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Uncategorized Published - 22 March, 2022    By - Dr Clemens
Continuous interscalene versus phrenic nerve-sparing high-thoracic erector spinae plane block for total shoulder arthroplasty

DG Journal Club AUTHORS: Lisa Y Sun et al Can J Anaesth. 2022 Mar PURPOSE The high-thoracic erector spinae plane block (HT-ESPB) has been reported as an effective analgesic modality for the shoulder region without phrenic nerve palsy. The goal of this study was to compare the HT-ESPB as a phrenic nerve-sparing alternative to an […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
What is the Value of Chronic Pain to an Anesthesia Practice?

Author: Tony Mira F1rstNews Summary Many anesthesia groups have a chronic pain component; but how beneficial is it from an overall financial standpoint?  While some make it work, it is very difficult to set up and maintain a profitable pain practice. Some of our anesthesia clients are actively involved in the provision of chronic pain […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
Wound Infusion of 0.35% Levobupivacaine Reduces Mechanical Secondary Hyperalgesia and Opioid Consumption After Cesarean Delivery

AUTHORS: Gómez-Ríos, Manuel Á. MD et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 791-801 BACKGROUND:  Some patients still report moderate-to-severe postoperative pain after cesarean delivery. Local anesthetic wound infusion improves acute pain and might act on peripheral and central sensitization mechanisms; however, no studies have proved this hypothesis. We […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
An Evaluation of Severe Anesthetic-Related Critical Incidents and Risks From the South African Paediatric Surgical Outcomes Study

AUTHORS: Cronjé, Larissa FCA et al Anesthesia & Analgesia: April 2022 – Volume 134 – Issue 4 – p 728-739 BACKGROUND:  Severe anesthetic-related critical incident (SARCI) monitoring is an essential component of safe, quality anesthetic care. Predominantly retrospective data from low- and middle-income countries (LMICs) report higher incidence but similar types of SARCI compared to high-income […]

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Uncategorized Published - 22 March, 2022    By - Dr Clemens
Amiodarone With or Without N-acetylcysteine for the Prevention of Atrial Fibrillation After Thoracic Surgery

DG Journal Club AUTHORS: David Amar et al Anesthesiology. 2022 Mar BACKGROUND Postoperative atrial fibrillation (AF) may identify patients at risk of subsequent AF, with its greater risk of stroke. We hypothesized that N-acetylcysteine mitigates inflammation and oxidative stress to reduce the incidence of postoperative AF. METHODS In this double-blind, placebo-controlled trial, patients at high […]

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