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Uncategorized Published - 2 February, 2022    By - Dr Clemens
A Comparison Between the Adductor Pollicis Muscle Using TOF-Watch SX and the Abductor Digiti Minimi Muscle Using TetraGraph in Rocuronium-Induced Neuromuscular Block

AUTHORS: Iwasaki, Hajime MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: The commonly used acceleromyography (AMG)-based neuromuscular monitor TOF-Watch SX is no longer manufactured. Recently, a new portable electromyography (EMG)-based neuromuscular monitor TetraGraph was introduced in clinical anesthesia. The aim of the study was to compare the responses obtained simultaneously from the abductor digiti […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Sphenopalatine ganglion block for ipsilateral shoulder pain following open pancreaticoduodenectomy

DG Journal Club AUTHORS: Danielle Levin, Martin Acquadro et al. BMJ Case Rep. 2022 Jan 6; 15(1) A 59-year-old woman underwent an open pancreaticoduodenectomy. Thoracic patient controlled-epidural anaesthesia provided excellent incisional pain relief; however, the patient experienced intractable left shoulder pain (10/10 on the Numerical Rating Scale). To our knowledge, there is no effective established […]

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Uncategorized Published - 2 February, 2022    By - Dr Clemens
Anesthesia Braces for a New Era: Surprise Billing Prohibition Begins

Author: Tony Mira F1rstNews Summary The new year brings with it a new federal rule that restricts balance billing in out-of-network cases.  There will also be a new process in place for self-pay or uninsured patients.  Today’s alert acts to remind readers of what they can expect and what they must do when faced with […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Control of Postoperative Hypotension Using a Closed-Loop System for Norepinephrine Infusion in Patients After Cardiac Surgery

AUTHORS: Desebbe, Olivier MD et al Anesthesia & Analgesia: January 2022 Abstract BACKGROUND: Vasopressors are a cornerstone for the management of vasodilatory hypotension. Vasopressor infusions are currently adjusted manually to achieve a predefined arterial pressure target. We have developed a closed-loop vasopressor (CLV) controller to help correct hypotension more efficiently during the perioperative period. We tested […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Ketamine Associated Intraoperative Electroencephalographic Signatures of Elderly Patients With and Without Preoperative Cognitive Impairment

AUTHORS: Barreto Chang, Odmara L. MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Ketamine is typically used by anesthesiologists as an adjunct for general anesthesia and as a nonopioid analgesic. It has been explored for prevention of postoperative delirium, although results have been contradictory. In this study, we investigated the association of ketamine with […]

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