Author: Dr Clemens

Uncategorized Published - 12 November, 2021    By - Dr Clemens
The Programmed Cell Death Ligand-1/Programmed Cell Death-1 Pathway Mediates Pregnancy-Induced Analgesia via Regulating Spinal Inflammatory Cytokines

AUTHORS: Tan, HuiLing MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1321-1330 BACKGROUND:  The maternal pain threshold gradually increases during pregnancy, especially in late pregnancy. A series of mechanisms underlying pregnancy-induced analgesia have been reported. However, these mechanisms are still not completely clear, and the underlying molecular mechanisms […]

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Uncategorized Published - 12 November, 2021    By - Dr Clemens
Safety of Continuous Erector Spinae Catheters in Chest Trauma

AUTHORS: White, L. D. MBBS et al  Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1296-1302 BACKGROUND:  The erector spinae block is an efficacious analgesic option for the management of rib fracture–related pain. Despite there being minimal published data specifically addressing the safety profile of this block, many societies have made […]

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Uncategorized Published - 12 November, 2021    By - Dr Clemens
Respiratory Drive in Patients with Sepsis and Septic Shock: Modulation by High-flow Nasal Cannula

Authors:  Tommaso Mauri, M.D. et al  Anesthesiology December 2021, Vol. 135, 1066–1075. Background Experimental and pilot clinical data suggest that spontaneously breathing patients with sepsis and septic shock may present increased respiratory drive and effort, even in the absence of pulmonary infection. The study hypothesis was that respiratory drive and effort may be increased in […]

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Uncategorized Published - 12 November, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System: Operating in a digital vacuum

ASA Monitor October 2020, Vol. 84, 13–14. An active 4-year-old girl underwent anesthesia for routine MRI evaluation of medulloblastoma at a freestanding health care facility. Multiple previous anesthetics for the same investigation were noted to be uneventful. The parental MRI screening questionnaire noted a potential past reaction to contrast in another medical facility, which the […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Anesthetic Considerations of Intraoperative Submissive Pulmonary Embolism with Thrombus Crossing to the Left Heart via a Patent Foramen Ovale

Authors: Vignesh Sankar, BS, Nazir Noor, MD, Ruben H. Schwartz, DO, Jason Hoyos, DO, FASA ASA Monitor October 2021, Vol. 85, 41. Mount Sinai Medical Center-Miami Beach is Florida’s largest private, nonprofit teaching hospital focused on providing high-quality care to the diverse community of South Florida through teaching, research, and community advocacy. Established in 1949, our system includes […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System: Situational Awareness

ASA Monitor October 2021, Vol. 85, 11. A 48-year-old man is undergoing primary resection of a large meningioma involving the anterior cranial fossa and possibly middle cranial fossa. At the teamsteps briefing, the surgeon mentions that he wants a lumbar spinal drain. After an uneventful induction, the patient is placed left side down for placement […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Acute Visceral Pain in Rats: Vagal Nerve Block Compared to Bupivacaine Administered Intramuscularly

AUTHORS: Ben Rehouma, Mouna MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1311-1320 BACKGROUND:  Visceral and parietal peritoneum layers have different sensory innervations. Most visceral peritoneum sensory information is conveyed via the vagus nerve to the nucleus of the solitary tract (NTS). We already showed in animal models […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Effects of Local Anesthetic Volume (Standard Versus Low) on Incidence of Hemidiaphragmatic Paralysis and Analgesic Quality for Ultrasound-Guided Superior Trunk Block After Arthroscopic Shoulder Surgery

AUTHORS: Kim, Hyunzu MD, PhD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1303-1310 BACKGROUND:  Relative to interscalene block, superior trunk block (STB) provides comparable analgesia and a reduced risk of hemidiaphragmatic paralysis. However, the incidence of hemidiaphragmatic paralysis remains high when a standard volume (15 mL) of local […]

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Uncategorized Published - 11 November, 2021    By - Dr Clemens
Ultrasound-guided central venous catheterization. Long-axis in-plane technique

Cardiac Anesthesiologist In this technique, the needle is advanced inside the ultrasound scan plane while observing the long axis of the vein. Unlike the short-axis out-of-plane, puncturing is truly performed in real time. Although this technique can be applied clinically with the Internal Jugular Vein if a small probe is used, it can be difficult to use regular-sized […]

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Uncategorized Published - 10 November, 2021    By - Dr Clemens
Comparison of the Conventional Downward and Modified Upward Laryngeal Handshake Techniques to Identify the Cricothyroid Membrane

AUTHORS: Chang, Jee-Eun MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1288-1295 BACKGROUND:  Accurate identification of the cricothyroid membrane is crucial for successful cricothyroidotomy. The aim of this study was to compare the conventional downward and modified upward laryngeal handshake techniques in terms of accuracy to identify the […]

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