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Uncategorized Published - 13 January, 2023    By - Dr Clemens
Risk Factors for Early Appendectomy After Initial Antibiotic Treatment for Appendicitis

NEJM Journal Watch Thomas L. Schwenk, MD, reviewing Writing Group for the CODA Collaborative. JAMA Surg 2022 Jan 12 Feldman LS and Lee L. JAMA Surg 2022 Jan 12 The presence of an appendicolith doubled the likelihood of subsequent appendectomy. In a recent study, appendiceal diameter of ≥15 mm or fever >38°C predicted early failure of antibiotic therapy for uncomplicated […]

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Uncategorized Published - 12 January, 2023    By - Dr Clemens
Postoperative Delirium after Dexmedetomidine versus Propofol Sedation in Healthy Older Adults Undergoing Orthopedic Lower Limb Surgery with Spinal Anesthesia

Authors: Hyun-Jung Shin, M.D., Ph.D. et al  Anesthesiology December 2022. Background Delirium is a critical postoperative complication in older patients. Based on the hypothesis that intraoperative dexmedetomidine sedation would lower postoperative delirium than propofol sedation would, the authors compared the incidence of postoperative delirium in older adults, using the mentioned sedatives. Methods This double-blinded, randomized […]

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Uncategorized Published - 12 January, 2023    By - Dr Clemens
Analgesics Drug Report 2022: The Pain Management Pipeline

Authors: Jacquot M, Klinefelter et al Pract Pain Manag. 2023 January/February;23(1). With more than 1 in 5 Americans experiencing chronic pain, pain management is an important area of clinical research.¹ Ongoing studies are aimed at developing safe and effective analgesic drugs with a low risk of addiction and overdose.² In late 2022, an update to […]

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Uncategorized Published - 12 January, 2023    By - Dr Clemens
Pectoral Nerve Blocks for Breast Augmentation Surgery: Comment

Author: Raghuraman M. Sethuraman, M.D. Anesthesiology December 2022. To the Editor: I read the recently published article on pectoral nerve blocks (PECS) for breast augmentation procedures with immense interest.  I greatly appreciate the authors for analyzing the efficacy of PECS blocks on breast augmentation procedures and congratulate them for publishing this wonderful study on this topic […]

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Uncategorized Published - 12 January, 2023    By - Dr Clemens
Pectoral Nerve Blocks for Breast Augmentation Surgery: Comment

Authors: Fu-Shan Xue, M.D et al Anesthesiology December 2022. To the Editor: By a randomized, double-blind, dual-centered controlled trial in 73 adult female patients undergoing aesthetic breast augmentation surgery under general anesthesia, Aarab et al.  showed that compared to multimodal analgesic regimen alone, pectoral nerve blocks combined with multimodal analgesia significantly improved postoperative pain control and decreased […]

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