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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Comparison of Antinociceptive Properties Between Sevoflurane and Desflurane Using Pupillary Dilation Reflex Under Equivalent Minimum Alveolar Concentration

AUTHORS: Kim, Soo Yeon MD, PhD et al Anesthesia & Analgesia: May 13, 2022 BACKGROUND: The pupillary dilation reflex (PDR), the change in pupil size after a nociceptive stimulus, has been used to assess antinociception during anesthesia. The aim of this study was to compare the antinociceptive properties of sevoflurane and desflurane by measuring the PDR […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Pharmacokinetics a>nd Tolerability of Intraperitoneal Chloroprocaine After Fetal Extraction in Women Undergoing Cesarean Delivery

AUTHORS: Togioka, Brandon M. MD et al Anesthesia & Analgesia: May 12, 2022 BACKGROUND: Intraperitoneal chloroprocaine has been used during cesarean delivery to supplement suboptimal neuraxial anesthesia for decades. The short in vitro half-life of chloroprocaine (11–21 seconds) has been cited to support the safety of this approach. However, there are no data regarding the rate […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Diagnosis and Management of Lumbar Spinal Stenosis

Authors: Jeffrey N Katz et al JAMA. 2022 May 3; 327(17): 1688-1699 Importance Lumbar spinal stenosis is a prevalent and disabling cause of low back and leg pain in older persons, affecting an estimated 103 million persons worldwide. Most are treated nonoperatively. Approximately 600 000 surgical procedures are performed in the US each year for lumbar […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Immunization with an mRNA COVID-19 Vaccine Isn’t Associated with Appendicitis

NEJM Journal Watch Paul S. Mueller, MD, MPH, FACP, reviewing Kildegaard H et al. JAMA Intern Med 2022 Apr 25 These results counter evidence from adverse-events reports and trial data. Some adverse-event reports and trial data suggest immunization with an mRNA COVID-19 vaccine is associated with developing appendicitis. In this study, Danish researchers used national registry data to […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Persistent lipedema pain in patients after bariatric surgery

AUTHORS: Manuel E Cornely et al Surg Obes Relat Dis. 2022 May; 18(5): 628-633 BACKGROUND Lipedema often remains undiagnosed in patients with obesity, leading to mismanagement of treatment. Because of this, despite remarkable weight loss after bariatric surgery and decreases in hip and abdomen circumference, some patients show only small decreases in circumference of the […]

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