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Uncategorized Published - 11 January, 2021    By - Dr Clemens
Hyperglycaemia and hypoglycaemia associated with poor outcomes in patients with COVID-19

By Denise Baez DG Alerts Both hyperglycaemia and hypoglycaemia were associated with poor outcomes in patients with coronavirus disease 2019 (COVID-19), according to a study published in Diabetes Care. An analysis of 1,544 patients with COVID-19 from 91 hospitals in 12 states — stratified according to achieved mean glucose category during hospitalisation — found that […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Very Low Frequencies Maintain Pain Relief From Dorsal Root Ganglion Stimulation: An Evaluation of Dorsal Root Ganglion Neurostimulation Frequency Tapering

AUTHORS: Kenneth B Chapman, Tariq A Yousef et al. Neuromodulation. 2020 Nov 23 BACKGROUND Dorsal root ganglion neurostimulation (DRG-S) is effective in treating various refractory chronic pain syndromes. In preclinical studies, DRG-S at very low frequencies (<5 Hz) reduces excitatory output in the superficial dorsal horn. Clinically, we have also observed the effectiveness of DRG-S at […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Association Between Preoperative Statin Use and Respiratory Complications After Noncardiac Surgery

AUTHORS: Komatsu, Ryu MD, MS et al Anesthesia & Analgesia: October 2020 – BACKGROUND: Statins possess pleiotropic effects, which potentially benefit noncardiovascular conditions. Previous work suggests that statins reduce inflammation and prevent acute respiratory distress syndrome and infections. However, there is a paucity of data regarding potential benefits of statins on respiratory and infectious complications, particularly […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Phrenic Nerve Block at the Azygos Vein Level Versus Sham Block for Ipsilateral Shoulder Pain After Video-Assisted Thoracoscopic Surgery

AUTHORS: Kimura Kuroiwa, Kaori MD, PhD et al Anesthesia & Analgesia: December 2020 BACKGROUND Ipsilateral shoulder pain (ISP) is a common problem after pulmonary surgery. We hypothesized that phrenic nerve block (PNB) at the azygos vein level, near the location of the surgical operation, would be effective for reducing ISP. Our primary aim was to assess […]

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Uncategorized Published - 8 January, 2021    By - Dr Clemens
Can we do better when delivering bad news in trauma?

Author: VIVEK SANT, MD KevinMD.com On a recent trauma call, we had a busy night, culminating in a horrific motorcycle trauma that came in early in the morning. The patient had devastating injuries and ended up dying. The detectives finally tracked down the patient’s family. I cleaned myself up, put on my white coat and […]

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