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Uncategorized Published - 10 July, 2023    By - Dr Clemens
A Prospective Trial Examining Future Pain Relief for Ultrasound-Guided Corticosteroid-Anesthetic Injections

Authors: Cushman, Daniel M. MD et al  American Journal of Physical Medicine & Rehabilitation 101(11):p 1020-1025, November 2022. Objectives The aim of the study was to prospectively evaluate the association between immediate pain relief from injections of local anesthetic with corticosteroid and subsequent pain relief up to 3 mos. The secondary aim was to examine the time until subjective pain relief after these injections. Design […]

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Uncategorized Published - 10 July, 2023    By - Dr Clemens
Effects of a Continuous Adductor Canal Block After Total Knee Arthroplasty.

DG Journal Club Authors: Timothy G Visser et al Orthopedics. 2023 Jan 30 1-7 This retrospective cohort study analyzed the short-term outcomes of patients undergoing total knee arthroplasty receiving periarticular anesthetic injections (PAIs) with and without continuous adductor canal blocks (CACBs) regarding early postoperative narcotic use, pain scores, and range of motion with otherwise similar postoperative […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Periprocedural Polypharmacy in Lumbar Fusions Performed Under Spinal Anesthesia Compared With General Anesthesia

AUTHORS: Olmos, Michelle BA et al  Neurosurgery 92(3):p 632-638, March 2023. BACKGROUND:  Spinal anesthesia (SA) is a safe and effective alternative to general endotracheal anesthesia (GEA) for lumbar surgery. Foremost among the reasons to avoid GEA is the desire to minimize postoperative cognitive dysfunction (POCD). Although POCD is a complex and multifactorial entity, the risk of its […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Electroencephalographic characteristics of children and adolescents with chronic musculoskeletal pain

AUTHORS: Ocay, Don Daniel et al  PAIN Reports 7(6):p e1054, November/December 2022. | Introduction:  The pathophysiology of pediatric musculoskeletal (MSK) pain is unclear, contributing to persistent challenges to its management. Objectives: This study hypothesizes that children and adolescents with chronic MSK pain (CPs) will show differences in electroencephalography (EEG) features at rest and during thermal pain modalities when […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Balanced Nonopioid General Anesthesia With Lidocaine Is Associated With Lower Postoperative Complications Compared With Balanced Opioid General Anesthesia With Sufentanil for Cardiac Surgery With Cardiopulmonary Bypass

AUTHORS: Guinot, Pierre-Grégoire MD, PhD et al  Anesthesia & Analgesia 136(5):p 965-974, May 2023. BACKGROUND: There are no data on the effect of balanced nonopioid general anesthesia with lidocaine in cardiac surgery with cardiopulmonary bypass. The main study objective was to evaluate the association between nonopioid general balanced anesthesia and the postoperative complications in relation to […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Validation of Automated Data Extraction From the Electronic Medical Record to Provide a Pediatric Risk Assessment Score

AUTHORS: Faraoni, David MD, PhD et al  Anesthesia & Analgesia 136(4):p 738-744, April 2023. BACKGROUND: Although the rate of pediatric postoperative mortality is low, the development and validation of perioperative risk assessment models have allowed for the stratification of those at highest risk, including the Pediatric Risk Assessment (PRAm) score. The clinical application of such tools […]

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Uncategorized Published - 7 July, 2023    By - Dr Clemens
Recognition and Management of Amniotic Fluid Embolism: A Critical Role for Anesthesia Professionals on Labor and Delivery

AUTHOR: David E Arnolds, MD, PhD Anesthesia Patient Safety Foundation Oct 22 Amniotic fluid embolism (AFE) is a catastrophic complication unique to the obstetric patient characterized by acute cardiovascular collapse and a profound coagulopathy.1 While AFE is rare, with an incidence of 1–2/100,000 pregnancies, it is associated with a mortality or permanent neurologic injury rate of […]

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Uncategorized Published - 6 July, 2023    By - Dr Clemens
ASA Guidelines on Neuromuscular Blockade Will Improve Patient Safety, Satisfaction

DG News The latest guidance in addressing proper monitoring and reversal of neuromuscular blockade drugs during general anaesthesia — a major advance in patient safety and satisfaction — was published in the journal Anesthesiology. While neuromuscular blocking drugs aid surgery, it is important to prevent any lingering effect of the muscle relaxant, known as residual paralysis, […]

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Uncategorized Published - 6 July, 2023    By - Dr Clemens
Obstructive Sleep Apnea Among Gravidas With Chronic Hypertension Compared to Matched Controls

AUTHORS: Wright, Mary Cooter MS et al  Anesthesia & Analgesia 136(2):p 205-214, February 2023. BACKGROUND: Previous studies of obstructive sleep apnea (OSA) risk in gravidas with chronic hypertension (cHTN) did not control for obesity as a risk factor for OSA. We therefore performed this study to evaluate whether OSA is more prevalent among gravidas with cHTN […]

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Uncategorized Published - 6 July, 2023    By - Dr Clemens
Gender Gap: A Qualitative Study of Women and Leadership Acquisition in Anesthesiology

AUTHORS: Basile, Ellen R. DO et al Anesthesia & Analgesia 136(1):p 6-12, January 2023. BACKGROUND: The representation of women among leaders in the field of anesthesia continues to trail that of their male counterparts. This qualitative study was conducted to understand the pathway of leadership acquisition among women in the field of anesthesiology. METHODS: Using constructivist […]

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