Author: Dr Clemens

Uncategorized Published - 27 January, 2022    By - Dr Clemens
Hemoadsorption of Rivaroxaban and Ticagrelor during Acute Type A Aortic Dissection Operations

AUTHORS: Kambiz Hassan et al Ann Thorac Cardiovasc Surg. 2022 Jan OBJECTIVE To analyze the results of hemoadsorption in patients with cardiac surgery to thoracic aortic surgery, who had been loaded beforehand with either Factor Xa inhibitor rivaroxaban or P2Y12 receptor antagonist ticagrelor. METHODS We investigated 21 of 171 consecutive patients (median age 71 [interquartile […]

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Uncategorized Published - 27 January, 2022    By - Dr Clemens
Spinal Neuronal GRK2 Contributes to Preventive Effect by Electroacupuncture on Cisplatin-Induced Peripheral Neuropathy in Mice

AUTHORS: Ma, Xue BD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 204-215 BACKGROUND:  The main symptoms of chemotherapy-induced peripheral neuropathy (CIPN) include pain and numbness. Neuronal G protein–coupled receptor kinase 2 (GRK2) plays an important role in various pain models. Cisplatin treatment can induce the activation of proinflammatory […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
Preoperative anaemia and outcome after elective cardiac surgery

AUTHORS: Yannick J J M Hazen 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 centre. The aim of this study […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
Sugammadex Versus Neostigmine for Reversal of Residual Neuromuscular Blocks After Surgery

AUTHORS: Ruetzler, Kurt MD, FAHA et al Anesthesia & Analgesia: January 2022 BACKGROUND: Sugammadex and neostigmine given to reverse residual neuromuscular blockade can cause side effects including bradycardia, anaphylaxis, bronchospasm, and even cardiac arrest. We tested the hypothesis that sugammadex is noninferior to neostigmine on a composite of clinically meaningful side effects, or vice versa. METHODS: […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
SHOULD YOU CANCEL SURGERY FOR A BLOOD PRESSURE OF 170/99?

Author: Rcik Novak MD The Anesthesia Consultant Clinical Case for Discussion:  This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair.  His blood pressure when you meet him in pre-op is 170/99 mmHg.  The nurses and the surgeon are alarmed.  What would you […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
Effect of Kinesio taping on Pregnancy-related low back pain

AUTHORS: Xiali Xue et al PLoS One. 2022; 17(1): e0261766 BACKGROUND Pregnancy-related low back pain (PLBP) affects the daily living activities of pregnant women, even leading to fetal agitation and threatened abortion. Kinesio taping (KT) can improve the circulation of blood and provide elastic supports, which is a reliable method to treat low back pain. […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
Low Skeletal Muscle Mass Is Associated With Perioperative Neurocognitive Disorder Due To Decreased Neurogenesis in Rats

AUTHORS: Nemoto, Akira MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 194-203 BACKGROUND:  Perioperative neurocognitive disorder (PND) is a postsurgical complication associated with neuroinflammation and impaired hippocampal neurogenesis, in which brain-derived neurotrophic factor (BDNF) plays a key role. Sarcopenia refers to age-related muscle loss that causes cognitive decline, […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
The Association of Laryngeal Position on Videolaryngoscopy and Time Taken to Intubate Using Spatial Point Pattern Analysis of Prospectively Collected Quality Assurance Data

AUTHORS: Miller, Matthew R. MSc, FANZCA et al  Anesthesia & Analgesia: January 2022 BACKGROUND: During videolaryngoscopy (VL), the larynx appears within the defined area of the video screen, and its location can be measured as a point within this space. Spatial statistics offer methods to explore the relationship between location data and associated variables of interest. […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
Central Venous-to-Arterial CO2 Difference–Assisted Goal-Directed Hemodynamic Management During Major Surgery

AUTHORS: H N, Lohith Kumar MD et al Anesthesia & Analgesia: January  2022 BACKGROUND: Different goals have guided goal-directed therapy (GDT). Protocols aiming for central venous-to-arterial carbon dioxide gap (DCO2) <6 mm Hg have improved organ function in septic shock. Evidence for use of DCO2 in the perioperative period is scarce. We aimed to determine if a […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
Validation of the Lusaka Formula: A Novel Formula for Weight Estimation in Children Presenting for Surgery in Zambia

AUTHORS: Phiri, Hope MBChB, MMed et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 171-177 BACKGROUND:  In children, the use of actual weight or predicted weight from various estimation methods is essential to reduce harm associated with dosing errors. This study aimed to validate the new locally derived Lusaka formula […]

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