Author: Dr Clemens

Uncategorized Published - 4 March, 2022    By - Dr Clemens
Frequent Use of Over-the-Counter Analgesics Associated With Increased Risk of Tinnitus

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 with a 16% higher risk among women aged younger than […]

Read More
Uncategorized Published - 3 March, 2022    By - Dr Clemens
Remote Ischemic Preconditioning Reduces Acute Kidney Injury After Cardiac Surgery

AUTHORS: Long, Yu-qin MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 592-605 BACKGROUND: Results from previous studies evaluating the effects of remote ischemic preconditioning (RIPC) on morbidity and mortality after cardiac surgery are inconsistent. This meta-analysis of randomized controlled trials (RCTs) aims to determine whether RIPC improves cardiac […]

Read More
Uncategorized Published - 3 March, 2022    By - Dr Clemens
Performance of the Hypotension Prediction Index With Noninvasive Arterial Pressure Waveforms in Awake Cesarean Delivery Patients Under Spinal Anesthesia

AUTHORS: Frassanito, Luciano MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 633-643 BACKGROUND:  Arterial hypotension is common after spinal anesthesia (SA) for cesarean delivery (CD), and to date, there is no definitive method to predict it. The hypotension prediction index (HPI) is an algorithm that uses the arterial […]

Read More
Uncategorized Published - 3 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 […]

Read More
Uncategorized Published - 3 March, 2022    By - Dr Clemens
The Practice of Pediatric Cardiac Anesthesiology in the United States

AUTHORS: Nasr, Viviane G. MD, MPH et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 532-539 BACKGROUND:  With advances in surgical and catheter-based interventions and technologies in patients with congenital heart disease (CHD), the practice of pediatric cardiac anesthesiology has evolved in parallel with pediatric cardiac surgery and pediatric cardiology […]

Read More
Uncategorized Published - 3 March, 2022    By - Dr Clemens
AAN Issues Guideline for Treatment of Painful Diabetic Neuropathy

DG News To help neurologists and other doctors determine the best treatment for people with diabetic neuropathy, the American Academy of Neurology (AAN) has issued a guideline on oral and topical treatments for painful diabetic neuropathy. The guideline is published in Neurology and is endorsed by the American Association of Neuromuscular & Electrodiagnostic Medicine. “Living with pain […]

Read More
Uncategorized Published - 2 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 […]

Read More
Uncategorized Published - 2 March, 2022    By - Dr Clemens
Evaluation of the Duration of Preanesthesia Consultation

AUTHORS: Compère, Vincent MD, PhD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 496-504 BACKGROUND:  The time allocated to the preanesthesia consultation (PAC) of a patient undergoing an elective surgical procedure is an important factor to optimize consultation sessions. The main objective of this study was to build a […]

Read More
Uncategorized Published - 2 March, 2022    By - Dr Clemens
The Perioperative Use of Benzodiazepines for Major Orthopedic Surgery in the United State

AUTHORS: Cozowicz, Crispiana MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 486-495 BACKGROUND:  Despite numerous indications for perioperative benzodiazepine use, associated risks may be exacerbated in elderly and comorbid patients. In the absence of national utilization data, we aimed to describe utilization patterns using national claims data from […]

Read More
Uncategorized Published - 2 March, 2022    By - Dr Clemens
Drug Combination Reduces Narcotic Use, Manages Pain After Surgery for Teens With Scoliosis

DG News For adolescents with scoliosis undergoing major spinal fusion surgery, a combination of 2 drugs reduces the amount of postoperative opioid use and side effects, according to a study published in the Journal of Orthopaedic Surgery and Research. Adolescents who received intrathecal morphine and oral gabapentin required fewer oral narcotics after surgery, but average pain […]

Read More