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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Outpatient Treatment With Gabapentin in Women With Severe Acute Pain After Cesarean Delivery Is Ineffective

AUTHORS: Fowler, Cedar MD, Ph et al Anesthesia & Analgesia 136(6): p 1122-1132, June 2023. BACKGROUND: Most of the 1.1 million women who deliver by cesarean in the United States each year have an uncomplicated recovery. However, severe pain resistant to standard multimodal therapy within the first days after surgery is associated with an increased risk […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Postoperative Catatonia After Fentanyl, Hydromorphone, and Ketamine Administration in a Patient Taking Sertraline: A Case Report

AUTHORS: Ketigian, Laura A. DO; Kidambi, Shantanu S. MD A & A Practice 17(7):p e01695, July 2023.  Abstract Opioid-induced catatonia is underrecognized and poorly understood in the literature. An 81-year-old woman with chronic kidney disease stage III taking sertraline underwent surgery with general anesthesia, receiving fentanyl, hydromorphone, and ketamine. Postoperatively, she was unresponsive, rigid, and […]

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Uncategorized Published - 17 August, 2023    By - Dr Clemens
Racial Disparities in Compensation Among US Anesthesiologists: Results of a National Survey of Anesthesiologists

AUTHORS: Vandenberg, Megan T. BA et al  Anesthesia & Analgesia 137(2):p 268-276, August 2023. BACKGROUND: A racial compensation disparity among physicians across numerous specialties is well documented and persists after adjustment for age, sex, experience, work hours, productivity, academic rank, and practice structure. This study examined national survey data to determine whether there are racial differences […]

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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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