Author: Dr Clemens

Uncategorized Published - 31 January, 2022    By - Dr Clemens
Ultrasound-Guided Clavipectoral Fascial Plane Block With Intermediate Cervical Plexus Block for Midshaft Clavicular Surgery

AUTHORS: Zhuo, Qian MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Regional anesthesia such as interscalene brachial plexus block (ISBPB) with intermediate cervical plexus block (ICPB) is generally a preferred choice for clavicular surgery. However, various studies have shown that these blocks, especially ISBPB, could cause phrenic nerve paralysis and decrease diaphragmatic motion. The study […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
HHS Distributing $2 Billion in Provider Relief Fund Payments to Additional Health Care Providers Impacted by the COVID-19 Pandemic

Author: Tony Mira F1rstNews In December 2021, Health Resources and Services Administration (HRSA),  began releasing Provider Relief Fund (PRF) Phase 4 General Distribution payments to providers and suppliers.  Phase 4 payments included new elements specifically focused on equity, including reimbursing smaller providers for their changes in operating revenues and expenses at a higher rate compared […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
Apnoeic oxygenation in morbid obesity: a randomised controlled trial comparing facemask and high-flow nasal oxygen delivery

AUTHORS: John Schutzer-Weissmann et al Br J Anaesth. 2022 Jan BACKGROUND Obesity is a risk factor for airway-related incidents during anaesthesia. High-flow nasal oxygen has been advocated to improve safety in high-risk groups, but its effectiveness in the obese population is uncertain. This study compared the effect of high-flow nasal oxygen and low-flow facemask oxygen […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
Association of Sugammadex or Neostigmine With Major Postoperative Pulmonary Complications in Children

AUTHORS: Beltran, Ralph J. MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Recent data in adult patients indicate that the use of sugammadex compared to neostigmine for reversal of neuromuscular block (NMB) was associated with a significant reduction in the risk of composite postoperative pulmonary complications. Despite the clinical significance of pulmonary complications in children, […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
Myocardial Injury After Non-Cardiac Surgery

Radius Anesthesia Myocardial injury after non-cardiac surgery, or MINS, is a condition that affects approximately 20% of patients who undergo major surgery [1]. Unfortunately, there is a strong association between MINS and major surgical patients’ short-term and long-term mortalities [1]. Furthermore, it is a common condition [1]. A systematic review pooling outcomes from 530,867 surgeries […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
A randomised controlled trial on roles of prostaglandin E1 nebulization among patients undergoing one lung ventilation

AUTHORS: Pengyi Li et al BMC Pulm Med. 2022 Jan 13; 22(1): 37 BACKGROUND Prostaglandin E1 (PGE1) has been reported to maintain adequate oxygenation among patients under 60% FiO 2 one-lung ventilation (OLV). This research aimed to explore whether PGE1 is safe in pulmonary shunt and oxygenation under 40% FiO 2 OLV and provide a […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
Opioid use and pregnancy: What are the risks?

Author: Zia Sherrell MPH MedicalNewsToday Opioids are strong medications that doctors prescribe for pain. Using any of these drugs during pregnancy is risky for both the parent and fetus. Opioids can cause developmental changes, preterm birth, and stillbirth. Opioids have a high risk for misuse and dependency. According to the Centers for Disease Control and […]

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Uncategorized Published - 27 January, 2022    By - Dr Clemens
Varying Dosages of Subcutaneous Unfractionated Heparin and Activated Partial Thromboplastin Time in Hospitalized Antepartum Patients

AUTHORS: Dalia H Elmofty et al Anesth Analg. 2022 Jan 12 BACKGROUND Venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality in the United States. Subcutanous unfractionated heparin (UFH) has been used for decades for VTE prophylaxis and under many obstetric quality of care initiatives, hospitalized antepartum patients now receive doses as […]

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Uncategorized Published - 27 January, 2022    By - Dr Clemens
Feasibility of continuous epidural analgesia in patients with failed back surgery syndrome and spinal stenosis

AUTHORS: Vincent J Heck et al J Anesth. 2022 Jan 19 PURPOSE The purpose of this study was to outline the feasibility of continuous epidural analgesia in the treatment of failed back surgery syndrome (FBSS) or spinal stenosis. METHODS We queried our prospective collected institutional database to include all consecutive patients, who underwent continuous epidural […]

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Uncategorized Published - 27 January, 2022    By - Dr Clemens
Association of perioperative midazolam use and complications

AUTHORS: Vassilis Athanassoglou et al Reg Anesth Pain Med. 2022 Jan INTRODUCTION The benzodiazepine midazolam is the main sedative used in the perioperative setting, resulting in anxiolysis and a reduction in anesthetic dose requirements. However, benzodiazepine use is also associated with potentially serious side effects including respiratory complications, and postoperative delirium (POD). A paucity of […]

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