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Uncategorized Published - 7 February, 2022    By - Dr Clemens
Wound Infusion of 0.35% Levobupivacaine Reduces Mechanical Secondary Hyperalgesia and Opioid Consumption After Cesarean Delivery

AUTHORS: Gómez-Ríos, Manuel Á. MD et al Anesthesia & Analgesia: January 2022 BACKGROUND:  Some patients still report moderate-to-severe postoperative pain after cesarean delivery. Local anesthetic wound infusion improves acute pain and might act on peripheral and central sensitization mechanisms; however, no studies have proved this hypothesis. We evaluated the potential benefits of continuous wound infusion of […]

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Uncategorized Published - 7 February, 2022    By - Dr Clemens
Left in the Lurch: Anesthesia Time in Extended Situations

Author: Tony Mira F1rstNews Summary How do anesthesia providers account for time spent in cases that contain a delay on either the front end or back end?  Today’s alert provides recommended solutions for such scenarios. It happens occasionally.  A teacher waits for a delayed parent to pick up the last remaining child at the end […]

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Uncategorized Published - 7 February, 2022    By - Dr Clemens
Excess weight may accelerate brain aging

I know this has nothing to do with anesthesia but I wanted to share with our readers so they stay healthy. Author: Katharine Lang MedicalNewsToday Obesity and overweight increase the risk of many health conditions. A new study from Canada has found that excess body weight may also affect cognitive function, with inflammation possibly playing […]

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Uncategorized Published - 4 February, 2022    By - Dr Clemens
Evaluation of the effects of total intravenous anesthesia and inhalation anesthesia on postoperative cognitive recovery

DG Journal Club AUTHORS: Tülay Ceren Ölmeztürk Karakurt, Ufuk Kuyrukluyıldız et al. Anaesthesist. 2022 Jan OBJECTIVE To compare the effects of total intravenous anesthesia (TIVA) and inhalation anesthesia (IA) used in lumbar disc herniectomy on postoperative cognitive recovery based on the mini-mental state examination (MMSE) score and neuron-specific enolase (NSE) levels. MATERIAL AND METHODS The […]

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Uncategorized Published - 4 February, 2022    By - Dr Clemens
Apnoeic oxygenation in morbid obesity: a randomised controlled trial comparing facemask and high-flow nasal oxygen delivery

DG Journal Club AUTHORS: John Schutzer-Weissmann, Thomas Wojcikiewicz et al. Br J Anaesth. 2022 Jan BACKGROUND Obesity is a risk factor for airway-related incidents during anaesthesia. High-flow nasal oxygen has been advocated to improve safety in high-risk groups, but its effectiveness in the obese population is uncertain. This study compared the effect of high-flow nasal […]

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Uncategorized Published - 4 February, 2022    By - Dr Clemens
Opioid Crisis Requires New Approaches to Prescription Opioid Management

Duke Anesthesiology To address the U.S. opioid epidemic, policies and guidelines have focused primarily on reducing opioid prescribing and restricting supply. Accordingly, opioid prescribing decreased 38% in the past decade. Nevertheless, fatal opioid overdoses actually increased 300% during that period. The U.S. Centers for Disease Control and Prevention reports that more than 73,000 people died […]

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Uncategorized Published - 4 February, 2022    By - Dr Clemens
Anaesthesia and caring for patients during the COVID-19 outbreak. Airway Management Guidelines

Source: Australian Society of Anaesthetists doctoryg.blogspot.com AIM To advise on processes and techniques required to protect staff and prevent transmission of infection during airway procedures for patients with known or suspected COVID-19 infection. To help anaesthesia staff and anaesthesia departments in clinical decision making and in the production of local processes and protocols. This advice is […]

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Uncategorized Published - 4 February, 2022    By - Dr Clemens
Placenta Accreta Spectrum Disorders

AUTHORS: Warrick, Christine M. MD et al Anesthesia & Analgesia: January 2022 Abstract Placenta accreta spectrum (PAS) disorder is a potentially life-threatening condition that can occur during pregnancy. PAS puts pregnant individuals at a very high risk of major blood loss, hysterectomy, and intensive care unit admission. These patients should receive care in a center with […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
The Burden of Coronavirus Disease 2019–Related Cases, Hospitalizations, and Mortality Based on Vaccination Status and Mandated Mask Use

AUTHORS: Abd-Elsayed, Alaa MD et al Anesthesia & Analgesia: March 2022 – Volume 134 – Issue 3 – p 524-531 BACKGROUND:  Coronavirus disease 2019 (COVID-19) cases continue to surge in the United States with the emergence of new variants. Statewide variability and inconsistency in implementing risk mitigation strategies are widespread, particularly in regards to enforcing mask […]

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Uncategorized Published - 3 February, 2022    By - Dr Clemens
Advances in Interventional Therapies for Painful Diabetic Neuropathy

AUTHORS: Xu, Li MD, PhD et al  Anesthesia & Analgesia: January 2022 BACKGROUND: Painful diabetic neuropathy (PDN) is one of the major complications of diabetes mellitus. It is often debilitating and refractory to pharmaceutical therapies. Our goal was to systematically review and evaluate the strength of evidence of interventional management options for PDN and make evidence-based […]

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