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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Comparison of rectus sheath block and local anesthetic for analgesia in pediatric umbilical hernia repair

AUTHORS: Lun-Hui Zhen et al Medicine (Baltimore). 2022 Sep 9; 101(36): e30391 BACKGROUND Pediatric umbilical hernia repair could cause considerable postoperative discomfort. This study aimed to compare the analgesia between rectus sheath block and local anesthetic infiltration in child pediatric umbilical hernia repair. METHODS The relevant randomized controlled trials were searched from PubMed, Embase, Web […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Association between post-operative delirium and use of volatile anesthetics in the elderly

AUTHORS: Thomas Saller et al J Clin Anesth. 2022 Sep 6; 83 110957 STUDY OBJECTIVE Early post-operative delirium is a common perioperative complication in the post anesthesia care unit. To date it is unknown if a specific anesthetic regime can affect the incidence of delirium after surgery. Our objective was to examine the effect of […]

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Uncategorized Published - 12 October, 2022    By - Dr Clemens
Fibromyalgia in spondyloarthritis: prevalence and effect on disease activity and treatment

AUTHORS: Saidane Olfa et al Curr Rheumatol Rev. 2022 Sep 2 BACKGROUNG Fibromyalgia may be associated to Spondyloarthritis with which it shares some common symptoms such as sleep disorders, fatigue and diffuse pain, leading to diagnostic and treatment dilemmas. OBJECTIVES We aimed to determine the prevalence of fibromyalgia in axial spondyloarthritis and to determine how […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Anesthesia and ABNs

Author: Tony Mira F1rstNews A Series of Services While this article is primarily focused on ABN usage in connection with an anesthesia practice, we are aware that many anesthesia groups have a chronic pain practice.  For such groups, it is important to note a particular rule that may come into play when (a) a pain […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
A Best Practice for Anesthesia Work Area Infection Control Measures: What Are You Waiting For?

AUTHORS: Jonathan E. Charnin, MD, FASA et al  Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022   SUMMARY:Evidence-based, basic infection control measures implemented effectively in the anesthesia work area can generate substantial reductions in pathogen transmission and surgical site infection development. These measures are indicated to improve patient safety. In this brief review, […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Evolving Standards for Anesthesia During Advanced GI Endoscopic Procedures

AUTHORS: Richard C. Prielipp, MD, MBA, FCCM et al  Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022   Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1189–1191, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within the text consistent with APSF […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Pro-Con Debate: Monitored Anesthesia Care Versus General Endotracheal Anesthesia for Endoscopic Retrograde Cholangiopancreatography

AUTHORS: Luke S. Janik, MD et al Anesthesia Patient Safety Foundation Volume 37, No. 3 • October 2022  Reprinted from Anesthesia & Analgesia, June 2022 • Volume 134 • Number 6, pages 1192–1200, with permission from International Anesthesia Research Society. Professional titles and nomenclature were standardized and modified within the text consistent with APSF policy. In this Pro-Con […]

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Uncategorized Published - 11 October, 2022    By - Dr Clemens
Pulmonary Vasodilator Response of Combined Inhaled Epoprostenol and Inhaled Milrinone in Cardiac Surgical Patients

AUTHORS: Elmi-Sarabi, Mahsa MSc et al  Anesthesia & Analgesia: September 15, 2022 BACKGROUND: Pulmonary hypertension (PH) and right ventricular (RV) dysfunction are major complications in cardiac surgery. Intraoperative management of patients at high risk of RV failure should aim to reduce RV afterload and optimize RV filling pressures, while avoiding systemic hypotension, to facilitate weaning from […]

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Uncategorized Published - 10 October, 2022    By - Dr Clemens
Risks and Benefits of the Use of the Postanesthesia Care Unit as an Intensive Care Unit and Special Considerations for Anesthesia Professionals

AUTHORS: George Tewfik, MD, MBA, FASA, CPE, MSBA et al  Anesthesia Safety Patient Foundation Volume 37, No. 3  October 2022  SUMMARY: The use of the post anesthesia care unit (PACU) as an intensive care unit (ICU) is a decision that can be made to accommodate overflow patients that require critical care. There are numerous risks and […]

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Uncategorized Published - 10 October, 2022    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 Volume 37, No. 3 • October 2022   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 […]

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