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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Intercostal Nerve Cryoablation is Associated with Reduced Opioid Use in Pediatric Oncology Patients 2023

DG Journal Club Authors: Stephanie Y Chen, Shale J Mack, James E Stein, Lorraine I Kelley-Quon J Surg Res. 2022 Nov 22; 283 377-384 INTRODUCTION Intercostal nerve cryoablation reduces postoperative pain in adults undergoing thoracotomy and children undergoing pectus excavatum repair. We hypothesize that cryoablation is associated with decreased post-thoracotomy pain and opioid use in […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Shingles linked to 30% increased risk of stroke, coronary heart disease 2023

This is for our readers who treat chronic pain patients Author: Robby Berman MedicalNewsToday Health experts and researchers have long suspected that shingles can lead to stroke and coronary heart disease. New research has found that the association between shingles and cardiovascular events is more significant than previously thought. The long-term study reveals that the […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Burnout Among Chinese Anesthesiologists After the COVID-19 Pandemic Peak 2023

AUTHORS: Che, Lu MD et al  Anesthesia & Analgesia December 02, 2022. BACKGROUND: Evidence has shown that large-scale pandemics can have prolonged psychological impacts on health care professionals. The current study aimed to evaluate the prevalence of burnout after the coronavirus disease 2019 (COVID-19) epidemic peak and to explore the prolonged impact of COVID-19 on […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time 2023

AUTHORS: Liu, Jia MD et al  Anesthesia & Analgesia December 02, 2022. BACKGROUND: The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 to develop leaders in caring for children with complex medical and surgical conditions. While existing dual-trained practitioners report continued practice in both pediatric anesthesiology (PA) and pediatric critical care […]

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Uncategorized Published - 10 March, 2023    By - Dr Clemens
Effect of Intraoperative Esketamine Infusion on Postoperative Sleep Disturbance After Gynecological Laparoscopy

DG Journal Club AUTHORS: Di Qiu, Xing-Ming Wang, Jin-Jin Yang, Sai Chen JAMA Netw Open. 2022 Dec 1; 5(12): e2244514 IMPORTANCE Postoperative sleep disturbance (PSD) is common in patients after surgery. OBJECTIVE To examine the effect of intraoperative esketamine infusion on the incidence of PSD in patients who underwent gynecological laparoscopic surgery. DESIGN, SETTING, AND PARTICIPANTS […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Incidence of Postreperfusion Hyperfibrinolysis in Liver Transplantation by Donor Type and Observed Treatment Strategies 2023

AUTHORS: Krom, Russell J. MD, PhD et al  Anesthesia & Analgesia 136(3):p 518-523, March 2023. BACKGROUND: Hyperfibrinolysis is a possible complication during liver transplantation, particularly immediately after reperfusion. METHODS: We performed a retrospective study to examine the incidence, treatment, and resolution of postreperfusion hyperfibrinolysis in patients undergoing liver transplantation at Duke University Hospital from 2015 to […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Complications and Technical Consideration of Ultrasound-Guided Rectus Sheath Blocks 2023

AUTHORS: Kwon, Hyun-Jung MD et al  Anesthesia & Analgesia 136(2):p 365-372, February 2023. BACKGROUND: Although the ultrasound-guided rectus sheath block (RSB) is usually regarded as an easy and safe procedure in clinical settings, there is currently no report on complications incidence. Therefore, the present study investigated complications in a large cohort and described the technical considerations […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Etomidate-Induced Myoclonus in Sprague-Dawley Rats Involves Neocortical Glutamate Accumulation and N-Methyl-d-Aspartate Receptor Activity 2023

AUTHORS: Feng, Yan MD et al  Anesthesia & Analgesia December 01, 2022. BACKGROUND: Etomidate-induced myoclonus, a seizure-like movement, is of interest to anesthetists. However, its origin in the brain and its underlying mechanism remain unclear. METHODS: Adult male Sprague-Dawley rats were anesthetized with etomidate, propofol, or lidocaine plus etomidate. We assessed the incidence of myoclonus, […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Predictors and Hospital Outcomes in Pregnant Patients Undergoing Extracorporeal Membrane Oxygenation 2023

AUTHORS: van den Bosch et al Anesthesia & Analgesia 135(6):p 1172-1179, December 2022 BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is increasingly used in patients with severe cardiorespiratory collapse. Although prior large database reviews of ECMO use in the peripartum population exist, they do not stratify by ECMO indication nor do they include obstetric conditions such as preeclampsia. […]

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Uncategorized Published - 9 March, 2023    By - Dr Clemens
Arthroscopic Rotator Cuff Repair Performed with Intraarticular Tranexamic Acid. Could it Provide Improved Visual Clarity and less Postoperative Pain? 2023

DG Journal Club AUTHORS: Celaleddin Bildik, Tuna Pehlivanoglu J Shoulder Elbow Surg. 2022 Nov 17 BACKGROUND Tranexamic acid (TXA) was widely used in orthopedic surgery with the aim to reduce intra-/postoperative bleeding and bleeding related complications. The aim of the present study was to assess, whether intra-articular use of TXA during arthroscopic rotator cuff tear […]

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