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Uncategorized Published - 10 August, 2021    By - Dr Clemens
TRENDS FOR THE FUTURE OF ANESTHESIOLOGY

Author: Richard Novak, MD The Anesthesia Consultant What can we expect in the next 10 years of anesthesiology? What will be the trends for the future of anesthesiology? I’m writing this from the perspective of a busy clinician who has worked as an anesthesiologist in California in both private practice and at a major university […]

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Uncategorized Published - 10 August, 2021    By - Dr Clemens
Pain Medication Requirements in Patients with Opioid Use Disorder at the Time of Surgical Abortion

DG Journal Club AUTHORS: Shaalini Ramanadhan, Elisabeth Woodhams et al. Contraception. 2021 Jul 5 OBJECTIVE To assess sedation medication dosage differences between patients with and without opioid use disorder at the time of surgical abortion. STUDY DESIGN We performed a retrospective cohort study, identifying patients obtaining a surgical abortion in our ambulatory procedure unit between […]

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Uncategorized Published - 10 August, 2021    By - Dr Clemens
Influence of Obesity on Anesthetic Drugs.

Author: Cardiac Anesthesiologist Anesthesia providers should be familiar with the pharmacologic alterations of anesthetics in obese individuals. In general, manufacturer dosing recommendations are scaled to kilograms of actual total body weight (TBW). However, anesthesia providers rarely use mg/kg dosing in obese patients for fear of administering an excessive dose (e.g., a 136-kg patient does not […]

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Uncategorized Published - 10 August, 2021    By - Dr Clemens
Excitation of Putative Glutamatergic Neurons in the Rat Parabrachial Nucleus Region Reduces Delta Power during Dexmedetomidine but not Ketamine Anesthesia

Authors: Eric D. Melonakos, Ph.D. et al  Anesthesiology July 2021. Background Parabrachial nucleus excitation reduces cortical delta oscillation (0.5 to 4 Hz) power and recovery time associated with anesthetics that enhance γ-aminobutyric acid type A receptor action. The effects of parabrachial nucleus excitation on anesthetics with other molecular targets, such as dexmedetomidine and ketamine, remain […]

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Uncategorized Published - 9 August, 2021    By - Dr Clemens
Pharmacotherapy for the Prevention of Chronic Pain after Surgery in Adults

Authors: Meg E. Carley, B.Sc. et al  Anesthesiology August 2021, Vol. 135, 304–325. Background Chronic postsurgical pain can severely impair patient health and quality of life. This systematic review update evaluated the effectiveness of systemic drugs to prevent chronic postsurgical pain. Methods The authors included double-blind, placebo-controlled, randomized controlled trials including adults that evaluated perioperative […]

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