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Uncategorized Published - 14 September, 2021    By - Dr Clemens
Point-of-Care Lung Ultrasound Pattern in Healthy Parturients: Prevalence of Pulmonary Interstitial Syndrome Following Vaginal Delivery, Elective and Unplanned Intrapartum Cesarean Delivery

AUTHORS: Macias, Paul MD, MS, RD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 739-746 BACKGROUND: Pregnancy-related cardiovascular physiologic changes increase the likelihood of pulmonary edema, with the risk of fluid extravasating into the pulmonary interstitium being potentially at a maximum during the early postpartum period. Data on the […]

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Uncategorized Published - 14 September, 2021    By - Dr Clemens
Effect of Preoperative Oral Carbohydrate Loading on Body Temperature During Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Yang, Chen MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 731-738 BACKGROUND:  Intraoperative hypothermia is a common complication after neuraxial block in cesarean delivery. At least 1 animal study has found that carbohydrate loading can maintain the body temperature of rats during general anesthesia, but it is […]

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Uncategorized Published - 14 September, 2021    By - Dr Clemens
Low-back pain after lumbar discectomy for disc herniation: what can you tell your patient?

This is for our pain clinic providers who are going to refer a pt to a back surgeon DG Journal Club AUTHORS: Christian Iorio-Morin, Charles G Fisher et al. J Neurosurg Spine. 2021 Aug 27 1-7 OBJECTIVE Lumbar discectomy (LD) is frequently performed to alleviate radicular pain resulting from disc herniation. While this goal is […]

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Uncategorized Published - 14 September, 2021    By - Dr Clemens
Pharmacologic Management of Intensive Care Unit Delirium: Clinical Prescribing Practices and Outcomes in More Than 8500 Patient Encounters

AUTHORS: Boncyk, Christina S. MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 713-722 BACKGROUND:  Pharmacologic agents are frequently utilized for management of intensive care unit (ICU) delirium, yet prescribing patterns and impact of medication choices on patient outcomes are poorly described. We sought to describe prescribing practices for […]

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Uncategorized Published - 13 September, 2021    By - Dr Clemens
Blunt Chest Trauma and Regional Anesthesia for Analgesia of Multitrauma Patients in French Intensive Care Units

AUTHORS: Blondonnet, Raiko MD, MSc et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 723-730 BACKGROUND:  Chest injuries are associated with mortality among patients admitted to the intensive care unit (ICU) and require multimodal pain management strategies, including regional anesthesia (RA). We conducted a survey to determine the current practices […]

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Uncategorized Published - 13 September, 2021    By - Dr Clemens
Gastric Ultrasound Assessing Gastric Emptying of Preoperative Carbohydrate Drinks

Authors: Cho, Eun-Ah PhD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 690-697 BACKGROUND:  Tools for the evaluation of gastric emptying have evolved over time. The purpose of this study was to show that the risk of pulmonary aspiration is not increased with carbohydrate drink, by demonstrating that the […]

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Uncategorized Published - 13 September, 2021    By - Dr Clemens
Ipsilateral Intravenous Catheter Placement in Breast Cancer Surgery Patients

AUTHORS: Naranjo, Julian DO et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 707-712 BACKGROUND:  There is a continued perception that intravenous line (IV) placement is contraindicated in the arm ipsilateral to prior breast cancer surgery to avoid breast cancer–related lymphedema (BCRL). The aim of this retrospective study was to […]

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Uncategorized Published - 13 September, 2021    By - Dr Clemens
Depression explains the association between pain intensity and pain interference among adults with neurofibromatosis

DG Journal Club AUTHORS: James D Doorley, Jonathan Greenberg et al. J Neurooncol. 2021 Aug 19 INTRODUCTION Neurofibromatoses (NFs; NF1, NF2 and Schwannomatosis) are incurable genetic syndromes characterized by nerve sheath tumors and often accompanied by substantial emotional distress (e.g., depression and anxiety). Pain is also common but understudied in adults with NF and interferes […]

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Uncategorized Published - 13 September, 2021    By - Dr Clemens
A Retrospective Analysis Demonstrates That a Failure to Document Key Comorbid Diseases in the Anesthesia Preoperative Evaluation Associates With Increased Length of Stay and Mortality

AUTHORS: Hofer, Ira S. MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 698-706 BACKGROUND:  The introduction of electronic health records (EHRs) has helped physicians access relevant medical information on their patients. However, the design of EHRs can make it hard for clinicians to easily find, review, and document […]

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Uncategorized Published - 10 September, 2021    By - Dr Clemens
REsidual Neuromuscular Block Prediction Score Versus Train-of-Four Ratio and Respiratory Outcomes

AUTHORS: Patrocínio, Maria D. MD et al Anesthesia & Analgesia: September 2021 – Volume 133 – Issue 3 – p 610-619 BACKGROUND:  Residual neuromuscular blockade is associated with an increased incidence of postoperative respiratory complications. The REsidual neuromuscular block Prediction Score (REPS) identifies patients at high risk for residual neuromuscular blockade after surgery. METHODS: A total […]

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