Author: Dr Clemens

Uncategorized Published - 2 February, 2022    By - Dr Clemens
Sphenopalatine ganglion block for ipsilateral shoulder pain following open pancreaticoduodenectomy

DG Journal Club AUTHORS: Danielle Levin, Martin Acquadro et al. BMJ Case Rep. 2022 Jan 6; 15(1) A 59-year-old woman underwent an open pancreaticoduodenectomy. Thoracic patient controlled-epidural anaesthesia provided excellent incisional pain relief; however, the patient experienced intractable left shoulder pain (10/10 on the Numerical Rating Scale). To our knowledge, there is no effective established […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Anesthesia Braces for a New Era: Surprise Billing Prohibition Begins

Author: Tony Mira F1rstNews Summary The new year brings with it a new federal rule that restricts balance billing in out-of-network cases.  There will also be a new process in place for self-pay or uninsured patients.  Today’s alert acts to remind readers of what they can expect and what they must do when faced with […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Control of Postoperative Hypotension Using a Closed-Loop System for Norepinephrine Infusion in Patients After Cardiac Surgery

AUTHORS: Desebbe, Olivier MD et al Anesthesia & Analgesia: January 2022 Abstract BACKGROUND: Vasopressors are a cornerstone for the management of vasodilatory hypotension. Vasopressor infusions are currently adjusted manually to achieve a predefined arterial pressure target. We have developed a closed-loop vasopressor (CLV) controller to help correct hypotension more efficiently during the perioperative period. We tested […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Ketamine Associated Intraoperative Electroencephalographic Signatures of Elderly Patients With and Without Preoperative Cognitive Impairment

AUTHORS: Barreto Chang, Odmara L. MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Ketamine is typically used by anesthesiologists as an adjunct for general anesthesia and as a nonopioid analgesic. It has been explored for prevention of postoperative delirium, although results have been contradictory. In this study, we investigated the association of ketamine with […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Temporal Trends and Predictors of Opioid Use Among Older Patients With Cancer

DG Journal Club AUTHORS: Mia Salans, Paul Riviere et al. Am J Clin Oncol. 2022 Jan OBJECTIVES While opioids represent a cornerstone of cancer pain management, the timing and patterns of opioid use in the cancer population have not been well studied. This study sought to explore longitudinal trends in opioid use among Medicare beneficiaries […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Nonunion of traumatic rib fractures: a suitable indication for surgery?

DG Journal Club AUTHORS: Fabrizio Minervini, Jesse Peek et al. Eur J Trauma Emerg Surg. 2022 Jan PURPOSE Nonunion of traumatic rib fractures is a clinical/radiological diagnosis caused by an alteration of bone healing reparative process. Since it is a painful condition, nonunion has a significative impact on patient’s morbidity and quality of life. The […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
The relationship between dietary sulfur amino acids intake and severity and frequency of pain in Iranian patients with musculoskeletal pains, 2020

DG Journal Club AUTHORS: Niki Bahrampour, Ariyo Movahedi et al. BMC Res Notes. 2022 Jan 10; 15(1): 13 OBJECTIVE Musculoskeletal pain conditions (MPs) are a widespread public problem that can affect 13.5% to 47% of the total population. Dietary changes can have strong effects on person’s health; for instance, Sulfur amino acids (SAAs) can act […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Severe Intraoperative Hyperglycemia and Infectious Complications After Elective Brain Neurosurgical Procedures

AUTHORS: Kulikov, Alexander MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Postoperative infections after brain surgery are a serious complication potentially worsening the outcome of surgical treatment. Severe intraoperative hyperglycemia (SIH) contributes to both infectious and noninfectious postoperative complications. However, there are a lack of data on the incidence of SIH in patients undergoing […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Anesthesia and the Current Opioid Crisis

Author: Tony Mira F1rstNews Summary Despite education and efforts to reduce the abuse of opioids among Americans, the addiction crisis continues.  To what extent can pain management and anesthesia practices play a part in reducing America’s dependence on these substances? A new book has brought one of the nation’s most serious health crises into clear […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Preoperative anaemia and outcome after elective cardiac surgery

DG Journal Club AUTHORS: Yannick J J M Hazen, Peter G Noordzij et al. Br J Anaesth. 2022 Jan BACKGROUND Previous studies have shown that preoperative anaemia in patients undergoing cardiac surgery is associated with adverse outcomes. However, most of these studies were retrospective, had a relatively small sample size, and were from a single […]

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