Author: Dr Clemens

Uncategorized Published - 13 April, 2021    By - Dr Clemens
COVID-19: Anesthesia Machine Circuit Pressure During Use As An Improvised ICU Ventilator

AUTHORS: Pham, Vinh MD et al Anesthesia & Analgesia: January 12, 2021 – Volume – Issue – 10. Background: Use of anesthesia machines as improvised ICU ventilators may occur in locations where waste anesthesia gas suction(WAGS) is unavailable. Anecdotal reports suggest as much as 18 cmH2O positive end-expiratory pressure(PEEP) being inadvertently applied under these circumstances, accompanied […]

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Uncategorized Published - 13 April, 2021    By - Dr Clemens
The effects of COVID-19 on pediatric anesthesiologists

AUTHORS: Margolis, Rebecca D. DO, FAOCA et al Anesthesia & Analgesia: January 12, 2021 – Volume – Issue – 10.1 Background: The COVID-19 pandemic has affected the personal and professional lives of all healthcare workers. Anesthesiologists frequently perform virus-aerosolizing procedures, such as intubation and extubation, that place them at increased risk of infection. We sought to determine how […]

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Uncategorized Published - 13 April, 2021    By - Dr Clemens
Multimodal Nonopioid Pain Protocol Provides Equivalent Pain Versus Opioid Control Following Meniscus Surgery

DG Journal Club AUTHORS: Toufic R Jildeh, Kelechi R Okoroha et al. Arthroscopy. 2021 Mar 10 PURPOSE To assess the effectiveness of a nonopioid pain regimen in controlling postoperative pain as compared to a traditional opioid pain control following primary meniscectomy or meniscal repair. STUDY DESIGN Level of Evidence: Level I, Prospective Randomized Controlled Trial […]

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Uncategorized Published - 12 April, 2021    By - Dr Clemens
The Prevalence and Clinical Significance of Preoperative Thrombocytopenia in Adults Undergoing Elective Surgery

AUTHORS: Matzek, Luke J. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 836-845 BACKGROUND:  Preoperative thrombocytopenia is associated with inferior outcomes in surgical patients, though concurrent anemia may obfuscate these relationships. This investigation assesses the prevalence and clinical significance of preoperative thrombocytopenia with thorough consideration of preoperative anemia […]

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Uncategorized Published - 12 April, 2021    By - Dr Clemens
Do It Often, Do It Better: Association Between Pairs of Experienced Subspecialty Anesthesia Caregivers and Postoperative Outcomes

AUTHORS: Saager, Leif Dr med, MMM et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 866-877 BACKGROUND:  Anesthesiologists typically care for patients having a broad range of procedures. Outcomes might be improved when care is provided by caregivers experienced in particular types of surgery. We tested the hypothesis that intraoperative […]

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Uncategorized Published - 12 April, 2021    By - Dr Clemens
Pharmacologic Management of Intensive Care Unit Delirium

AUTHORS: Boncyk, Christina S. MD et al Anesthesia & Analgesia: January 11, 2021 – Volume – Issue – 10. BACKGROUND: Pharmacologic agents are frequently utilized for management of intensive care unit (ICU) delirium, yet prescribing patterns and impact of medication choices on patient outcomes are poorly described. We sought to describe prescribing practices for management of […]

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Uncategorized Published - 12 April, 2021    By - Dr Clemens
Greater trochanteric pain syndrome: predicting who will respond to a local glucocorticoid injection

DG Journal Club AUTHORS: M Jarlborg, D S Courvoisier et al. Scand J Rheumatol. 2021 Mar 9 1-7 Objectives: This study aimed to explore whether certain clinical tests or a rapid improvement in lateral hip pain following periarticular injection are predictive of subsequent efficacy of local glucocorticoid (GC) injection in greater trochanteric pain syndrome (GTPS). […]

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Uncategorized Published - 12 April, 2021    By - Dr Clemens
Assessment of AKI and longitudinal kidney function after hospital discharge among patients with COVID-19

DG Alerts Coronavirus disease 2019 (COVID-19)-associated acute kidney injury (AKI) was associated with a greater rate of estimated glomerular filtration rate (eGFR) decrease after hospital discharge compared with AKI in patients without COVID-19, independent of underlying comorbidities or AKI severity, according to a study published in JAMA Network Open. These findings suggest that patients recovering from […]

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Uncategorized Published - 9 April, 2021    By - Dr Clemens
Comparative Effect of Propofol and Volatile Anesthetics on Postoperative Pulmonary Complications After Lung Resection Surgery

AUTHORS: Li, Xue-Fei MD et al Anesthesia & Analgesia: January 6, 2021 – Volume – Issue – 10. BACKGROUND: The effect of general anesthetics (propofol and volatile anesthetics) on pulmonary outcome after lung resection surgery with one-lung ventilation (OLV) is yet undetermined. We evaluated the effect of intravenous anesthesia (propofol) and volatile anesthesia (sevoflurane or desflurane) […]

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Uncategorized Published - 9 April, 2021    By - Dr Clemens
Effect of Permissive Mild Hypercapnia on Cerebral Vasoreactivity in Infants

AUTHORS: Schopfer, Leonore MMSc et al Anesthesia & Analgesia: January 6, 2021 – Volume – Issue – 10 BACKGROUND: Mechanical ventilation interferes with cerebral perfusion via changes in intrathoracic pressure and/or as a consequence of alterations in CO2. Cerebral vascular vasoreactivity is dependent on CO2, and hypocapnia can potentially lead to vasoconstriction and subsequent decrease in […]

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