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Uncategorized Published - 28 June, 2022    By - Dr Clemens
Persistent lipedema pain in patients after bariatric surgery

AUTHORS: Manuel E Cornely et al Surg Obes Relat Dis. 2022 May; 18(5): 628-633 BACKGROUND Lipedema often remains undiagnosed in patients with obesity, leading to mismanagement of treatment. Because of this, despite remarkable weight loss after bariatric surgery and decreases in hip and abdomen circumference, some patients show only small decreases in circumference of the […]

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Uncategorized Published - 27 June, 2022    By - Dr Clemens
The association between epidural analgesia during labor and mother-infant bonding

AUTHORS: Yair Binyamin et al J Clin Anesth. 2022 Apr 27; 80 110795 STUDY OBJECTIVE This study was aimed to assess the association between the use of epidural analgesia during labor and mother-infant bonding. DESIGN A cross-sectional study. SETTING Maternity ward at Soroka University Medical Center during 2020. PATIENTS Women who delivered a singleton live-born […]

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Uncategorized Published - 27 June, 2022    By - Dr Clemens
Racial Disparities in the Use of Peripheral Nerve Blocks for Postoperative Analgesia After Total Mastectomy

AUTHORS: Mazzeffi, Michael A. MD, MPH, MSc et al Anesthesia & Analgesia: July 2022 – Volume 135 – Issue 1 – p 170-177 BACKGROUND:  Peripheral nerve blocks (PNBs) are used to provide postoperative analgesia after total mastectomy. PNBs improve patient satisfaction and decrease postoperative opioid use, nausea, and vomiting. Few studies have examined whether there is […]

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Uncategorized Published - 27 June, 2022    By - Dr Clemens
Platelet Transfusion and Outcomes After Massive Transfusion Protocol Activation for Major Trauma

AUTHORS: Aichholz, Pudkrong K. MD et al  Anesthesia & Analgesia: May 07, 2022 BACKGROUND: Incorporation of massive transfusion protocols (MTPs) into acute major trauma care has reduced hemorrhagic mortality, but the threshold and timing of platelet transfusion in MTP are controversial. This study aimed to describe early (first 4 hours) platelet transfusion practice in a setting […]

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Uncategorized Published - 27 June, 2022    By - Dr Clemens
Even Mild COVID-19 Can Lead to Substantial Brain Changes

This is important to anesthesia since we often make pts unconscious. NEJM Journal Watch Anthony L. Komaroff, MD, reviewing Douaud G et al. Nature 2022 Apr 28 Gollub RL. Nature 2022 Apr 28 MRI scans from before and after COVID-19 diagnosis show adverse brain changes. Brain imaging studies in people with COVID-19 typically have been small, cases have not been […]

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Uncategorized Published - 27 June, 2022    By - Dr Clemens
Effect of Local Anesthetic Injections on Subjective Pain Scales in Pediatric Tonsillectomies

AUTHORS: Joshua A Stramiello et al Otolaryngol Head Neck Surg. 2022 Apr 26 OBJECTIVE To assess the effect of local anesthetic injection on subjective pain scores for pediatric tonsillectomies on postoperative days (PODs) 0 and 1. DATA SOURCES A comprehensive literature search was conducted with the PubMed, Embase, Web of Science, and Scopus databases. REVIEW […]

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Uncategorized Published - 24 June, 2022    By - Dr Clemens
Anesthetic Considerations for Ambulatory Surgery in the Obese Patient

Authors: Alexander Bautista, MD, MBA, FASA et al  ASA Monitor June 2022, Vol. 86, 20–21. Ambulatory surgery is becoming increasingly popular, with the majority of surgeries now being performed on an outpatient basis. In 2018, there were over 19 million outpatient surgeries performed, and the volume of ambulatory surgery continues to grow each year (asamonitor.pub/3wsL8kF). The […]

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Uncategorized Published - 24 June, 2022    By - Dr Clemens
Emerging Trends in Anesthesia for Lung Transplantation

Authors: Brent T. Boettcher, DO; Archer Kilbourne Martin, MD ASA Monitor June 2022, Vol. 86, 16. Lung transplantation is the primary surgical treatment for patients with end-stage lung disease (ESLD). A total of 2,524 lung transplants were performed in the United States in 2021, which represents an increase of 40% during the past 10 years, including 214 […]

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Uncategorized Published - 24 June, 2022    By - Dr Clemens
Cutting-Edge Technology in Perioperative Blood Glucose Monitoring

Authors: Lalitha Sundararaman, MD et al  ASA Monitor June 2022, Vol. 86, 1–8. Diabetes mellitus is one of the top 10 causes of mortality and morbidity worldwide. Additionally, annual worldwide health care expenditure due to diabetes is $726 billion or more (Diabetes Res Clin Pract 2019;157:107843). Advancements in technologies that support diabetes management have greatly increased […]

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Uncategorized Published - 24 June, 2022    By - Dr Clemens
ACEing Perioperative Management of Cholinesterase Inhibitors

ASA Monitor June 2022, Vol. 86, e1. The ACE Question in the January issue of the ASA Monitor addresses perioperative medication management in patients with dementia. It is suggested that cholinesterase inhibitors should be stopped before elective surgery because they may prolong duration of succinylcholine and decrease the effects of neuromuscular blocking agents. However, there does not appear to […]

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