Author: Dr Clemens

Uncategorized Published - 30 March, 2020    By - Dr Clemens
How fish oil might reduce inflammation

This has nothing to do with anesthesia however I thought it was interesting Medical News Today Recent research has revealed a mechanism through which fish oil, which contains omega-3 fatty acids, might reduce inflammation. A study that tested an enriched fish oil supplement found that it increased blood levels of certain anti-inflammatory molecules. The anti-inflammatory […]

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Uncategorized Published - 27 March, 2020    By - Dr Clemens
Anesthetic Management of HELLP Syndrome

Author: Jansie Prozesky, MBChB The Frost Series #357 Case Presentation A 36-year-old woman, weighing 110 kg and gravida 3, para 2, presented to the labor and delivery unit at 34 weeks gestation with epigastric pain radiating to the right shoulder, severe nausea and vomiting, headache and thrombocytopenia. At admission, her blood pressure was 130/90 mm […]

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Uncategorized Published - 27 March, 2020    By - Dr Clemens
Lumbar Decompression Relieves Spinal Stenosis Pain More Than Epidural Injection

Author: David Holzman Anesthesiology News Minimally invasive lumbar decompression (MILD) reduced back pain caused by lumbar stenosis, and decreased opioid use, in patients far more effectively than epidural steroid injection, in a new study. These findings were reported in a research poster presented at the 2019 annual meeting of the American Society of Interventional Pain […]

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Uncategorized Published - 27 March, 2020    By - Dr Clemens
Collaborative Guidelines Help Slash Post-op Opioid Use

Author: Sherree Geyer Anesthesiology News Evidence-based prescribing guidelines reduced postoperative opioid consumption for nine general surgeries by roughly 30%, according to primary outcomes reported in a research letter in The New England Journal of Medicine (2019;381[7]:680-682). Researchers at the University of Michigan (UM) analyzed data from 11,716 patients at 43 state hospitals to find mean prescription size […]

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Uncategorized Published - 27 March, 2020    By - Dr Clemens
Better Sedation With Dexmedetomidine For Patients After Cardiac Surgery

Author: Naveed Saleh MD MS Anesthesiology News Transitioning to a dexmedetomidine-based sedation strategy should decrease mortality rates in post–cardiac surgery patients, according to a new study, and delirium in patients receiving dexmedetomidine was also found to be reduced. “At our institution, we use dexmedetomidine as the first-line sedative medication for patients in the CTICU [cardiothoracic […]

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Uncategorized Published - 27 March, 2020    By - Dr Clemens
Latest research on novel coronavirus disease

I just wanted to share this since many of our readers are taking care of pts in the ICU. Here is some of the latest research on novel coronavirus disease (COVID-19): Prone Position: A study of 12 patients in Wuhan, China, with COVID-19-related acute respiratory distress syndrome suggests that alternating patients’ body position — in particular, […]

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Uncategorized Published - 27 March, 2020    By - Dr Clemens
Italian Hospital Saves COVID-19 Patients’ Lives Thanks to 3D Printed Valves

Author: Fabienne Lang Interesting engineering When supply chains fall short during a pandemic, lives are at stake. Additive manufacturing is struggling to keep up as the coronavirus numbers keep increasing. However, luckily for some coronavirus patients in Italy, 3D printing came to their rescue. A Northern Italian hospital in Brescia, one of the worst hit areas […]

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Uncategorized Published - 26 March, 2020    By - Dr Clemens
Cardiac Injury Common in COVID-19, Tied to Increased Mortality Risk

By Amy Orciari Herman Cardiac injury is a common complication among those hospitalized with novel coronavirus disease (COVID-19), and it’s associated with significantly increased mortality risk, according to a retrospective study in JAMA Cardiology. Researchers studied over 400 patients hospitalized with COVID-19 in Wuhan, China. Some 20% had cardiac injury, defined as elevated cardiac biomarkers (e.g., […]

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Uncategorized Published - 26 March, 2020    By - Dr Clemens
Prepare for Overwhelmed ICUs by Leveraging Existing ORs, Anesthesia Machines and Peri-op Personnel

By Adam Schlifke, MD, with contributions from others around the world Anesthesiology News Problem: There may be insufficient critical care beds and ventilators in the United States health care system to account for a potential tsunami of critically ill patients that will require intense, ICU-level support for many days in our hospital in the next coming […]

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Uncategorized Published - 26 March, 2020    By - Dr Clemens
In Pulmonary Hypertension, MAC Outperforms General Anesthesia

Author: Naveed Saleh MD MS Anesthesiology News Monitored anesthesia care (MAC) might be preferred over general anesthesia (GA) in surgical patients with pulmonary hypertension, a study has concluded. Patients with pulmonary hypertension have high perioperative mortality and morbidity rates, but few studies have compared MAC with GA. Consequently, it is unclear whether the type of […]

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