Author: Dr Clemens

Uncategorized Published - 4 February, 2022    By - Dr Clemens
Anaesthesia and caring for patients during the COVID-19 outbreak. Airway Management Guidelines

Source: Australian Society of Anaesthetists doctoryg.blogspot.com AIM To advise on processes and techniques required to protect staff and prevent transmission of infection during airway procedures for patients with known or suspected COVID-19 infection. To help anaesthesia staff and anaesthesia departments in clinical decision making and in the production of local processes and protocols. This advice is […]

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Uncategorized Published - 4 February, 2022    By - Dr Clemens
Placenta Accreta Spectrum Disorders

AUTHORS: Warrick, Christine M. MD et al Anesthesia & Analgesia: January 2022 Abstract Placenta accreta spectrum (PAS) disorder is a potentially life-threatening condition that can occur during pregnancy. PAS puts pregnant individuals at a very high risk of major blood loss, hysterectomy, and intensive care unit admission. These patients should receive care in a center with […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
The Burden of Coronavirus Disease 2019–Related Cases, Hospitalizations, and Mortality Based on Vaccination Status and Mandated Mask Use

AUTHORS: Abd-Elsayed, Alaa MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 524-531 BACKGROUND:  Coronavirus disease 2019 (COVID-19) cases continue to surge in the United States with the emergence of new variants. Statewide variability and inconsistency in implementing risk mitigation strategies are widespread, particularly in regards to enforcing mask […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
Advances in Interventional Therapies for Painful Diabetic Neuropathy

AUTHORS: Xu, Li MD, PhD et al  Anesthesia & Analgesia: January 2022 BACKGROUND: Painful diabetic neuropathy (PDN) is one of the major complications of diabetes mellitus. It is often debilitating and refractory to pharmaceutical therapies. Our goal was to systematically review and evaluate the strength of evidence of interventional management options for PDN and make evidence-based […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
PRESIDENT BIDEN’S COLONOSCOPY ANESTHESIA

Author: Richard Novak MD The Anesthesia Consultant Three days ago, I was giving anesthesia for six consecutive colonoscopy patients. Following my first case, I checked my phone and discovered that the President of the United States Joe Biden was having a colonoscopy at Walter Reed Medical Center that very morning. The headlines stated that for the […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
Magnesium sulfate reduces postoperative pain in women with cesarean section

DG Journal Clubs AUTHORS: Siguang Ma, Yanju Zhang et al. Pain Pract. 2022 Jan; 22(1): 8-18 OBJECTIVES The use of magnesium sulfate (MgSO 4 ) as an adjunct in different anesthetic regimens for cesarean section (CS) delivery often reports conflicting results. This study aimed to review the effectiveness of MgSO 4 on improving postoperative analgesia […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
Validation of Continuous Noninvasive Blood Pressure Monitoring Using Error Grid Analysis

AUTHORS: Juri, Takashi MD et al Anesthesia & Analgesia: January 2022 Export BACKGROUND: Error grid analysis was recently proposed to compare blood pressure obtained by 2 measurement methods. This study aimed to compare continuous noninvasive blood pressure (CNBP) with invasive blood pressure (IBP) using the error grid analysis and investigate the confounding risk factors attributable to […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Maternal Fever Associated With Continuous Spinal Versus Epidural Labor Analgesia

AUTHORS: Seiler, F. Arran MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Neuraxial labor analgesia is associated with elevations in maternal temperature; the mechanism responsible is unknown. Proposed mechanisms have included infection, altered thermoregulation, and inflammation, potentially triggered by local anesthetics. Studies of the association between neuraxial labor analgesia and maternal fever have focused on […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Nalbuphine for spinal anesthesia

DG Journal Club AUTHORS: Pan Yu, Jie Zhang et al. Pain Pract. 2022 Jan; 22(1): 91-106 PURPOSE Various adjuvants for prolongation of intra-operative and postoperative analgesia have been clinically studied, but the safety and efficiency of nalbuphine as an adjuvant to local anesthetics in spinal anesthesia remains unconfirmed. Therefore, we conducted a meta-analysis about the […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
A Comparison Between the Adductor Pollicis Muscle Using TOF-Watch SX and the Abductor Digiti Minimi Muscle Using TetraGraph in Rocuronium-Induced Neuromuscular Block

AUTHORS: Iwasaki, Hajime MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: The commonly used acceleromyography (AMG)-based neuromuscular monitor TOF-Watch SX is no longer manufactured. Recently, a new portable electromyography (EMG)-based neuromuscular monitor TetraGraph was introduced in clinical anesthesia. The aim of the study was to compare the responses obtained simultaneously from the abductor digiti […]

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