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Uncategorized Published - 4 November, 2021    By - Dr Clemens
Postoperative Hematocrit and Adverse Outcomes in Pediatric Cardiac Surgery Patients

AUTHORS: Long, Justin B. MD et al Anesthesia & Analgesia: November 2021 – Volume 133 – Issue 5 – p 1077-1088 BACKGROUND:  We sought to examine potential associations between pediatric postcardiac surgical hematocrit values and postoperative complications or mortality. METHODS: A retrospective, cross-sectional study from the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) and […]

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Uncategorized Published - 4 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 acetaminophen […]

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Uncategorized Published - 4 November, 2021    By - Dr Clemens
Deepening of sedation with propofol has limited effect on intra-abdominal pressure – An interventional study in mechanically ventilated adult patients with intra-abdominal hypertension

DG Journal Club AUTHORS: Martin Padar, Joel Starkopf et al. J Crit Care. 2021 Oct; 65 98-103 PURPOSE To evaluate the effect of deepening of sedation on intra-abdominal pressure (IAP). METHODS 37 adult mechanically ventilated ICU patients with intra-abdominal hypertension received a bolus dose and subsequent infusion of propofol (bolus: 1 mg/kg, infusion: 3 mg/kg/h). […]

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Uncategorized Published - 4 November, 2021    By - Dr Clemens
Does Patient Body Mass Index Affect the Outcome of Multimodal Rehabilitation in Chronic Mechanical Low Back Pain?

DG Journal Club AUTHORS: Gautam M Shetty, Shikha Jain et al. Spine (Phila Pa 1976). 2021 Oct 1; 46(19): 1336-1343 STUDY DESIGN Retrospective. OBJECTIVE The aim of this study was to investigate the effect of body mass index (BMI) on pain and disability in patients with chronic mechanical low back pain (LBP) treated with multimodal […]

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Uncategorized Published - 3 November, 2021    By - Dr Clemens
Antifibrinolytic Drugs for the Prevention of Bleeding in Pediatric Cardiac Surgery on Cardiopulmonary Bypass

AUTHORS: Siemens, Kristina MD et al Anesthesia & Analgesia: October 2021 BACKGROUND: Bleeding is one of the commonest complications affecting children undergoing cardiac surgery on cardiopulmonary bypass. Antifibrinolytic drugs are part of a multifaceted approach aimed at reducing bleeding, though sufficiently sized pediatric studies are sparse, and dosing algorithms are heterogeneous. Our objective was to evaluate […]

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Uncategorized Published - 3 November, 2021    By - Dr Clemens
Researchers ID Risk Factors for Residual Neuromuscular Blockade Following Rocuronium Administration in Paediatric Patients

Author: Erika Powers DG News The time between the last dose of rocuronium and neostigmine, and a cumulative dose of rocuronium >0.505 mg/kg/hr appear to be associated with incomplete neuromuscular blockade reversal in children and adolescents aged younger than 18 years, according to a study presented at Anesthesiology 2021, the Annual Meeting of the American […]

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Uncategorized Published - 3 November, 2021    By - Dr Clemens
Increased Perioperative Morbidity, Mortality in Patients Who Had COVID-19 Within 1 Month of Undergoing Orthopaedic Surgery

Author: Erika Powers DG News Among patients undergoing planned or emergency orthopaedic surgery, the rate of postoperative oxygen requirements, pneumonia, and mortality were significantly higher among those who had tested positive for coronavirus disease 2019 (COVID-19) within the 30 days prior to surgery than those without, according to a study presented at Anesthesiology 2021, the […]

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Uncategorized Published - 3 November, 2021    By - Dr Clemens
Gluten and migraine: What is the link?

Author: Jennifer Huizen Medical News Today Migraine is a neurological condition that causes moderate to severe headaches, along with other symptoms such as nausea and sensitivity to light. It is more common in people with celiac disease compared to people without the condition. Celiac disease is a serious autoimmune condition that causes symptoms if a […]

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Uncategorized Published - 3 November, 2021    By - Dr Clemens
Impact of Bilateral Subcostal Plus Lateral Transversus Abdominis Plane Block on Quality of Recovery After Laparoscopic Cholecystectomy

AUTHORS: Jung, Jaewoong MD et al Anesthesia & Analgesia: December 2021 – Volume 133 – Issue 6 – p 1624-1632 BACKGROUND:  Previous research has not evaluated the potential effect of transversus abdominis plane (TAP) block on quality of recovery following laparoscopic cholecystectomy. Therefore, we investigated whether addition of the bilateral subcostal and lateral TAP (bilateral dual […]

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Uncategorized Published - 3 November, 2021    By - Dr Clemens
Spinal Neuronal GRK2 Contributes to Preventive Effect by Electroacupuncture on Cisplatin-Induced Peripheral Neuropathy in Mice

AUTHORS: Ma, Xue BD et al Anesthesia & Analgesia: October 2021 BACKGROUND: The main symptoms of chemotherapy-induced peripheral neuropathy (CIPN) include pain and numbness. Neuronal G protein–coupled receptor kinase 2 (GRK2) plays an important role in various pain models. Cisplatin treatment can induce the activation of proinflammatory microglia in spinal cord. The purpose of this study […]

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