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Uncategorized Published - 27 September, 2023    By - Dr Clemens
Health Inequity: Too Expensive for Anyone and Everyone

Author: Adaora M. Chima, MBBS, MPH IARS Newsletter Issue 4 Health inequity and health disparity are phrases that have grown in medical, scientific and secular use in recent years. Although often used interchangeably, these pervasive issues are distinct but interwoven complex phenomena that have a ripple effect on every single member of societies where they […]

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Uncategorized Published - 26 September, 2023    By - Dr Clemens
REGIONAL ANESTHESIA FOR PATIENTS WITH IMPLANTED PERIPHERAL NERVE STIMULATORS: TO DO OR NOT TO DO

American Society for Post Surgical Pain 01 Newsletter ABSTRACT Peripheral nerve stimulation (PNS) is a relatively novel therapeutic intervention that has been gaining popularity in the management of various chronic pain conditions. The new intervention has shown promising results with a narrow risk margin for complication and has gained US Food and Drug Administration (FDA) […]

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Uncategorized Published - 26 September, 2023    By - Dr Clemens
Dexmedetomidine Pretreatment Protects Against Myocardial Ischemia/Reperfusion Injury by Activating STAT3 Signaling

AUTHORS: Chen, Zhao-Rong MM et al  Anesthesia & Analgesia 137(2):p 426-439, August 2023. BACKGROUND: Myocardial infarction is a common perioperative complication, and blood flow restoration causes ischemia/reperfusion injury (IRI). Dexmedetomidine (DEX) pretreatment can protect against cardiac IRI, but the mechanism is still insufficiently understood. METHODS: In vivo, myocardial ischemia/reperfusion (30 minutes/120 minutes) was induced via ligation […]

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Uncategorized Published - 26 September, 2023    By - Dr Clemens
Combined Arterial Hypertension and Ischemic Stroke Exaggerate Anesthesia-Related Hypotension and Cerebral Oxygenation Deficits

AUTHORS: Zhang, Tracy MD et al Anesthesia & Analgesia 137(2):p 440-450, August 2023. Background: Intraoperative arterial hypotension (IOH) is a common side effect of general anesthesia (GA), associated with poor outcomes in ischemic stroke. While IOH is more prevalent with hypertension, it is unknown whether IOH may differ when GA is induced during ischemic stroke, versus […]

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Uncategorized Published - 26 September, 2023    By - Dr Clemens
Evaluation of Medical Confidentiality Breaches on Twitter Among Anesthesiology and Intensive Care Health Care Workers

AUTHORS: Pineau, Iris MD et al  Anesthesia & Analgesia 137(2):p 418-425, August 2023. BACKGROUND: With the generalization of social network use by health care workers, we observe the emergence of breaches in medical confidentiality. Our objective was to determine, among anesthesiology and intensive care health care workers, the rate of medical confidentiality breaches among professional tweets. […]

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Uncategorized Published - 26 September, 2023    By - Dr Clemens
Impact of Genetic Variants on Postoperative Pain and Fentanyl Dose Requirement in Patients Undergoing Major Breast Surgery

AUTHORS: Kumar, Shathish MD et al  Anesthesia & Analgesia 137(2):p 409-417, August 2023. BACKGROUND: Postoperative analgesia is crucial for the early and effective recovery of patients undergoing surgery. Although postoperative multimodal analgesia is widely practiced, opioids such as fentanyl are still one of the best analgesics. The analgesic response of fentanyl varies widely among individuals, probably […]

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Uncategorized Published - 25 September, 2023    By - Dr Clemens
The Effect of Prophylactic Steroids on Shivering in Adults Undergoing Surgery

AUTHORS: Misra, Satyajeet MD, DNB, PDCC, TOE (EACVI) Anesthesia & Analgesia 137(2):p 332-344, August 2023. BACKGROUND: Shivering is common following anesthesia and surgery. Corticosteroids (steroids) have been tried to reduce the risk of shivering, but the evidence in favor of their use is uncertain. The primary objective of this review was to evaluate the effect of […]

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Uncategorized Published - 25 September, 2023    By - Dr Clemens
Determinants of Professional Fulfillment and Burnout Among Intensivists

AUTHORS: Siddiqui, Shahla MBBS, MS, FCC et al Anesthesia & Analgesia 137(2):p 375-382, August 2023. BACKGROUND: Increased burnout and decreased professional fulfillment among intensive care physicians is partly due to intensive care unit (ICU) workload. Although the SARS-CoV-2 (COVID-19) pandemic increased ICU workload, it also may have increased feelings of personal fulfillment due to positive public […]

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Uncategorized Published - 25 September, 2023    By - Dr Clemens
Perioperative Iron Deficiency in Patients Scheduled for Major Elective Surgeries

AUTHORS: Capdevila, Xavier MD, PhD et al  Anesthesia & Analgesia 137(2):p 322-331, August 2023. BACKGROUND: The management of perioperative iron deficiency is a component of the concept of patient blood management. The objective of this study was to update French data on the prevalence of iron deficiency in patients scheduled for major surgery. METHODS: The CARENFER […]

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Uncategorized Published - 25 September, 2023    By - Dr Clemens
Opioid-Free Versus Opioid-Based Anesthesia on Postoperative Pain After Thoracoscopic Surgery

AUTHORS: Yan, Huan MD et al  Anesthesia & Analgesia 137(2):p 399-408, August 2023. BACKGROUND: The effectiveness and safety of opioid-free anesthesia (OFA) regimens in distinct types of surgeries remain controversial. In this study, we investigated whether OFA could reduce the occurrence of chronic postoperative pain in patients receiving video-assisted thoracoscopic surgery (VATS). METHODS: We conducted a […]

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