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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Spinal anesthesia in contemporary and complex lumbar spine surgery: experience with 343 cases

AUTHORS: Jeffrey M Breton, Calvin G Ludwig et al. J Neurosurg Spine. 2021 Nov OBJECTIVE Spinal anesthesia (SA) is an alternative to general anesthesia (GA) for lumbar spine surgery, including complex instrumented fusion, although there are relatively few outcome data available. The authors discuss their experience using SA in a modern complex lumbar spine surgery […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Effects of Etco2 on the Minimum Alveolar Concentration of Sevoflurane that Blunts the Adrenergic Response to Surgical Incision

AUTHORS: Wu, Zhijie MD et al Anesthesia & Analgesia: November 2021   BACKGROUND:  CO2 has anesthetic potency and effectively influences the circulatory system. We investigated the effects of Etco2 on the minimum alveolar concentration of sevoflurane that blunts the adrenergic response to surgical incision (MAC-BAR) in patients undergoing radical surgery for gastric carcinoma. METHODS: Ninety patients undergoing radical […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Utilization and Outcomes of Extracorporeal Membrane Oxygenation in Obstetric Patients in the United States, 1999–2014

AUTHORS: Taha, Bushra MD et al Anesthesia & Analgesia: September 2021 BACKGROUND: Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. METHODS: Data were abstracted from the 1999–2014 National Inpatient […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings

DG Journal Club AUTHORS: Kathrin Braeuninger-Weimer, Naffis Anjarwalla et al. BMC Musculoskelet Disord. 2021 Oct 21; 22(1): 896 BACKGROUND There is a need to improve consultations between patients with persistent musculoskeletal low back pain and orthopaedic spine clinicians when surgery is not indicated. Poor communication and lack of education about self- management in these consultations […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
The First Derivative of the Electroencephalogram Facilitates Tracking of Electroencephalographic Alpha Band Activity During General Anesthesia

Authors: Obert, David P. MD et al Anesthesia & Analgesia: October 22, 2021 BACKGROUND: Intraoperative neuromonitoring can help to navigate anesthesia. Pronounced alpha oscillations in the frontal electroencephalogram (EEG) appear to predict favorable perioperative neurocognitive outcomes and may also provide a measure of intraoperative antinociception. Monitoring the presence and strength of these alpha oscillations can be […]

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