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Uncategorized Published - 2 May, 2024    By - Dr Clemens
Anesthesia for pediatric magnetic resonance imaging

Authors: Guimarães Ferreira et al  Current Opinion in Anaesthesiology 36(4):p 428-434, August 2023. Purpose of review Magnetic resonance imaging (MRI) is an ever-expanding investigation modality in children. This review aims to present current strategies to perform MRI in pediatrics efficiently and safely. The latest evidence on approaches, safety and costs of MRI with no sedation or […]

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Uncategorized Published - 2 May, 2024    By - Dr Clemens
Proactive Patient Safety: Focusing on What Goes Right in the Perioperative Environment

Authors: Duffy, Caoimhe MD, MSc, FCAI et al     Journal of Patient Safety 19(4):p 281-286, June 2023. Objective Adverse events in the perioperative environment, a potential risk to patients, may be mitigated by nurturing staff adaptability and resiliency. An activity called “One Safe Act” (OSA) was developed to capture and highlight proactive safety behaviors that staff […]

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Uncategorized Published - 2 May, 2024    By - Dr Clemens
Low-dose naltrexone for treatment of pain in patients with fibromyalgia

Authors: Bested, Kirsten et al  PAIN Reports 8(4):p e1080, July/August 2023. Introduction: Fibromyalgia (FM) is a chronic fluctuating, nociplastic pain condition. Naltrexone is a µ-opioid-receptor antagonist; preliminary studies have indicated a pain-relieving effect of low-dose naltrexone (LDN) in patients with FM. The impetus for studying LDN is the assumption of analgesic efficacy and thus reduction of […]

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Uncategorized Published - 2 May, 2024    By - Dr Clemens
Understanding migraine symptoms in children

Author: Christopher Medrano , MD KevinMD.com If you’ve experienced a migraine headache before, the sensation is often very distinct: throbbing pain, sensitivity to light and loud noise, and sometimes nausea and vomiting. Migraine symptoms can be uncomfortable and distressing. Equally concerning is when a migraine sufferer recognizes these symptoms in their child. Migraines typically emerge […]

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Uncategorized Published - 2 May, 2024    By - Dr Clemens
Mechanism-Based Modeling of Perioperative Variations in Hemoglobin Concentration in Patients Undergoing Laparoscopic Surgery

AUTHORS: Jaramillo, Sebastian MD et al  Anesthesia & Analgesia 138(1):p 141-151, January 2024. BACKGROUND: Hemoglobin concentration ([Hb]) in the perioperative setting should be interpreted in the context of the variables and processes that may affect it to differentiate the dilution effects caused by changes in intravascular volume. However, it is unclear what variables and processes affect […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
The Evolving Importance of Cardiovascular Anesthesia

Author: Rita Astani, Coronis Anesthesia Summary Heart cases involve lots of base units and lots of time units, but how much value do they really bring to an anesthesia practice?  Today’s article examines the current volume and relative value of cardiac anesthesia cases. There was a time, not too long ago, when cardiovascular anesthesiologists were […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Nationwide Clinical Practice Patterns of Anesthesiology Critical Care Physicians

AUTHORS: Shaefi, Shahzad MD, MPH et al  Anesthesia & Analgesia 136(2):p 295-307, February 2023. BACKGROUND: Despite the growing contributions of critical care anesthesiologists to clinical practice, research, and administrative leadership of intensive care units (ICUs), relatively little is known about the subspecialty-specific clinical practice environment. An understanding of contemporary clinical practice is essential to recognize the […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Association of Mechanical Energy and Power with Postoperative Pulmonary Complications in Lung Resection Surgery

Authors: Susie Yoon, M.D., Ph.D et al  Anesthesiology May 2024, Vol. 140, 920–934. Background Mechanical power (MP), the rate of mechanical energy (ME) delivery, is a recently introduced unifying ventilator parameter consisting of tidal volume, airway pressures, and respiratory rates, which predicts pulmonary complications in several clinical contexts. However, ME has not been previously studied in […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Regional anaesthesia practices: insights from a European survey

AUTHORS: Konijn, Arjan et al  European Journal of Anaesthesiology and Intensive Care 2(4):p e0026, August 2023. BACKGROUND The use of regional anaesthesia has increased and evolved over the past two decades but to what extent is unclear. Moreover, there is no clear standardisation of best practice in the current European landscape, which could result in inconsistencies […]

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Uncategorized Published - 1 May, 2024    By - Dr Clemens
Randomized controlled trial assessing intubation time with and without an aerosol biocontainment device

Authors: Kohanski, Michael A. MD, PhD et al Journal of Head & Neck Anesthesia 7(1):p e43, June 2023. Introduction: The emergence of the coronavirus disease 2019 (COVID-19) pandemic renewed interest in infectious aerosols and methods to reduce risk of airborne respiratory pathogen transmission. This has led to the development of novel aerosol protective devices for which […]

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