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Uncategorized Published - 7 August, 2023    By - Dr Clemens
Opioid-Sparing Multimodal Analgesia Use After Cesarean Delivery Under General Anesthesia

AUTHORS: Zanolli, Nicole C. BA et al  Anesthesia & Analgesia 137(2):p 256-266, August 2023. BACKGROUND: Optimizing analgesia after cesarean delivery is essential to quality of patient recovery. The American Society of Anesthesiologists and the Society for Obstetric Anesthesia and Perinatology recommend multimodal analgesia (MMA). However, little is known about clinical implementation of these guidelines after cesarean […]

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Uncategorized Published - 7 August, 2023    By - Dr Clemens
Why is the pain worse after an epidural steroid injection?

Author: Karen Veazey MedicalNewsToday Epidural steroid injections can deliver an anti-inflammatory steroid into the epidural space around the spinal cord. It is unclear why this might cause a temporary increase in pain before bringing relief, but it may involve the irritation of nerve roots extending from the spine. Epidural steroid injections can offer improvements to […]

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Uncategorized Published - 7 August, 2023    By - Dr Clemens
Trends in Cardiac Anesthesiologist Compensation, Work Patterns, and Training From 2010 to 2020

AUTHORS: Dalia, Adam A. MD, MBA, FASE et al  Anesthesia & Analgesia 137(2):p 293-302, August 2023. Increasing cardiac procedural volume, a shortage of practicing cardiac anesthesiologists, and growth in specialist physician compensation would be expected to increase cardiac anesthesiologist compensation and work load. Additionally, more cardiac anesthesiologists are graduating from accredited fellowships and completing echocardiography certification. […]

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Uncategorized Published - 7 August, 2023    By - Dr Clemens
Neuraxial Use Among Total Knee and Hip Arthroplasty Patients With Multiple Sclerosis or Myasthenia Gravis

AUTHORS: Illescas, Alex MPH et al Anesthesia & Analgesia 136(6):p 1182-1188, June 2023. BACKGROUND: Surgical patients with preexisting neurological diseases create greater challenges to perioperative management, and choice of anesthetic is often complicated. We investigated neuraxial anesthesia use in total knee and hip arthroplasty (TKA/THA) recipients with multiple sclerosis or myasthenia gravis compared to the general […]

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Uncategorized Published - 7 August, 2023    By - Dr Clemens
Selective Activation of NAc D1R-VP/LH Circuits Promotes Reanimation From Sevoflurane Anesthesia in Mice

AUTHORS: Bao, Weiwei PhD et al  Anesthesia & Analgesia 137(1):p 87-97, July 2023. BACKGROUND: Emerging evidence has uncovered a vital role of nucleus accumbens (NAc) neurons that express the dopamine D1 receptor (D1R) and its upstream neural circuit in general anesthesia (GA) regulation. However, the underlying downstream neural basis of the modulation of GA emergence by […]

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