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Uncategorized Published - 14 December, 2022    By - Dr Clemens
Perioperative Concussion: Learning from Football and Improving Patient Safety

Author: Arnoley S. Abcejo, MD ASA Monitor November 2022, Vol. 86, 44. Concussion, or mild traumatic brain injury, results from a physical blow to the head, often synonymous with post-injury concussive symptoms such as headache, cognitive impairment, and sleep disturbance. Our understanding of this disease has grown rapidly over the last two decades. We know that […]

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Uncategorized Published - 13 December, 2022    By - Dr Clemens
Review of Postoperative Respiratory Depression: From Recovery Room to General Care Unit

Authors: Toby N. Weingarten, M.D.; Juraj Sprung, M.D., Ph.D. Anesthesiology December 2022, Vol. 137, 735–741. Postoperative respiratory failure secondary to opioid-induced respiratory depression (hereafter termed respiratory depression) can result in permanent morbidity, such as anoxic brain injury, or even death. In many cases, the respiratory failure seems to develop acutely and without warning, often shortly after seemingly reassuring […]

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Uncategorized Published - 13 December, 2022    By - Dr Clemens
Medical Marijuana Research Grant to Look More Closely at CBD for Chronic Pain

Author: Avery Hurt Practical Pain Management Oct 21, 2022 Pain researchers at the University of Michigan have been awarded $7.4 million from the Veteran Marijuana Research (VMR) grant program to study the effectiveness of cannabidiol (CBD) and medical cannabis products. The grant study, “Pragmatic Trial of Cannabidiol and Tailored Cannabis Coaching to Improve Chronic Pain […]

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Uncategorized Published - 13 December, 2022    By - Dr Clemens
Pain physician convicted in $4.5M fentanyl kickback scheme

Author: Patsy Newitt Becker’s ASC Review Former CEO and owner of Sarasota (Fla.) Pain Associates Steven Chun, MD, has been sentenced to three years and six months in prison for his role in a $4.5 million fentanyl kickback scheme, the Justice Department said Dec. 7. Dr. Chun, 59, must also forfeit $278,900, the proceeds of his offenses. […]

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Uncategorized Published - 13 December, 2022    By - Dr Clemens
Did Ancient Egyptians Discover Local Anesthetics?

Author: Mohammad Hazem I. Ahmad Sabry, M.D., F.R.C.P.C., A.B.P.M. Anesthesiology November 2022. The tomb of Ankh-Ma-Hor who served King Teti of the sixth dynasty (circa 2345 to 2323 BC) in Saqqara, Giza, Egypt, was discovered by Victor Loret (1897) and reexamined by Kanawati and Hassan in 1995.  The tomb was dated 2340 BC by the Egyptian […]

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Uncategorized Published - 12 December, 2022    By - Dr Clemens
Lidocaine Intraoperative Infusion Pharmacokinetics during Partial Hepatectomy for Living Liver Donation

Authors: Cara E Crouch, M.D. et al  Anesthesiology October 2022. Background. Postoperative pain associated with open partial hepatectomy can be intense and persistent. Our multimodal approach to lessen this problem includes an intraoperative intravenous infusion of lidocaine hydrochloride. Decreased hepatic metabolism after resection raises concerns about safe lidocaine dosing in this patient population. We hypothesized […]

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Uncategorized Published - 12 December, 2022    By - Dr Clemens
Validity and Tolerability of Awake Calibration of an Accelerometer Neuromuscular Monitor

Authors: Silvia Pozza, M.D. et al  Anesthesiology October 2022. To the Editor: Acceleromyography is the most commonly used quantitative neuromuscular monitoring method.  Current guidelines recommend calibration of acceleromyographic devices for scientific purposes by setting monitor gain and defining supramaximal current.  Calibration is rarely performed in clinical practice. Without calibration, the gain of the monitor may be set […]

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Uncategorized Published - 12 December, 2022    By - Dr Clemens
UC San Diego doctor creates app for fentanyl overdose rescue

Author: Hayley DeSilva Becker’s Behavioral Health University of California San Diego’s Mark Greenberg, MD, has launched a new app to help prevent fentanyl overdoses, FOX affiliate KSWB reported Dec. 5. The Rescue Me CPR! App provides users with videos and instructions on how to revive an individual who has overdosed on fentanyl. UC San Diego researchers are […]

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Uncategorized Published - 12 December, 2022    By - Dr Clemens
As Colleagues Head for the Exit, Remaining Staff Feel the Heat

Authors: Chelsea Altinger Casey, MD; Christopher J. Malgieri, MD ASA Monitor November 2022, Vol. 86, 36. We’ve all heard the parable of the boiling frog. If you put a frog into boiling water, it will jump out. But if you place it in tepid water and slowly raise the temperature, you get a boiled frog. The frog […]

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Uncategorized Published - 12 December, 2022    By - Dr Clemens
Influenza Vaccination in Perioperative Settings: A Teachable Moment

Authors: Suchitra Rao, M.B.B.S., M.S.C.S. et al  Anesthesiology December 2022, Vol. 137, 745–747. To the Editor: Although influenza vaccination is recommended for all children 6 months of age and older, American vaccination rates are well below U.S. Department of Health and Human Services (Washington, D.C.) target goals.  To increase vaccination rates, the Centers for Disease Control and […]

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