Author: Dr Clemens

Uncategorized Published - 18 February, 2022    By - Dr Clemens
Hypothyroidism and metabolic disorders: What you need to know

This is important to know since we see many pts with hypothyroidism. Author: Jessica Caporuscio Pharm.D. MedicalNewsToday Metabolism refers to the chemical reactions inside cells that convert food into energy. A metabolic disorder is any disorder that affects metabolism. Hypothyroidism is a metabolic disorder because it involves the underproduction of hormones that play a significant […]

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Uncategorized Published - 17 February, 2022    By - Dr Clemens
The Influence of Self-Identified Gender on Clinical Outcomes and Post-operative Patient Satisfaction Following Lumbar Decompression

This is for our readers that treat chronic pain pts. DG Journal Club AUTHORS: Kevin C Jacob, Madhav R Patel et al. World Neurosurg. 2022 Jan OBJECTIVE To compare patient-reported outcomes (PROMs), Minimum Clinical Important Difference Achievement (MCID), and perceived postoperative satisfaction following minimally invasive lumbar decompression (MIS LD) in patients stratified by self-identified gender. […]

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Uncategorized Published - 17 February, 2022    By - Dr Clemens
Effect of Lidocaine 2% Versus Bupivacaine 0.5% and 1 Versus 2 Dual Separate Injections on Onset and Duration of Ultrasound-Guided Wrist Blocks

AUTHORS: Van Boxstael, Sam MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Local anesthetics are often selected or mixed to accomplish faster onset of anesthesia. However, with ultrasound guidance, local anesthetics are delivered with greater precision, which may shorten the onset time with all classes of local anesthetics. In this study, we compared onset time […]

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Uncategorized Published - 17 February, 2022    By - Dr Clemens
What are the risk factors for thrombocytopenia?

This is important to know since we need platelets for surgery and when we do regional anesthesia. Author: Catlin Geng MedicalNewsToday Thrombocytopenia is a bleeding disorder. People with the condition usually have fewer platelets in the blood than those without thrombocytopenia. Platelets are a type of blood cell that the marrow produces. They help stop […]

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Uncategorized Published - 17 February, 2022    By - Dr Clemens
Carotid endarterectomy may be a safer treatment option than carotid artery stenting

Author: Michael Walter Cardiovascular Business Carotid endarterectomy (CEA) is a safer revascularization strategy than carotid artery stenting (CAS) if performed two to seven days after an ischemic stroke or transient ischemic attack, according to a new study published in the European Journal of Vascular & Endovascular Surgery. “Recency of the index event has been recognized as […]

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Uncategorized Published - 17 February, 2022    By - Dr Clemens
The biggest causes of death in 2020

I know this isn’t about anesthesia but I wanted to share with our readers. Author: Emily Cronkleton MedicalNewsToday In the United States, the top three causes of death in 2020 were heart disease, cancer, and COVID-19. Accidents and stroke round out the country’s top five causes of death that year. And the leading worldwide cause […]

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Uncategorized Published - 16 February, 2022    By - Dr Clemens
Thoracic epidural analgesia and immediate extubation for less than 10B kg infants undergoing living donor liver transplantation

DG Journal Club AUTHORS: Rodrigo Diaz, Glauber GouvC*a et al. Pediatr Transplant. 2022 Feb BACKGROUND Perioperative pain management in small infants weighing<10B kg undergoing liver transplantation is challenging. The use of TEA in this setting has not been reported, as well as its potential role to facilitate IE, ie, in the OR. METHODS We describe […]

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Uncategorized Published - 16 February, 2022    By - Dr Clemens
Procedure-Specific Relationships Between Postoperative Troponin T and a Composite of Mortality and Low Cardiac Output Syndrome

AUTHORS: Zhou, Shan MD, PhD et al Anesthesia & Analgesia: February 2022 BACKGROUND: Myocardial injury after coronary artery bypass grafting (CABG) is defined as troponin concentrations >10 times 99th percentile upper reference limit (URL) according to the Fourth Universal Definition. However, troponin concentrations after non-CABG cardiac surgery which indicate greater-than-expected myocardial injury and increased risk for […]

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Uncategorized Published - 16 February, 2022    By - Dr Clemens
What are the anesthesia options during surgery for people with opioid use disorder?

Author: Zawn Villines MedicalNewsToday Untreated or uncontrolled opioid use disorder can complicate medical procedures if a person wishes to avoid opioid anesthesia. However, healthcare professionals can offer pain relief without opioids, including opioid-free anesthesia (OFA) for surgery. The anesthesia team will work with people with controlled opioid use disorder who are receiving methadone, buprenorphine, or […]

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Uncategorized Published - 16 February, 2022    By - Dr Clemens
Value of MRI in assessing back pain after thoracolumbar osteoporotic vertebral compression fractures and discussion on the underlying mechanisms by tissue biopsy

AUTHORS: Haoran Qi, Jun Qi et al. Eur Spine J. 2022 Jan PURPOSE The specific radiological feature of osteoporotic vertebral compression fractures (OVCFs) is bone marrow oedema (BME) on magnetic resonance imaging (MRI). However, the relationship between BME and back pain (BP) is unclear. We investigated the value of MRI in assessing BP and discussed […]

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