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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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Uncategorized Published - 24 November, 2021    By - Dr Clemens
Preoperative Opioid Utilization Patterns and Postoperative Opioid Utilization

Authors: Chris A. Rishel, M.D., Ph.D. et al  Anesthesiology December 2021, Vol. 135, 1015–1026. Background Among chronic opioid users, the association between decreasing or increasing preoperative opioid utilization and postoperative outcomes is unknown. The authors hypothesized that decreasing utilization would be associated with improved outcomes and increasing utilization with worsened outcomes. Methods Using commercial insurance […]

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Uncategorized Published - 24 November, 2021    By - Dr Clemens
Arterial and Mixed Venous Kinetics of Desflurane and Sevoflurane, Administered Simultaneously, at Three Different Global Ventilation to Perfusion Ratios in Piglets with Normal Lungs

Authors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al  Anesthesiology December 2021, Vol. 135, 1027–1041. Background Previous studies have established the role of various tissue compartments in the kinetics of inhaled anesthetic uptake and elimination. The role of normal lungs in inhaled anesthetic kinetics is less understood. In juvenile pigs with normal lungs, the authors measured […]

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Uncategorized Published - 24 November, 2021    By - Dr Clemens
OnabotulinumtoxinA Provides Relief From Persistent Pelvic Pain in Patients With Endometriosis

This is for our readers that treat pain patients. Author: Louise Gagnon DG News Injecting onabotulinumtoxinA into pelvic floor muscles with spasms provided pain relief in women with endometriosis-related chronic pain refractory to standard treatment, according to a study presented at the 2021 Annual Meeting of the American Society for Reproductive Medicine (ASRM). “We chose […]

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Uncategorized Published - 24 November, 2021    By - Dr Clemens
Disruptive Innovation: Deciphering a Classic Business Model and Its Applications to Anesthesiology

Author: Nirav V. Kamdar, MD, MPP, MBA ASA Monitor November 2021, Vol. 85, 30–31. Are you tired of the word “disruption?” Some are. We are inundated with the trendy terminology in lectures, conferences, podcasts, and most of all in descriptions of new companies or services. Each new entrepreneur touts their company as a disruptor for […]

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Uncategorized Published - 23 November, 2021    By - Dr Clemens
Effect of Global Ventilation to Perfusion Ratio, for Normal Lungs, on Desflurane and Sevoflurane Elimination Kinetics

Authors: James E. Baumgardner, M.D., Ph.D., M.D. et al  Anesthesiology December 2021, Vol. 135, 1042–1054. Background Kinetics of the uptake of inhaled anesthetics have been well studied, but the kinetics of elimination might be of more practical importance. The objective of the authors’ study was to assess the effect of the overall ventilation/perfusion ratio (VA/Q), […]

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Uncategorized Published - 23 November, 2021    By - Dr Clemens
Intubation Biomechanics: Clinical Implications of Computational Modeling of Intervertebral Motion and Spinal Cord Strain during Tracheal Intubation in an Intact Cervical Spine

Authors: Benjamin C. Gadomski, Ph.D. et al  Anesthesiology December 2021, Vol. 135, 1055–1065. Background In a closed claims study, most patients experiencing cervical spinal cord injury had stable cervical spines. This raises two questions. First, in the presence of an intact (stable) cervical spine, are there tracheal intubation conditions in which cervical intervertebral motions exceed […]

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Uncategorized Published - 23 November, 2021    By - Dr Clemens
Postoperative Pain and Age: A Retrospective Cohort Association Study

Authors: Jacqueline F. M. van Dijk, Ph.D. et al  Anesthesiology December 2021, Vol. 135, 1104–1119. Background As the population ages, the number of elderly people undergoing surgery increases. Literature on the incidence and intensity of postoperative pain in the elderly is conflicting. This study examines associations between age and pain-related patient reported outcomes and perioperative pain […]

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