Author: Dr Clemens

Uncategorized Published - 10 August, 2021    By - Dr Clemens
TRENDS FOR THE FUTURE OF ANESTHESIOLOGY

Author: Richard Novak, MD The Anesthesia Consultant What can we expect in the next 10 years of anesthesiology? What will be the trends for the future of anesthesiology? I’m writing this from the perspective of a busy clinician who has worked as an anesthesiologist in California in both private practice and at a major university […]

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Uncategorized Published - 10 August, 2021    By - Dr Clemens
Pain Medication Requirements in Patients with Opioid Use Disorder at the Time of Surgical Abortion

DG Journal Club AUTHORS: Shaalini Ramanadhan, Elisabeth Woodhams et al. Contraception. 2021 Jul 5 OBJECTIVE To assess sedation medication dosage differences between patients with and without opioid use disorder at the time of surgical abortion. STUDY DESIGN We performed a retrospective cohort study, identifying patients obtaining a surgical abortion in our ambulatory procedure unit between […]

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Uncategorized Published - 10 August, 2021    By - Dr Clemens
Influence of Obesity on Anesthetic Drugs.

Author: Cardiac Anesthesiologist Anesthesia providers should be familiar with the pharmacologic alterations of anesthetics in obese individuals. In general, manufacturer dosing recommendations are scaled to kilograms of actual total body weight (TBW). However, anesthesia providers rarely use mg/kg dosing in obese patients for fear of administering an excessive dose (e.g., a 136-kg patient does not […]

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Uncategorized Published - 10 August, 2021    By - Dr Clemens
Excitation of Putative Glutamatergic Neurons in the Rat Parabrachial Nucleus Region Reduces Delta Power during Dexmedetomidine but not Ketamine Anesthesia

Authors: Eric D. Melonakos, Ph.D. et al  Anesthesiology July 2021. Background Parabrachial nucleus excitation reduces cortical delta oscillation (0.5 to 4 Hz) power and recovery time associated with anesthetics that enhance γ-aminobutyric acid type A receptor action. The effects of parabrachial nucleus excitation on anesthetics with other molecular targets, such as dexmedetomidine and ketamine, remain […]

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Uncategorized Published - 9 August, 2021    By - Dr Clemens
Pharmacotherapy for the Prevention of Chronic Pain after Surgery in Adults

Authors: Meg E. Carley, B.Sc. et al  Anesthesiology August 2021, Vol. 135, 304–325. Background Chronic postsurgical pain can severely impair patient health and quality of life. This systematic review update evaluated the effectiveness of systemic drugs to prevent chronic postsurgical pain. Methods The authors included double-blind, placebo-controlled, randomized controlled trials including adults that evaluated perioperative […]

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Uncategorized Published - 9 August, 2021    By - Dr Clemens
Perioperative Normal Saline Administration and Delayed Graft Function in Patients Undergoing Kidney Transplantation

Authors: Kerstin Kolodzie, M.D., Ph.D., M.A.S. et al  Anesthesiology July 2021. Background Perioperative normal saline administration remains common practice during kidney transplantation. The authors hypothesized that the proportion of balanced crystalloids versus normal saline administered during the perioperative period would be associated with the likelihood of delayed graft function. Methods The authors linked outcome data from a […]

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Uncategorized Published - 9 August, 2021    By - Dr Clemens
A Novel Perioperative Multidose Methadone-Based Multimodal Analgesic Strategy in Children Achieved Safe and Low Analgesic Blood Methadone Levels Enabling Opioid-Sparing Sustained Analgesia With Minimal Adverse Effects

AUTHORS: Sadhasivam, Senthilkumar MD, MPH, MBA, FASA et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 327-337 BACKGROUND:  Intraoperative methadone, a long-acting opioid, is increasingly used for postoperative analgesia, although the optimal methadone dosing strategy in children is still unknown. The use of a single large dose of intraoperative methadone […]

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Uncategorized Published - 9 August, 2021    By - Dr Clemens
Psychological factors associated with headache frequency, intensity, and headache-related disability in migraine patients

DG Journal Club AUTHORS: Theresa Klonowski, Peter Kropp et al. Neurol Sci. 2021 Jul 25 BACKGROUND Several psychological cofactors of migraine have been identified, but relationships to different headache parameters (e.g., headache frequency vs. headache-related disability) are only incompletely understood. METHODS We cross-sectionally assessed 279 migraine patients at their first presentation at our tertiary headache […]

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Uncategorized Published - 9 August, 2021    By - Dr Clemens
GABAergic Neurons in the Dorsal–Intermediate Lateral Septum Regulate Sleep–Wakefulness and Anesthesia in Mice

Authors: Di Wang, M.D. et al  Anesthesiology July 2021. Background The γ-aminobutyric acid–mediated (GABAergic) inhibitory system in the brain is critical for regulation of sleep–wake and general anesthesia. The lateral septum contains mainly GABAergic neurons, being cytoarchitectonically divided into the dorsal, intermediate, and ventral parts. This study hypothesized that GABAergic neurons of the lateral septum […]

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Uncategorized Published - 6 August, 2021    By - Dr Clemens
Prevention of Cardiac Surgery–Associated Acute Kidney Injury by Implementing the KDIGO Guidelines in High-Risk Patients Identified by Biomarkers

AUTHORS: Zarbock, Alexander MD et al Anesthesia & Analgesia: August 2021 – Volume 133 – Issue 2 – p 292-302 BACKGROUND:  Prospective, single-center trials have shown that the implementation of the Kidney Disease: Improving Global Outcomes (KDIGO) recommendations in high-risk patients significantly reduced the development of acute kidney injury (AKI) after surgery. We sought to evaluate […]

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