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Uncategorized Published - 18 April, 2022    By - Dr Clemens
The Impact of Neuromuscular Electrical Stimulation during Walking on Pain Sensitivity in Obese Women with Knee Pain

DG Journal Club AUTHORS: Hiroo Matsuse, Neil A Segal, Kaitlin G Rabe, Naoto Shiba Arch Phys Med Rehabil. 2022 Mar 22 OBJECTIVE To assess the extent to which pain sensitivity is altered in obese women with frequent knee symptoms who walk with either a hybrid training system (HTS) that provides antagonist muscle electrical stimulation vs. […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
Use of Epidural in Childbirth Is Linked to Decreased Severe Maternal Morbidity

DG News In a study of vaginal births in New York State hospitals, labour neuraxial analgesia  was associated with a decreased risk of severe maternal morbidity. Deliveries with a neuraxial analgesia also lessened the risk of postpartum haemorrhage, the leading cause of preventable severe maternal morbidity, according to Jean Guglielminotti, MD, Columbia University Mailman School […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
Association Between Race and Opioid-Induced Respiratory Depression

AUTHORS: Sim, Ming Ann MBBS et al Anesthesia & Analgesia: March 2022 BACKGROUND: Opioid-induced respiratory depression (OIRD) is common on the medical and surgical wards and is associated with increased morbidity and health care costs. While previous studies have investigated risk factors for OIRD, the role of race remains unclear. We aim to investigate the association […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
The impact of pain on quality of life in patients with osteoarthritis

DG Journal Club AUTHORS: Mojahed Shalhoub, Mohammad Anaya, Soud Deek, Anwar H Zaben BMC Musculoskelet Disord. 2022 Mar 14; 23(1): 248 BACKGROUND Osteoarthritis is one of the most common musculoskeletal problems. Pain is the most common complaint and the most significant cause of decreased health-related quality of life (HRQOL) among osteoarthritic patients. The objectives of […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Comparison Between Subparaneural Upper Trunk and Conventional Interscalene Blocks for Arthroscopic Shoulder Surgery

AUTHORS: Zhang, Hongye MD et al Anesthesia & Analgesia: March 2022 BACKGROUND: Although interscalene nerve block is the standard for shoulder analgesia, the risk of hemidiaphragmatic paralysis restricts its use in patients with compromised pulmonary function. We hypothesized that a novel subparaneural upper trunk block would provide noninferior postoperative analgesia but superior diaphragmatic sparing effect compared […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Assessment of a Naloxone Coprescribing Alert for Patients at Risk of Opioid Overdose

AUTHORS: Nelson, Scott D. PharmD, MS, CPHIMS, FAMIA et al Anesthesia & Analgesia: March 2022 BACKGROUND: Patients taking high doses of opioids, or taking opioids in combination with other central nervous system depressants, are at increased risk of opioid overdose. Coprescribing the opioid-reversal agent naloxone is an essential safety measure, recommended by the surgeon general, but […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Diabetes mellitus and perioperative outcomes

DG Journal Club AUTHORS: Daniel J Drayton, Rebecca J Birch, Carlota D’Souza-Ferrer, Michael Ayres Br J Anaesth. 2022 Mar BACKGROUND Diabetes mellitus (DM) is frequently encountered in the perioperative period. DM may increase the risk of adverse perioperative outcomes owing to the potential vascular complications of DM. We conducted a scoping review to examine the […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Burnout: What are the symptoms?

Author: Zawn Villines MedicalNewsToday Burnout is a reaction to intense and usually chronic stress. Most research discusses burnout in relation to a person’s job. However, other roles, such as being a parent or caregiver, can also sometimes lead to burnout. Burnout symptoms can affect a person’s work and relationships, as well as their emotional and […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Future of Perioperative Precision Medicine: Integration of Molecular Science, Dynamic Health Care Informatics, and Implementation of Predictive Pathways in Real Time

Authors: Nirvik, Pal MBBS, MD, FASE*; Kertai, Miklos D. MD, PhD† Anesthesia & Analgesia: March 2022 Abstract Conceptually, precision medicine is a deep dive to discover disease origin at the molecular or genetic level, thus providing insights that allow clinicians to design corresponding individualized patient therapies. We know that a disease state is created by not […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
Factors Associated With Postreperfusion Syndrome in Living Donor Liver Transplantation

AUTHORS: Umehara, Kaoru MD, PhD et al Anesthesia & Analgesia: March 2022 BACKGROUND: Postreperfusion syndrome (PRS) after portal vein reperfusion during liver transplantation (LT) has been reported to cause rapid hemodynamic changes and is associated with a prolonged postoperative hospital stay, renal failure, and increased mortality. Although there are some reports on risk factors for PRS […]

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