Author: Dr Clemens

Uncategorized Published - 7 January, 2021    By - Dr Clemens
Regional differences between superficial and deep lumbar multifidus in patients with chronic lumbar spine pathology

AUTHORS: Jennifer Padwal, David B Berry et al. BMC Musculoskelet Disord. 2020 Nov 20; 21(1): 764 BACKGROUND Due to its unique arrangement, the deep and superficial fibers of the multifidus may have differential roles for maintaining spine stabilization and lumbar posture; the superficial multifidus is responsible for lumbar extension and the deep multifidus for intersegmental […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
CCTA an effective initial imaging option for patients with stable chest pain

Author: Michael Walter Cardiovascular Business News Coronary CT angiography (CCTA) is a safe and effective treatment option for patients with stable angina, according to a new analysis of the RESCUE Trial published in the Journal of the American Heart Association. The RESCUE Trial was a randomized, multicenter clinical trial designed to examine patient outcomes when either […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Unexpectedly, data show that anaesthetists and intensive care doctors are at lower risk of SARS-CoV-2

By AAGBI Following the first recorded death of an anaesthetist from COVID-19 in the UK in November 2020, a review of available data published in Anaesthesia (a journal of the Association of Anaesthetists) shows that unexpectedly, despite their perceived increased exposure to COVID-19 patients and high-risk procedures, anaesthetists and intensive care doctors appear to be at lower […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Effect of Different Positions During Surgical Preparation With Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Liu, Tianyu BScet al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 10.1213 BACKGROUND: The intraoperative 15° left-tilt position during cesarean delivery has more recently been questioned regarding its effect on fetal acid-base balance and is a frequent source of complaints by surgeons. We hypothesized that a 30° left-tilt position during […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Elevated Plasma Concentrations of Syndecan-1 Do Not Correlate With Increased Capillary Leakage of 20% Albumin

AUTHORS: Hahn, Robert G. MD, PhD et al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 10.1213 BACKGROUND: Preclinical experiments show that an inflammatory reaction causes degradation of the endothelial glycocalyx layer and accelerated capillary leakage of albumin and fluid. The hypothesis in the present study was that elevated plasma concentrations of […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Blind intubation through an i-gel® in the prone position

AUTHORS: Maarten van Dijck, Bernard M Houweling et al. Anaesth Intensive Care. 2020 Nov 22 Accidental extubation in the prone position is a medical emergency in which quick and low resource demanding airway management is required. Regaining oxygenation is the primary goal, but sometimes intubation may be required to regain oxygenation. Blind intubation through an […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Persistent symptoms of COVID-19 in one-third of cases

By Denise Baez DG Alerts Symptoms of coronavirus disease 2019 (COVID-19) can persist and result in prolonged illness, according to a study published in the Annals of Internal Medicine. “Our study shows persistence of symptoms in a third of ambulatory patients 30 to 45 days after diagnosis even if we assume that those lost to follow-up […]

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Uncategorized Published - 5 January, 2021    By - Dr Clemens
Complications and success rates of subclavian vein catheterization depending on experience

AUTHORS: Johannes Schulz, Axel Scholler et al. Anaesthesist. 2020 Nov 24 BACKGROUND The infraclavicular puncture of the subclavian vein is a standard procedure for anesthetists. Meanwhile the literature and recommendations are clear and the use of real-time ultrasound guidance is the standard procedure; however, anesthetists will always get into special circumstances were they have to use […]

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Uncategorized Published - 5 January, 2021    By - Dr Clemens
Analgesic Efficacy of “Burst” and Tonic (500 Hz) Spinal Cord Stimulation Patterns

AUTHORS: Sam Eldabe, Rui Duarte et al. Neuromodulation. 2020 Nov 29 OBJECTIVES The aim of this study was to compare the efficacy in reducing pain intensity in adult subjects suffering from chronic back and leg pain of burst (BST) and tonic sub-threshold stimulation at 500 Hz (T500) vs. sham stimulation delivered by a spinal cord […]

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Uncategorized Published - 5 January, 2021    By - Dr Clemens
Post-Cesarean Opioid Use after Implementation of Enhanced Recovery after Surgery Protocol

AUTHORS: Caitlin A MacGregor, Mark Neerhof et al. Am J Perinatol. 2020 Dec 2 OBJECTIVE  This study aimed to evaluate whether implementation of an enhanced recovery after surgery (ERAS) protocol is associated with lower maternal opioid use after cesarean delivery (CD). STUDY DESIGN  We performed a pre- and postimplementation (PRE and POST, respectively) study of […]

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