS: Sina Grape, Kyle R Kirkham et al. Eur J Anaesthesiol. 2022 Feb BACKGROUND Both transversus abdominis plane (TAP) block and wound infiltration with local anaesthetic have been used to relieve pain after inguinal or infra-umbilical hernia repair. OBJECTIVES To determine whether TAP block or local anaesthetic infiltration is the best analgesic […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
Pediatric spinal anesthesia at a tertiary care hospital: Eleven years after Spinal anesthesia at a single institution

AUTHORS: RamC3n Eizaga Rebollar, MarC-a Victoria GarcC-a Palacios 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 […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
Cardiac Output Assessments in Anesthetized Children: Dynamic Capnography Versus Esophageal Doppler

AUTHORS: Karlsson, Jacob MD, PhD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 644-652 BACKGROUND:  The objective of this study was to compare esophageal Doppler cardiac output (COEDM) against the reference method effective pulmonary blood flow cardiac output (COEPBF), for agreement of absolute values and ability to detect change […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
Articulating the Anesthesia Value Proposition

Author: Tony Mira F1rstNews Summary The training of anesthesia providers focuses on the clinical skills necessary to manage patients safely and comfortably through the trauma of surgery. The irony is that, ultimately, the quality of care provided has little to do with the ongoing viability and success of the practice. The time has come to […]

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Uncategorized Published - 7 March, 2022    By - Dr Clemens
Challenges of Pediatric Anesthesia Services and Training Infrastructure in Tertiary Care Teaching Institutions in Pakistan

AUTHORS: Khan, Fauzia A. MBBS, FRCA et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 653-660 BACKGROUND:  Pakistan is a lower middle–income country located in South Asia with a population of nearly 208 million. Sindh is its second largest province. The aim of this survey was to identify the current […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Comparison of a Nasal Mask and Traditional Nasal Cannula During Intravenous Anesthesia for Gastroscopy Procedures

AUTHORS: Chen, Dong Xu MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 615-623 BACKGROUND:  Hypoxemia can occur during gastroscopy under intravenous anesthesia. The aim of this randomized controlled trial was to evaluate whether oxygenation using a nasal mask can reduce the incidence of hypoxemia during gastroscopy under intravenous […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Thrombin Generation in Cardiac Versus Noncardiac Surgical Cohorts

AUTHORS: Ericksen, W. Leif MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 606-614 BACKGROUND:  Bleeding can be a significant problem after cardiac surgery. As a result, venous thromboembolism (VTE) or anticoagulation or both following mechanical valve implantation are often delayed in these patients. The calibrated automated thrombin (CAT) […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Intrathecal 2-Chloroprocaine 3% Versus Hyperbaric Bupivacaine 0.75% for Cervical Cerclage

AUTHORS: Lee, Allison MD, MS et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 624-632 BACKGROUND:  Cervical cerclage is a short ambulatory procedure. For spinal anesthesia, local anesthetic agents with rapid postoperative resolution are desired. We hypothesized that in combination with fentanyl, intrathecal 2-chloroprocaine would produce earlier resolution of motor […]

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Uncategorized Published - 4 March, 2022    By - Dr Clemens
Maternal Intensive Care Unit Admission as an Indicator of Severe Acute Maternal Morbidity

AUTHORS: Godeberge, Charlotte MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 581-591 BACKGROUND:  Severe acute maternal morbidity (SAMM) accounts for any life-threatening complication during pregnancy or after delivery. Measuring and monitoring SAMM seem critical to assessing the quality of maternal health care. The objectives were to explore the […]

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