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Uncategorized Published - 25 February, 2021    By - Dr Clemens
Spinal Fluid Of People With Alzheimer’s Risk Gene Signals Inflammation

Duke University People who have a gene variant associated with an increased risk of developing Alzheimer’s disease also tend to have changes in the fluid around their brain and spinal cord that are detectable years before symptoms arise, according to new research from Duke Health. The work found that in people who carry the APOE4 […]

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Uncategorized Published - 24 February, 2021    By - Dr Clemens
The Effect of Low-Dose Intraoperative Ketamine on Closed-Loop-Controlled General Anesthesia

DG Journal Club AUTHORS: Gabby Napoleone, Klaske van Heusden et al. Anesth Analg. 2021 Feb BACKGROUND Closed-loop control of propofol-remifentanil anesthesia using the processed electroencephalography depth-of-hypnosis index provided by the NeuroSENSE monitor (WAVCNS) has been previously described. The purpose of this placebo-controlled study was to evaluate the performance (percentage time within ±10 units of the […]

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Uncategorized Published - 24 February, 2021    By - Dr Clemens
Why this anesthesiologist rarely cancels surgeries

Author: Stephen Freidberg MD The DADesthesiologist Medical specialties, especially within the medical community, are known to be identified as comedic stereotypes of themselves. In addition to (or in conjunction with) being viewed as lazy, anesthesiologists are often stereotyped as being obstructionists to the operating room.  A spot-on joke generated during the “first” COVID-19 surge in […]

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Uncategorized Published - 24 February, 2021    By - Dr Clemens
ACUPUNCTURE FOR POSTOPERATIVE NAUSEA AND VOMITING

Cardiac Anesthesiologist  One of the most promising indications for acupuncture is to prevent postoperative nausea and vomiting (PONV). PONV results in patient dissatisfaction, delayed discharge, unanticipated hospital admission, and the use of resources. Drugs have been the mainstay of management, however these have limited effectiveness, are associated with adverse effects, and can be costly. Acupuncture prevents PONV compared with sham acupuncture […]

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Uncategorized Published - 24 February, 2021    By - Dr Clemens
Managing Spinal Anesthesia-Induced Hypotension in Obstetrics

Radius Anesthesia Blog Prevention and management of spinal anesthesia-induced hypotension is essential for preventing complications in the perioperative/peripartum period. In 2018, an international consensus statement was published that detailed guidelines for managing hypotension related to neuraxial anesthesia for cesarean sections. In summary, the publication recommended the following: vasopressors should be used routinely and preemptively, alpha-agonist drugs such as phenylephrine are preferred as first-line agent due to abundance of data on their use, left uterine displacement […]

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