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Uncategorized Published - 30 June, 2022    By - Dr Clemens
Nurses’ Priorities for Perioperative Research in Africa

AUTHORS: Bedwell, Gillian J. MSc et al  Anesthesia & Analgesia: May 16, 2022 BACKGROUND: Mortality rates among surgical patients in Africa are double those of surgical patients in high-income countries. Internationally, there is a call to improve access to and safety of surgical and perioperative care. Perioperative research needs to be coordinated across Africa to positively […]

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Uncategorized Published - 29 June, 2022    By - Dr Clemens
Incidence, Outcomes, and Risk Factors for Preincision Cardiac Arrest in Cardiac Surgery Patients

AUTHORS: Geube, Mariya A. MD, FASE et al Anesthesia & Analgesia: May 13, 2022 BACKGROUND: We examined the incidence, postoperative outcomes, and patient-related factors associated with preincision cardiac arrest in patients undergoing cardiac surgery. METHODS: We retrospectively examined adult patients undergoing elective or urgent cardiac surgery at the Cleveland Clinic between 2008 and 2019. The incidence […]

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Uncategorized Published - 29 June, 2022    By - Dr Clemens
Relationship Between Glottic View and Intubation Force During Macintosh and Airtraq Laryngoscopy and Intubation

AUTHORS: Hindman, Bradley J. MD et al Anesthesia & Analgesia: May 16, 2022 BACKGROUND: Because intubation-mediated cervical spine and spinal cord injury are likely determined by intubation force magnitude, understanding the determinants of intubation force magnitude is clinically relevant. With direct (Macintosh) laryngoscopy, when glottic view is less favorable, anesthesiologists apply greater force. We hypothesized that, […]

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Uncategorized Published - 29 June, 2022    By - Dr Clemens
Excess Risk for Venous Thromboembolism Persists for Months After COVID-19

NEJM Journal Watch Bruce Soloway, MD, reviewing Katsoularis I et al. BMJ 2022 Apr 6 But risks are less elevated for those who do not require hospitalization. People with severe COVID-19 are at excess risk for venous thromboembolism (VTE), but whether risk also rises among patients with mild disease is unclear. Using Swedish national health databases, researchers identified […]

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Uncategorized Published - 29 June, 2022    By - Dr Clemens
Gabapentinoid Use Is Associated With Reduced Occurrence of Hyperactive Delirium in Older Cancer Patients Undergoing Chemotherapy

AUTHORS: Abe, Hiroaki MD, PhD et al Anesthesia & Analgesia: May 16, 2022 BACKGROUND: It is unclear whether gabapentinoids affect the development of delirium. We aimed to determine the association between gabapentinoid use and hyperactive delirium in older cancer patients undergoing chemotherapy. METHODS: We conducted propensity score-matched analyses using data from a nationwide inpatient database in […]

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Uncategorized Published - 29 June, 2022    By - Dr Clemens
Screening to Identify Postoperative Pain and Cross-Sectional Associations Between Factors Identified in This Process With Pain and Function, Three Months After Total Knee Replacement

AUTHORS: Vikki Wylde et al Arthritis Care Res (Hoboken). 2022 May; 74(5): 790-798 OBJECTIVE To describe the screening and recruitment process of a randomized trial and evaluate associations with knee pain and function 3 months after total knee replacement (TKR). METHODS In order to screen for a multicenter trial, a total of 5,036 patients were […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Comparison of Antinociceptive Properties Between Sevoflurane and Desflurane Using Pupillary Dilation Reflex Under Equivalent Minimum Alveolar Concentration

AUTHORS: Kim, Soo Yeon MD, PhD et al Anesthesia & Analgesia: May 13, 2022 BACKGROUND: The pupillary dilation reflex (PDR), the change in pupil size after a nociceptive stimulus, has been used to assess antinociception during anesthesia. The aim of this study was to compare the antinociceptive properties of sevoflurane and desflurane by measuring the PDR […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Pharmacokinetics a>nd Tolerability of Intraperitoneal Chloroprocaine After Fetal Extraction in Women Undergoing Cesarean Delivery

AUTHORS: Togioka, Brandon M. MD et al Anesthesia & Analgesia: May 12, 2022 BACKGROUND: Intraperitoneal chloroprocaine has been used during cesarean delivery to supplement suboptimal neuraxial anesthesia for decades. The short in vitro half-life of chloroprocaine (11–21 seconds) has been cited to support the safety of this approach. However, there are no data regarding the rate […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Diagnosis and Management of Lumbar Spinal Stenosis

Authors: Jeffrey N Katz et al JAMA. 2022 May 3; 327(17): 1688-1699 Importance Lumbar spinal stenosis is a prevalent and disabling cause of low back and leg pain in older persons, affecting an estimated 103 million persons worldwide. Most are treated nonoperatively. Approximately 600 000 surgical procedures are performed in the US each year for lumbar […]

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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Immunization with an mRNA COVID-19 Vaccine Isn’t Associated with Appendicitis

NEJM Journal Watch Paul S. Mueller, MD, MPH, FACP, reviewing Kildegaard H et al. JAMA Intern Med 2022 Apr 25 These results counter evidence from adverse-events reports and trial data. Some adverse-event reports and trial data suggest immunization with an mRNA COVID-19 vaccine is associated with developing appendicitis. In this study, Danish researchers used national registry data to […]

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