Author: Dr Clemens

Uncategorized Published - 19 November, 2021    By - Dr Clemens
Utilization and Outcomes of Extracorporeal Membrane Oxygenation in Obstetric Patients in the United States, 1999–2014

AUTHORS: Taha, Bushra MD et al Anesthesia & Analgesia: September 2021 BACKGROUND: Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. METHODS: Data were abstracted from the 1999–2014 National Inpatient […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings

DG Journal Club AUTHORS: Kathrin Braeuninger-Weimer, Naffis Anjarwalla et al. BMC Musculoskelet Disord. 2021 Oct 21; 22(1): 896 BACKGROUND There is a need to improve consultations between patients with persistent musculoskeletal low back pain and orthopaedic spine clinicians when surgery is not indicated. Poor communication and lack of education about self- management in these consultations […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
The First Derivative of the Electroencephalogram Facilitates Tracking of Electroencephalographic Alpha Band Activity During General Anesthesia

Authors: Obert, David P. MD et al Anesthesia & Analgesia: October 22, 2021 BACKGROUND: Intraoperative neuromonitoring can help to navigate anesthesia. Pronounced alpha oscillations in the frontal electroencephalogram (EEG) appear to predict favorable perioperative neurocognitive outcomes and may also provide a measure of intraoperative antinociception. Monitoring the presence and strength of these alpha oscillations can be […]

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Uncategorized Published - 18 November, 2021    By - Dr Clemens
Real-Time Ultrasound–Guided Versus Ultrasound-Assisted Spinal Anesthesia in Elderly Patients With Hip Fractures

Authors: Chen, Luying MD et al  Anesthesia & Analgesia: November 01, 2021 BACKGROUND: Traditional landmark-guided spinal anesthesia can be challenging in elderly patients with hip fractures. Ultrasound assistance (USAS) and real-time ultrasound guidance (USRTG) techniques can facilitate lumbar neuraxial blocks. However, it remains undetermined which method is optimal for use in elderly patients. This study […]

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Uncategorized Published - 18 November, 2021    By - Dr Clemens
Effect of prewarming on body temperature in short-term bladder or prostatic transurethral resection under general anesthesia

DG Journal Alerts AUTHORS: Ángel Becerra, Lucía Valencia et al. Sci Rep. 2021 Oct 21; 11(1): 20762 Perioperative hypothermia causes postoperative complications. Prewarming reduces body temperature decrease in long-term surgeries. We aimed to assess the effect of different time-periods of prewarming on perioperative temperature in short-term transurethral resection under general anesthesia. Randomized, double-blind, controlled trial […]

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Uncategorized Published - 18 November, 2021    By - Dr Clemens
Postoperative pain relief following lumbar Erector Spinae Plane Block in patients undergoing Percutaneous Nephrolithotomy

DG Journal Club AUTHORS: Satyaki Sarkar, Sritam Swarup Jena et al. Urology. 2021 Oct OBJECTIVES To test whether lumbar Erector Spinae Plane Block (ESPB) provides superior analgesia compared to placebo in patients undergoing Percutaneous Nephrolithotomy (PCNL), using reduction in postoperative opioid consumption, delay in rescue analgesia demand and reduction of pain scores as outcome measures. […]

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Uncategorized Published - 18 November, 2021    By - Dr Clemens
Lasmiditan efficacy in the acute treatment of migraine was independent of prior response to triptans

AUTHORS: Uwe Reuter, John H Krege et al. Cephalalgia. 2021 Oct BACKGROUND A significant proportion of triptan users exhibit an insufficient response or inadequate tolerability to a triptan, and some may develop a contraindication. Lasmiditan, a selective 5-HT 1F receptor agonist, may be an option for these individuals. We assessed lasmiditan efficacy in a subgroup […]

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Uncategorized Published - 18 November, 2021    By - Dr Clemens
Substance P serum degradation in Complex Regional Pain Syndrome – another piece of the puzzle?

DG Journal Club Authors: Simone König, Christian Engl et al. J Pain. 2021 Oct In a previous study, we demonstrated that the serum peptidase system might be less efficient in complex regional pain syndrome (CRPS). Since the neuropeptide substanc P (SP) contributes to inflammation in CRPS, we now investigated the metabolism of SP in CRPS […]

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Uncategorized Published - 17 November, 2021    By - Dr Clemens
Multimodal opioid-sparing pain management after lung transplantation and the impact of liposomal bupivacaine intercostal nerve block

DG Journal Club Authors: Tyler C Lewis, Kimberly Sureau et al. Clin Transplant. 2021 Oct Opioid analgesics are commonly used post-lung transplant, but have many side effects and are associated with worse outcomes. We conducted a retrospective review of all lung transplant recipients who were treated with a multimodal opioid-sparing pain protocol. The use of […]

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Uncategorized Published - 17 November, 2021    By - Dr Clemens
Painful diabetic peripheral neuropathy: Role of oxidative stress and central sensitisation

DG Journal Club AUTHORS: Di Ye, Timothy J Fairchild et al. Diabet Med. 2021 Oct 21 AIMS Diabetic peripheral neuropathy (DPN) occurs in about half of people with diabetes, of whom a quarter may develop chronic pain. Pain may remain for years yet be difficult to treat because the underlying mechanisms remain unclear. There is […]

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