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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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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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