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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Intraoperative Blood Pressure Monitoring in Obese Patients: Arterial Catheter, Finger Cuff, and Oscillometry

Authors: Roman Schumann, M.D. et al  Anesthesiology February 2021, Vol. 134, 179–188. Background The optimal method for blood pressure monitoring in obese surgical patients remains unknown. Arterial catheters can cause potential complications, and noninvasive oscillometry provides only intermittent values. Finger cuff methods allow continuous noninvasive monitoring. The authors tested the hypothesis that the agreement between finger […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation: A Pragmatic Effectiveness Trial of a Nonpharmacologic Alternative for the Treatment of Postoperative Pain

DG Journal Club AUTHORS: Brian M Ilfeld, Harold Gelfand et al. Pain Med. 2020 Dec 12; 21(Supplement_2): S53-S61 BACKGROUND Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducer needle followed by the delivery of electric current after needle withdrawal. This modality has been used extensively to […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Opioid-Related Diagnoses at Birth Continue to Increase

By Christine Judge Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM NEJM Journal Watch Neonatal abstinence syndrome increased 82% in the U.S. between 2010 and 2017, while maternal opioid-related diagnoses increased 131%, researchers report in JAMA. Previous analyses documented their rise between 2000 and 2014. Based on 12 million discharge records from […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
The Ongoing Impact of Medicare on Anesthesia Practices

Author: Tony Mira Anesthesiallc Summary There is often a cause-and-effect relationship between higher utilization and lower reimbursement within the healthcare sector.  This relationship is coming into sharp focus with the surge of seniors now entering the Medicare program. Baby boomers are increasingly entering the rolls of Medicare.  While many of them lead healthy and active […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
Intraoperative Oxygen Concentration and Neurocognition after Cardiac Surgery

Authors: Shahzad Shaefi, M.D. et al  Anesthesiology February 2021, Vol. 134, 189–201. Background Despite evidence suggesting detrimental effects of perioperative hyperoxia, hyperoxygenation remains commonplace in cardiac surgery. Hyperoxygenation may increase oxidative damage and neuronal injury leading to potential differences in postoperative neurocognition. Therefore, this study tested the primary hypothesis that intraoperative normoxia, as compared to hyperoxia, […]

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