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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Temporal Trends and Predictors of Opioid Use Among Older Patients With Cancer

DG Journal Club AUTHORS: Mia Salans, Paul Riviere et al. Am J Clin Oncol. 2022 Jan OBJECTIVES While opioids represent a cornerstone of cancer pain management, the timing and patterns of opioid use in the cancer population have not been well studied. This study sought to explore longitudinal trends in opioid use among Medicare beneficiaries […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
Nonunion of traumatic rib fractures: a suitable indication for surgery?

DG Journal Club AUTHORS: Fabrizio Minervini, Jesse Peek et al. Eur J Trauma Emerg Surg. 2022 Jan PURPOSE Nonunion of traumatic rib fractures is a clinical/radiological diagnosis caused by an alteration of bone healing reparative process. Since it is a painful condition, nonunion has a significative impact on patient’s morbidity and quality of life. The […]

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Uncategorized Published - 1 February, 2022    By - Dr Clemens
The relationship between dietary sulfur amino acids intake and severity and frequency of pain in Iranian patients with musculoskeletal pains, 2020

DG Journal Club AUTHORS: Niki Bahrampour, Ariyo Movahedi et al. BMC Res Notes. 2022 Jan 10; 15(1): 13 OBJECTIVE Musculoskeletal pain conditions (MPs) are a widespread public problem that can affect 13.5% to 47% of the total population. Dietary changes can have strong effects on person’s health; for instance, Sulfur amino acids (SAAs) can act […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Severe Intraoperative Hyperglycemia and Infectious Complications After Elective Brain Neurosurgical Procedures

AUTHORS: Kulikov, Alexander MD, PhD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Postoperative infections after brain surgery are a serious complication potentially worsening the outcome of surgical treatment. Severe intraoperative hyperglycemia (SIH) contributes to both infectious and noninfectious postoperative complications. However, there are a lack of data on the incidence of SIH in patients undergoing […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Anesthesia and the Current Opioid Crisis

Author: Tony Mira F1rstNews Summary Despite education and efforts to reduce the abuse of opioids among Americans, the addiction crisis continues.  To what extent can pain management and anesthesia practices play a part in reducing America’s dependence on these substances? A new book has brought one of the nation’s most serious health crises into clear […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Preoperative anaemia and outcome after elective cardiac surgery

DG Journal Club AUTHORS: Yannick J J M Hazen, Peter G Noordzij et al. Br J Anaesth. 2022 Jan BACKGROUND Previous studies have shown that preoperative anaemia in patients undergoing cardiac surgery is associated with adverse outcomes. However, most of these studies were retrospective, had a relatively small sample size, and were from a single […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
Ultrasound-Guided Clavipectoral Fascial Plane Block With Intermediate Cervical Plexus Block for Midshaft Clavicular Surgery

AUTHORS: Zhuo, Qian MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Regional anesthesia such as interscalene brachial plexus block (ISBPB) with intermediate cervical plexus block (ICPB) is generally a preferred choice for clavicular surgery. However, various studies have shown that these blocks, especially ISBPB, could cause phrenic nerve paralysis and decrease diaphragmatic motion. The study […]

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Uncategorized Published - 31 January, 2022    By - Dr Clemens
HHS Distributing $2 Billion in Provider Relief Fund Payments to Additional Health Care Providers Impacted by the COVID-19 Pandemic

Author: Tony Mira F1rstNews In December 2021, Health Resources and Services Administration (HRSA),  began releasing Provider Relief Fund (PRF) Phase 4 General Distribution payments to providers and suppliers.  Phase 4 payments included new elements specifically focused on equity, including reimbursing smaller providers for their changes in operating revenues and expenses at a higher rate compared […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
Apnoeic oxygenation in morbid obesity: a randomised controlled trial comparing facemask and high-flow nasal oxygen delivery

AUTHORS: John Schutzer-Weissmann 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 oxygen and low-flow facemask oxygen […]

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Uncategorized Published - 28 January, 2022    By - Dr Clemens
Association of Sugammadex or Neostigmine With Major Postoperative Pulmonary Complications in Children

AUTHORS: Beltran, Ralph J. MD et al Anesthesia & Analgesia: January 2022 BACKGROUND: Recent data in adult patients indicate that the use of sugammadex compared to neostigmine for reversal of neuromuscular block (NMB) was associated with a significant reduction in the risk of composite postoperative pulmonary complications. Despite the clinical significance of pulmonary complications in children, […]

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