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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Preoperative Care for Cataract Surgery: The Society for Ambulatory Anesthesia Position Statement

AUTHORS: Sweitzer, BobbieJean MD, FACP, SAMBA-F, FASA et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1431-1436 Abstract Cataract surgeries are among the most common procedures requiring anesthesia care. Cataracts are a common cause of blindness. Surgery remains the only effective treatment of cataracts. Patients are often elderly with comorbidities. […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Enhanced Recovery Programs in an Ambulatory Surgical Oncology Center

AUTHORS: Afonso, Anoushka M. MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1391-1401 BACKGROUND:  We describe the implementation of enhanced recovery after surgery (ERAS) programs designed to minimize postoperative nausea and vomiting (PONV) and pain and reduce opioid use in patients undergoing selected procedures at an ambulatory cancer […]

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Uncategorized Published - 29 November, 2021    By - Dr Clemens
Remote Ischemic Preconditioning Reduces Acute Kidney Injury After Cardiac Surgery

AUTHORS: Long, Yu-qin MD et al Anesthesia & Analgesia: November 2021 Abstract BACKGROUND: Results from previous studies evaluating the effects of remote ischemic preconditioning (RIPC) on morbidity and mortality after cardiac surgery are inconsistent. This meta-analysis of randomized controlled trials (RCTs) aims to determine whether RIPC improves cardiac and renal outcomes in adults undergoing cardiac surgery. […]

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Uncategorized Published - 26 November, 2021    By - Dr Clemens
Temporal Transitions in Fibrinolysis after Trauma: Adverse Outcome Is Principally Related to Late Hypofibrinolysis

Authors: Andrea Rossetto, M.D. et al  Anesthesiology November 2021. Background The relationship between late clinical outcomes after injury and early dynamic changes between fibrinolytic states is not fully understood. The authors hypothesized that temporal transitions in fibrinolysis states using rotational thromboelastometry (ROTEM) would aid stratification of adverse late clinical outcomes and improve understanding of how […]

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Uncategorized Published - 26 November, 2021    By - Dr Clemens
Mediastinal Masses, Anesthetic Interventions, and Airway Compression in Adults

Authors: Philip M. Hartigan, M.D. et al  Anesthesiology November 2021. Background Central airway occlusion is a feared complication of general anesthesia in patients with mediastinal masses. Maintenance of spontaneous ventilation and avoiding neuromuscular blockade are recommended to reduce this risk. Physiologic arguments supporting these recommendations are controversial and direct evidence is lacking. The authors hypothesized […]

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Uncategorized Published - 26 November, 2021    By - Dr Clemens
Preoperative Acetaminophen Decreases Need for Opioids Following Rotator Cuff Repair

DG News The use of acetaminophen before surgery for rotator cuff repair resulted in better pain control and a decline in opioid use, according to a study published in the Journal of Shoulder and Elbow Surgery. The prospective, randomised, 3-arm study compared the impact of oxycodone 5 mg every 6 hours as needed plus oral […]

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Uncategorized Published - 26 November, 2021    By - Dr Clemens
Prolonged Use of Opioids, Risk of Addiction Observed in Older Patients After Fracture Surgery

DG News Extended opioid usage occurred in older patients, aged 60 years and up, who undergo fracture surgery, according to a study presented at the 2021 Virtual Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Investigators looked at 29,618 patients who were naïve to opioids and underwent hip fracture surgery between 2009 and […]

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Uncategorized Published - 26 November, 2021    By - Dr Clemens
What to know about migraine prevention treatments

Author: Beth Sissons MedicalNewsToday Migraine prophylaxis, or prevention treatment, may help reduce or prevent migraine attacks. Prophylaxis may include medication, integrative therapies such as acupuncture and behavioral therapy, or a combination of both. Migraine prophylaxis may help reduce the frequency of migraine headaches, decrease pain intensity, and improve quality of life. Evidence suggests there are effective […]

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Uncategorized Published - 25 November, 2021    By - Dr Clemens
Happy Thanksgiving

We want to thank all of our readers a Happy Thanksgiving.  Please be safe and don’t overeat.

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Uncategorized Published - 24 November, 2021    By - Dr Clemens
Hemodynamic Responses to Crystalloid and Colloid Fluid Boluses during Noncardiac Surgery

Authors: Christian Reiterer, M.D. et al  Anesthesiology November 2021. Background Colloids are thought to sustain blood pressure and cardiac index better than crystalloids. However, the relative effects of intraoperative hydroxyethyl starch and crystalloid administration on the cardiac index and blood pressure remain unclear. This study therefore tested in this subanalysis of a previously published large […]

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