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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Effects of parental presence during induction of anesthesia on operative and perioperative times in pediatric patients undergoing adenotonsillectomy

DG Journal Club AUTHORS: Sydney L Moseley, Christopher Heine et al. Int J Pediatr Otorhinolaryngol. 2021 Jan; 140 110515 OBJECTIVES To evaluate the overall perioperative times among pediatric patients undergoing adenotonsillectomy (AT) who, in the perioperative period, received either parental presence at induction of anesthesia (PPIA), midazolam, both, or neither. METHODS A retrospective chart review […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
SHOULD YOU CANCEL SURGERY FOR A BLOOD PRESSURE OF 178/108?

Author: Richard Novak, MD The Anesthesia Consultant Clinical Case for Discussion:  This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair.  His blood pressure when you meet him in pre-op is 178/108 mmHg.  The nurses and the surgeon are alarmed.  What would you […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Comparison of the effects of the Feldenkrais method versus core stability exercise in the management of chronic low back pain

DG Journal Club AUTHOR: Hanieh Ahmadi, Hanieh Adib et al. Clin Rehabil. 2020 Dec; 34(12): 1449-1457 OBJECTIVE To investigate the effect of the Feldenkrais method versus core stability exercises on pain, disability, quality of life and interoceptive awareness in patients with chronic non-specific low back pain. DESIGN A single-blinded, randomised, controlled trial. SETTING Outpatient, sports […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Study finds high prevalence of acute brain dysfunction in critically ill patients with COVID-19

DG Alerts Study data showed that acute brain dysfunction was highly prevalent and prolonged in critically ill patients with coronavirus disease 2019 (COVID-19) and the overuse of benzodiazepine sedative infusions and lack of family visitation were associated with more delirium. These findings, published in The Lancet Respiratory Medicine, came from a study which included 2,088 critically ill […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Exposure–Response Relationship of Tranexamic Acid in Cardiac Surgery

Authors: Paul Jacques Zufferey, M.D., Ph.D. et al  Anesthesiology February 2021, Vol. 134, 165–178. Background It is unclear whether high-dose regimens of tranexamic acid in cardiac surgery (total dose, 80 to 100 mg/kg) confer a clinical advantage over low-dose regimens (total dose, approximately 20 mg/kg), particularly as tranexamic acid–associated seizure may be dose-related. The authors’ aim […]

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