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Uncategorized Published - 14 April, 2022    By - Dr Clemens
What’s the link between back pain and kidney cancer?

Author: Beth Sissous MedicalNewsToday Kidney cancer can cause persistent lower back pain on one side, but this is usually when a tumor has grown very large. Early-stage kidney cancer often has no symptoms. Back pain is a very common medical problem in the United States. It is most often due to injury or overuse but can […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
Regional Anesthesia Associated With Decreased Inpatient and Outpatient Opioid Demand in Tibial Plateau Fracture Surgery

AUTHORS: Cunningham, Daniel J. MD, MHSc et al Anesthesia & Analgesia: March 2022 BACKGROUND: Regional anesthesia (RA) has been used to reduce pain and opioid usage in elective orthopedic surgery. The hypothesis of this study was that RA would be associated with decreased opioid demand in tibial plateau fracture surgery. METHODS: Inpatient opioid consumption and 90-day […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
Postoperative Analgesic Efficacy and Safety of Ropivacaine Plus Diprospan for Preemptive Scalp Infiltration in Patients Undergoing Craniotomy

AUTHORS: Han, Xueye MD et al Anesthesia & Analgesia: March 2022  BACKGROUND: Preemptive injection of local anesthetics can prevent postoperative pain at the incision site, but the analgesic effect is insufficient and is maintained only for a relatively short period of time. Diprospan is a combination of quick-acting betamethasone sodium phosphate and long-acting betamethasone dipropionate. […]

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Uncategorized Published - 14 April, 2022    By - Dr Clemens
Patients with COVID-19 exhibit increased risks and 12-month burdens of incident diabetes and antihyperglycaemic use in post-acute phase

DG Alert In the post-acute phase, individuals with coronavirus disease 2019 (COVID-19) exhibited increased risks and 12-month burdens of incident diabetes and antihyperglycaemic use compared with a contemporary control group of people who were enrolled during the same period and had not contracted the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and a historical control […]

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Uncategorized Published - 13 April, 2022    By - Dr Clemens
Association Between Preoperative Fibrinogen-to-Albumin Ratio and All-Cause Mortality After Off-Pump Coronary Artery Bypass Grafting

AUTHORS: Park, Seoyeong MD et al Anesthesia & Analgesia: February 2022 BACKGROUND: The fibrinogen-to-albumin ratio (FAR) is a recently introduced prognostic marker for patients with coronary artery disease. The present study investigated whether the FAR is associated with clinical outcome after off-pump coronary artery bypass grafting (OPCAB). METHODS: We retrospectively reviewed 1759 patients who underwent OPCAB […]

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Uncategorized Published - 13 April, 2022    By - Dr Clemens
Heparin-induced Thrombocytopenia: Perioperative Diagnosis and Management

Authors: Andreas Koster, M.D. et al  Anesthesiology February 2022, Vol. 136, 336–344. Heparin-induced thrombocytopenia (HIT) is a severe immune-mediated disease in which heparin promotes thrombosis.  Approximately 10% of patients who experience HIT die in the hospital.  The incidence of HIT varies, depending on the type of heparin used and the patient population.  In a recent analysis of the […]

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Uncategorized Published - 13 April, 2022    By - Dr Clemens
Use of Dried Plasma in Prehospital and Austere Environments

Authors: Anthony E. Pusateri, Ph.D. et al  Anesthesiology February 2022, Vol. 136, 327–335. The importance of early transfusion for patients with hemorrhagic shock, particularly early administration of plasma in proportion with red cells, has become widely recognized during the past decade.  Recent studies have demonstrated survival benefit when transfusion is initiated before arrival at the trauma […]

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Uncategorized Published - 13 April, 2022    By - Dr Clemens
The 2021 Job Market for Graduating Anesthesiology Residents

Authors: Molly Kraus, MD and William David Sumrall, III, MD, FASA ASA Monitor February 2022, Vol. 86, 31–33. The ASA Committee on Practice Management has completed its sixth survey of graduating anesthesiology residents. The goal of the survey is to provide data about current trends in the anesthesiology job market. The committee hopes that graduating residents […]

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Uncategorized Published - 13 April, 2022    By - Dr Clemens
Bariatric surgery associated with lower risk of death and cardiovascular disease

Author: Michael Walter Cardiovascular Business Bariatric surgery can help obese patients lower their risk of all-cause and cardiovascular mortality, according to a new systematic review and meta-analysis published in European Heart Journal.[1] “Treatment of obesity is difficult, and initially based on lifestyle change, diet, and increased physical activity,” wrote lead author Sophie L. van Veldhuisen, MD, of […]

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Uncategorized Published - 12 April, 2022    By - Dr Clemens
Evaluation of Diaphragmatic Function after Interscalene Block with Liposomal Bupivacaine

Authors: Aaron A. Berg, D.O. et al  Anesthesiology April 2022, Vol. 136, 531–541. Background Interscalene blocks provide analgesia for shoulder surgery but also cause phrenic nerve paralysis. Liposomal bupivacaine is approved for use in interscalene blocks with the potential to provide longer pain control. However, the impact of liposomal bupivacaine on the phrenic nerve has […]

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