Author: Dr Clemens

Uncategorized Published - 10 January, 2022    By - Dr Clemens
Efficacy of Obturator Nerve Block During Transurethral Resection on Non-muscle invasive Intermediate and High Risk Lateral Wall Bladder Tumours

DG Journal Club AUTHORS: Omer Gokhan Doluoglu, Ali Kaan Yildiz et al. Urol J. 2021 Dec 25 PURPOSE We aimed to investigate the effects of obturator nerve block (ONB) on obturator reflex, incomplete resection, perforation, progression and recurrence of tumor, presence of muscle tissue in the specimen, need for a second transurethral resection (TURBT) of […]

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Uncategorized Published - 10 January, 2022    By - Dr Clemens
Neuropathic orofacial pain: Characterization of different patient groups using the ICOP first edition

DG Journal Club AUTHORS: Shruti Handa, David A Keith et al. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Dec; 132(6): 653-661 OBJECTIVE To characterize patients with chronic neuropathic orofacial pain in accordance with the International Classification of Orofacial Pain (ICOP first edition) criteria. STUDY DESIGN A retrospective chart review of 108 patients was […]

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Uncategorized Published - 10 January, 2022    By - Dr Clemens
What does a tension headache feel like, and how to relieve it

Author: Mark Cowen and Sarah Charmley MedicalNewsToday Tension headaches, or stress headaches, are the most common type of primary headache. A primary headache is a headache that does not stem from another condition. A person may feel tightness or pressure like a band around the head. The pain may spread to or from the neck. The World […]

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Uncategorized Published - 10 January, 2022    By - Dr Clemens
Classification of Individual Pain Response Trajectories Following Medically Indicated Heel Lances in Preterm Infants During their NICU Admission Pain Variability in Preterm Infants

DG Journal Club AUTHORS: Amos Hundert, Christy Woolcott et al. Clin J Pain. 2021 Dec 20 OBJECTIVES Infants born preterm are exposed to repeated painful procedures during neonatal intensive care unit admission. Particularly in preterm infants, trajectories of pain response are not well understood. The aim of this study was to classify pain response trajectories […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Chronic Pain Following Fracture-Related Surgery: Posttraumatic Rather Than Postsurgical Origin Promotes Chronification

AUTHORS: Aulenkamp, Jana L. MD et al Anesthesia & Analgesia: December 2021 Abstract BACKGROUND: Chronic posttraumatic/postsurgical pain (CPSP) is common after traumatic or surgical damage. Exposure to both trauma and surgery, with the potential for repeated bone and nerve damage, may increase the risk of CPSP after fracture-related surgery. But the (long-term) incidences of CPSP and […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Tranexamic Acid Dosing for Cardiac Surgical Patients With Chronic Renal Dysfunction

AUTHORS: Serath, Angela FRCPC, FANZCA, MBBS, BSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1323-1332 BACKGROUND: Tranexamic acid (TXA) is a common antifibrinolytic agent used to minimize bleeding in cardiac surgery. Up to 50% cardiac surgical patients have chronic renal dysfunction (CRD). Optimal dosing of TXA in CRD […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Subanesthetic Dose of Propofol Activates the Reward System in Rats

AUTHORS: Nagata, Isao MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Propofol has addictive properties, even with a single administration, and facilitates dopamine secretion in the nucleus accumbens (NAc). Activation of the dopaminergic circuits of the midbrain reward system, including the ventral tegmental area (VTA) and NAc, plays a crucial role in addiction. However, the […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Preoperative Fasting and Reducing the Risk of Pulmonary Aspiration

doctoryg.blogspot.com         Recommendations for Clear Liquids. It is appropriate to fast from intake of clear liquids at least 2 h before elective procedures requiring general anesthesia, regional anesthesia, or sedation/analgesia (i.e., monitored anesthesia care). Examples of clear liquids include, but are not limited to, water,fruit juices without pulp, carbonated beverages, clear tea, and […]

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Uncategorized Published - 7 January, 2022    By - Dr Clemens
Association Between Frailty and Clinical Outcomes and Quality of Life in Older Adults Following Hip Fracture Surgery

AUTHORS: Zhao, Hong MD et al Anesthesia & Analgesia: December 2021 BACKGROUND: Hip fracture is a serious event in the older population and is associated with morbidity, mortality, and disability among those who survive. Emerging evidence suggests that frailty is pertinent to the clinical outcomes of older patients with hip fracture. METHODS: We conducted a retrospective […]

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Uncategorized Published - 6 January, 2022    By - Dr Clemens
Preoperative Care for Cataract Surgery: The Society for Ambulatory Anesthesia Position Statement

Author: Kumar G. Belani, MBBS, MS, FACA, FAAP, SAMBA-F ASA Monitor January 2023, Vol. 87, 28. AMBULATORY CARE Abstract Cataract surgery is a low-risk operation and is one of the most common procedures performed worldwide. The incidence increases with age, and many patients needing cataract surgery are elderly and often present with comorbidities. Despite the safety […]

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