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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Burnout Syndrome Among Anesthesia Providers Working in Public Hospitals in Rwanda

AUTHORS: Tuyishime, Eugene MBBS, MSc, MMed, FCA (ECSA) et al  Anesthesia & Analgesia: April 2022 BACKGROUND: Many studies address anesthesia provider burnout in high-income countries; however, there is a paucity of data on burnout for anesthesia providers in low-income countries (LICs). Our objectives were (1) to evaluate the prevalence of burnout among anesthesia providers in Rwandan […]

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Uncategorized Published - 5 May, 2022    By - Dr Clemens
Long-Term Cardiovascular Disease Following COVID-19

NEJM Journal Watch Anthony L. Komaroff, MD, reviewing Xie Y et al.  Nat Med 2022 Mar Risks for chronic disease rose among COVID-19 survivors, compared with risks among contemporary controls. COVID-19 often causes acute cardiovascular complications, even in young adults. To assess risk for chronic complications, investigators used U.S. Veterans Affairs (VA) databases to estimate new cardiovascular disease that was first […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
APSF-Endorsed Statement on Revising Recommendations for Patient Monitoring During Anesthesia

The APSF Committee on Technology This Statement was authored by the APSF Committee on Technology and approved by the APSF Board of Directors. The APSF Committee on Technology (COT) has reviewed statements* for patient monitoring during anesthesia care published by a sampling of professional organizations from around the world. Since patient safety during anesthesia is […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
No Link Between Cognitive Changes, Alzheimer’s Markers After Major Surgery

Author: Sarah Avery DukeHealth Feb 2, 2022 Cognitive changes following non-neurologic and non-cardiac surgery were not associated with changes in Alzheimer’s disease-related biomarkers in older patients, according to a study led by a team at Duke University School of Medicine. The finding, published online in the journal Annals of Clinical & Translational Neurology, could help ease concerns […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
Pregnancy and Labor Epidural Effects on Gastric Emptying

Authors: Lionel Bouvet, M.D., Ph.D. et al  Anesthesiology April 2022, Vol. 136, 542–550. Background The lack of reliable data on gastric emptying of solid food during labor has led to some discrepancies between current guidelines regarding fasting for solid food in the parturient. This prospective comparative study aimed to test the hypothesis that the gastric emptying […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
Anesthetic Practice Trends and Perceptions Toward Postoperative Delirium

AUTHORS: Ragheb, Jacqueline MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Delirium is the most common postoperative complication in older adults, though anesthesiologist awareness of delirium prevention guidelines—and associated practice trends—remains unknown. METHODS: This was a convergent mixed-methods study, which simultaneously analyzed quantitative and qualitative data to determine delirium guideline awareness among anesthesiologists and practice […]

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Uncategorized Published - 4 May, 2022    By - Dr Clemens
I see so much of this in pain management

Author: MERIDETH C. NORRIS, DO  KevinMD .com In 2017, the CDC rolled out a “solution” to the opioid crisis. The recommendations, which were never intended to become laws, were mostly level of evidence three or below. To put it another way, they were not robust, nor were they based on research in any way that […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Tension headache vs. migraine: What is the difference?

Author: Rachel Ann Tee-Melegrito MedicalNewsToday People sometimes use the terms tension headache and migraine interchangeably to describe pain or pressure in the head. Differentiating the two is vital to get appropriate treatment and prevent future headaches. Tension headache and migraine are two of the most common types of headaches. About 3 in 4 of the general […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Pulse Wave Analysis Using the Pressure Recording Analytical Method to Measure Cardiac Output in Pediatric Cardiac Surgery Patients

AUTHORS: Greiwe, Gillis MD et al  Anesthesia & Analgesia: April 2022 Abstract   BACKGROUND: Cardiac output (CO) is a key determinant of oxygen delivery, but choosing the optimal method to obtain CO in pediatric patients remains challenging. The pressure recording analytical method (PRAM), implemented in the MostCareUp system (Vygon), is an invasive uncalibrated pulse wave analysis […]

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Uncategorized Published - 3 May, 2022    By - Dr Clemens
Dose Escalation Pharmacokinetic Study of Intranasal Atomized Dexmedetomidine in Pediatric Patients With Congenital Heart Disease

AUTHORS: Grogan, Kelly MD et al Anesthesia & Analgesia: April 2022 BACKGROUND: Atomized intranasal dexmedetomidine is an attractive option when sedation is required for pediatric patients as either premedication or the sole agent for noninvasive, nonpainful procedures. While intranasal dexmedetomidine is used frequently in this population, it is still unclear what dose and time of administration […]

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