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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Centralized pain syndrome: What to know

Author: Carly Werner, RD MedicalNewsToday Centralized pain syndrome is a disorder of the central nervous system (CNS). It develops due to changes in how the brain and spinal cord interpret pain signals, resulting in much higher sensitivity. The brain is constantly receiving and interpreting messages from the body. In central pain syndrome, the pain receptors […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
Incidence of hypoglycaemia in fasting children after induction of anaesthesia for elective procedures

AUTHORS: Sigurdsson, Theodor S et al  European Journal of Anaesthesiology July 11, 2023.  Editor, Hypoglycaemia should always be of specific concern for anaesthesiologists as clinical signs of hypoglycaemia are concealed during anaesthesia. A new definition of intraoperative hypoglycaemia in children was recently defined at blood glucose values less than 3.3 mmol l−1 (60 mg dl−1) by […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations

AUTHORS: Mestdagh, François P et al  European Journal of Anaesthesiology July 07, 2023. BACKGROUND Pain after craniotomy can be intense and its management is often suboptimal. OBJECTIVES We aimed to evaluate the available literature and develop recommendations for optimal pain management after craniotomy. DESIGN A systematic review using procedure-specific postoperative pain management (PROSPECT) methodology was […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
Case Report of Cryo Nerve Block in a Patient Undergoing Full Sternotomy

Author: Caparrelli, David J. MD, FACS A & A Practice 17(2):p e01654, February 2023.  Abstract We present the case of a 65-year-old man undergoing open-heart surgery through a full sternotomy with the use of bilateral intercostal cryo nerve block (cryoNB) as adjunctive therapy for postoperative analgesia. CryoNB has been previously demonstrated as safe and effective […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
Diagnosing delirium in perioperative and intensive care medicine

Authors: Goettel, Nicolai; Wueest, Alexandra S. Current Opinion in Anaesthesiology July 11, 2023.  Purpose of review This article reviews the current literature on instruments used for screening and diagnosing delirium in perioperative and intensive care medicine. It summarizes recent findings to guide clinicians and researchers in choosing the most appropriate tools. Recent findings The incidence of delirium in hospitalized […]

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Uncategorized Published - 16 August, 2023    By - Dr Clemens
Successful use of differential target multiplexed spinal cord stimulation for chronic postsurgical abdominal pain

Authors: Tanaka, Ryusuke et al  PAIN Reports 8(1):p e1059, January 2023. Introduction: Recent advances in stimulation techniques have improved the efficacy and expanded the applicability of spinal cord stimulation (SCS). Among these techniques, there are no reports on the efficacy of differential target multiplexed (DTM) SCS for chronic postsurgical pain (CPSP) after abdominal surgery. Therefore, we present the successful use […]

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Uncategorized Published - 15 August, 2023    By - Dr Clemens
Variability of expert assessments of ECG time domain parameters

AUTHORS: Böck, Carl et al  European Journal of Anaesthesiology and Intensive Care 2(2):p e0020, April 2023. BACKGROUND In anaesthesiology, time domain parameters of the ECG are frequently used for long QT diagnosis, determination of branch blocks and for identifying atrioventricular blocks. However, this analysis depends on several factors and therefore the time domain parameters are prone […]

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Uncategorized Published - 15 August, 2023    By - Dr Clemens
Additive or synergistic analgesic effect of metamizole on standard pain treatment at home after arthroscopic shoulder surgery

AUTHORS: Stessel, Björn et al  European Journal of Anaesthesiology 40(3):p 171-178, March 2023. BACKGROUND There is growing evidence that the analgesic effect of metamizole is mediated at least partly by central mechanisms, including the endocannabinoid/endovanilloid system. Consequently, metamizole may have additive or even synergistic analgesic effects with paracetamol and nonsteroidal anti-inflammatory drugs (NSAID). OBJECTIVE This study […]

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Uncategorized Published - 15 August, 2023    By - Dr Clemens
Airway management in a patient with Stevens-Johnson syndrome/toxic epidermal necrolysis: a case report

AUTHORS: Morrison-Nozik et al  Journal of Head & Neck Anesthesia 6(2):p e42, December 2022.  Abstract Stevens-Johnson syndrome (SJS), of which toxic epidermal necrolysis (TEN) is a more severe variant, is a cutaneous hypersensitivity reaction, usually triggered by certain prescribed medications. Airway management in SJS/TEN poses significant challenges, particularly when there is facial skin and oropharyngeal mucosal and/or laryngeal involvement. […]

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Uncategorized Published - 15 August, 2023    By - Dr Clemens
Respiratory Syncytial Virus and Immunity Debt

Author: Richard Simoneaux; Steven L. Shafer, MD, FASA, Editor-in-Chief ASA Monitor March 2023, Vol. 87, 1–6. We can’t get a break! Having battled SARS-CoV-2 for the past two years, the past few months have seen health care systems facing a “tridemic” comprising COVID, respiratory syncytial virus (RSV), and influenza. The national surge in RSV has been widely […]

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