Author: Dr Clemens

Uncategorized Published - 3 May, 2021    By - Dr Clemens
Epidural Use at Birth Not Linked to Autism Risk

DG News Having an epidural during childbirth was not associated with a greater risk of autism in the child, according to a study published in JAMA Pediatrics. “We did not find evidence for any genuine link between having an epidural and putting your baby at increased risk of autism spectrum disorder,” said senior author Alexander Butwick, […]

Read More
Uncategorized Published - 3 May, 2021    By - Dr Clemens
An adult with episodic retrosternal chest pain: an unusual presentation of congenital pulmonary airway malformation – case report

DG Journal Club AUTHORS: Ira Goldsmith, Joseph George et al. J Cardiothorac Surg. 2021 Apr 13; 16(1): 78 BACKGROUND Congenital pulmonary airway malformation (CPAM) with partial anomalous pulmonary venous connection presenting as episodic retrosternal chest pain on exertion in an adult has not been described. CASE PRESENTATION A 21-year-old female, non-smoker, presented with a 4-year […]

Read More
Uncategorized Published - 1 May, 2021    By - Dr Clemens
Skip the catheterization? AI uses imaging data to ID coronary plaque blockages that require surgery

Author: Michael Walter Cardiovascular Business Researchers have found that an advanced AI model can use imaging findings to make fractional flow reserve (FFR) calculations and predict when coronary artery plaque blockages require surgery. Sharing its findings in the International Journal of Cardiology, the team noted that this algorithm could help patients avoid invasive catheterization procedures. The […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Posterior Quadratus Lumborum Block in Total Hip Arthroplasty

Authors: Sophia Margareta Brixel, M.D. et al Anesthesiology May 2021, Vol. 134, 722–733. Background Pain management is important for ensuring early mobilization after hip arthroplasty; however, the optimal components remain controversial. Recently, the quadratus lumborum block has been proposed as an analgesic option. The current study tested the hypothesis that the posterior quadratus lumborum block […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Inconsistent relationship between depth of sedation and intensive care outcome

DG Journal Club AUTHORS: Leanne M Aitken, Kalliopi Kydonaki et al. Thorax. 2021 Apr 15 PURPOSE To determine the effect of depth of sedation on intensive care mortality, duration of mechanical ventilation, and other clinically important outcomes. METHODS We searched MEDLINE, Embase, Cochrane Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Neurons in the Nonhuman Primate Amygdala and Dorsal Anterior Cingulate Cortex Signal Aversive Memory Formation under Sedation

Authors: Nir Samuel, M.D., Ph.D. et al Anesthesiology May 2021, Vol. 134, 734–747. Background Anesthetics aim to prevent memory of unpleasant experiences. The amygdala and dorsal anterior cingulate cortex participate in forging emotional and valence-driven memory formation. It was hypothesized that this circuitry maintains its role under sedation. Methods Two nonhuman primates underwent aversive tone–odor […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Enhanced recovery after surgery protocols improve time to return to intended oncology treatment following interval cytoreductive surgery for advanced gynecologic cancers

DG Journal Club AUTHORS: Joan Isabelle Tankou, Olivia Foley et al. Int J Gynecol Cancer. 2021 Apr 15 OBJECTIVE The objective of this study was to determine whether the implementation of an enhanced recovery after surgery (ERAS) protocol is associated with earlier return to intended oncology treatment following interval cytoreductive surgery for advanced gynecologic cancers. […]

Read More
Uncategorized Published - 30 April, 2021    By - Dr Clemens
Added value of subjective assessed functional capacity before non-cardiac surgery in predicting postoperative myocardial injury

DG Journal Club AUTHORS: Marije Marsman, Judith A R van Waes et al. Eur J Prev Cardiol. 2021 Apr 23; 28(3): 262-269 BACKGROUND Functional capacity is used as an indicator for cardiac testing before non-cardiac surgery and is often performed subjectively. However, the value of subjectively estimated functional capacity in predicting cardiac complications is under […]

Read More
Uncategorized Published - 29 April, 2021    By - Dr Clemens
Association Between High Body Mass Index and Mortality Following Myocardial Injury After Noncardiac Surgery

AUTHORS: Lee, Seung-Hwa MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 960-968 BACKGROUND:  Despite an association between obesity and increased risks for various diseases, obesity has been paradoxically reported to correlate with improved mortality in patients with established cardiovascular disease. However, its effect has not been evaluated to […]

Read More
Uncategorized Published - 29 April, 2021    By - Dr Clemens
Postoperative Morbidity and Mortality in Diabetic Patients After Fast-Track Hip and Knee Arthroplasty

AUTHORS: Ortved, Milla MD et al Anesthesia & Analgesia: November 20, 2020 – Volume – Issue – 10.1213 BACKGROUND: Diabetes increases the risk of adverse outcomes in surgical procedures, including total hip and knee arthroplasty (THA/TKA), and the prevalence of diabetic patients undergoing these procedures is high, ranging from approximately 8% to 20%. However, there is […]

Read More