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Uncategorized Published - 26 January, 2022    By - Dr Clemens
SHOULD YOU CANCEL SURGERY FOR A BLOOD PRESSURE OF 170/99?

Author: Rcik Novak MD The Anesthesia Consultant Clinical Case for Discussion:  This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair.  His blood pressure when you meet him in pre-op is 170/99 mmHg.  The nurses and the surgeon are alarmed.  What would you […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
Effect of Kinesio taping on Pregnancy-related low back pain

AUTHORS: Xiali Xue et al PLoS One. 2022; 17(1): e0261766 BACKGROUND Pregnancy-related low back pain (PLBP) affects the daily living activities of pregnant women, even leading to fetal agitation and threatened abortion. Kinesio taping (KT) can improve the circulation of blood and provide elastic supports, which is a reliable method to treat low back pain. […]

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Uncategorized Published - 26 January, 2022    By - Dr Clemens
Low Skeletal Muscle Mass Is Associated With Perioperative Neurocognitive Disorder Due To Decreased Neurogenesis in Rats

AUTHORS: Nemoto, Akira MD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 194-203 BACKGROUND:  Perioperative neurocognitive disorder (PND) is a postsurgical complication associated with neuroinflammation and impaired hippocampal neurogenesis, in which brain-derived neurotrophic factor (BDNF) plays a key role. Sarcopenia refers to age-related muscle loss that causes cognitive decline, […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
The Association of Laryngeal Position on Videolaryngoscopy and Time Taken to Intubate Using Spatial Point Pattern Analysis of Prospectively Collected Quality Assurance Data

AUTHORS: Miller, Matthew R. MSc, FANZCA et al  Anesthesia & Analgesia: January 2022 BACKGROUND: During videolaryngoscopy (VL), the larynx appears within the defined area of the video screen, and its location can be measured as a point within this space. Spatial statistics offer methods to explore the relationship between location data and associated variables of interest. […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
Central Venous-to-Arterial CO2 Difference–Assisted Goal-Directed Hemodynamic Management During Major Surgery

AUTHORS: H N, Lohith Kumar MD et al Anesthesia & Analgesia: January  2022 BACKGROUND: Different goals have guided goal-directed therapy (GDT). Protocols aiming for central venous-to-arterial carbon dioxide gap (DCO2) <6 mm Hg have improved organ function in septic shock. Evidence for use of DCO2 in the perioperative period is scarce. We aimed to determine if a […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
Validation of the Lusaka Formula: A Novel Formula for Weight Estimation in Children Presenting for Surgery in Zambia

AUTHORS: Phiri, Hope MBChB, MMed et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 171-177 BACKGROUND:  In children, the use of actual weight or predicted weight from various estimation methods is essential to reduce harm associated with dosing errors. This study aimed to validate the new locally derived Lusaka formula […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
Cardiac dysfunction, arrhythmias common among recovered COVID-19 patients

Author: Anthony Vecchione  Cardiovascular Business Many recovered COVID-19 patients still show signs of right ventricular dysfunction and diastolic dysfunction three months after hospitalization, according to a new study published in the Journal of the American Heart Association. Researchers examined 204 patients who had been previously hospitalized with COVID-19. All patients were treated in Norway from February 2020 to June 2020. Fifty-six […]

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Uncategorized Published - 25 January, 2022    By - Dr Clemens
What to know about acupuncture and shingles

Author: Kathleen Davis FNP MedicalNewsToday Acupuncture is a form of traditional Chinese medicine that involves inserting thin needles into specific points on the body. Some evidence suggests that this alternative medicine can help relieve pain and may have some benefit for providing relief from painful complications of shingles. Shingles is a viral infection resulting from the […]

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Uncategorized Published - 24 January, 2022    By - Dr Clemens
EMERGENCY AT A SURGERY CENTER

Author: Rick Novak MD The Anesthesia Consultant You’re the anesthesiologist assigned to a freestanding ambulatory surgery center (ASC). Are you and the facility prepared for an emergency at a surgery center? Let’s examine this case study: You meet your first patient of the morning, a 75-year-old female scheduled for lateral epicondylitis release surgery on her right […]

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Uncategorized Published - 24 January, 2022    By - Dr Clemens
Developing a Real-Time Electroencephalogram-Guided Anesthesia-Management Curriculum for Educating Residents

AUTHORS: Berger, Miles MD, PhD et al Anesthesia & Analgesia: January 2022 – Volume 134 – Issue 1 – p 159-170 BACKGROUND:  Different anesthetic drugs and patient factors yield unique electroencephalogram (EEG) patterns. Yet, it is unclear how best to teach trainees to interpret EEG time series data and the corresponding spectral information for intraoperative anesthetic […]

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