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Uncategorized Published - 2 September, 2021    By - Dr Clemens
Interventions for Depressive Symptoms in People Living with Chronic Pain

DG Journal Club AUTHORS: Darren K Cheng, Ka Sing Paris Lai et al. Pain Med. 2021 Aug OBJECTIVE This review investigated the effectiveness of clinical interventions on depressive symptoms in people with all types of chronic pain. METHODS We searched seven electronic databases and reference lists on September 15, 2020, and included English-language, systematic reviews […]

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Uncategorized Published - 2 September, 2021    By - Dr Clemens
Small amounts of exercise can help stroke survivors reduce risk of death by 54%

Author: Anthony Vecchione Cardiovascular Business Stroke survivors who engage in physical activity three to four hours per week lower their risk of death by 54%, according to new data published in Neurology. For patients younger than 75 years old, researchers added, being active can reduce the mortality risk by as much as 80%. The study’s authors analyzed data from 895 stroke […]

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Uncategorized Published - 1 September, 2021    By - Dr Clemens
Physical Exercise Prehabilitation and Postoperative Brain Health

Authors: Miles Berger, MD, PhD and Daniel J. Cole, MD, FASA ASA Monitor July 2021, Vol. 85, 22. “It is exercise alone that supports the spirits, and keeps the mind in vigor.” The great Roman statesman and orator Cicero (106 BC-43 BC) uttered these timeless words over two millennia ago, words that remain relevant today for […]

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Uncategorized Published - 1 September, 2021    By - Dr Clemens
Simple screening model for identifying the risk of sleep apnea in patients on opioids for chronic pain

DG Journal Club AUTHORS: Janannii Selvanathan, Rida Waseem et al. Reg Anesth Pain Med. 2021 Aug BACKGROUND There is an increased risk of sleep apnea in patients using opioids for chronic pain. We hypothesized that a simple model comprizing of: (1) STOP-Bang questionnaire and resting daytime oxyhemoglobin saturation (SpO 2 ); and (2) overnight oximetry […]

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Uncategorized Published - 1 September, 2021    By - Dr Clemens
CAC scores help predict TAVR mortality

Author: Michael Walter Cardiovascular Business Coronary artery calcium (CAC) scoring can provide value as an independent predictor of 30-day or one-year mortality following transcatheter aortic valve replacement (TAVR), according to new findings published in Radiology. The study’s authors tracked data from 309 patients with severe aortic stenosis who underwent CT imaging during the planning process for […]

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Uncategorized Published - 1 September, 2021    By - Dr Clemens
Association Between Body Mass Index and Outcomes in Venoarterial Extracorporeal Membrane Oxygenation

AUTHORS: Lu, Shu Yang MD et al Anesthesia & Analgesia: August 2021 BACKGROUND: The association between obesity, or elevated body mass index (BMI), and outcomes in patients receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO) has not been well established. Recent studies in patients receiving venovenous ECMO did not detect an association between obesity and increased mortality. The […]

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Uncategorized Published - 31 August, 2021    By - Dr Clemens
Study suggests awake prone positioning may reduce incidence of treatment failure in patients with hypoxaemic respiratory failure due to COVID-19

DG Alerts Awake prone positioning of patients with hypoxaemic respiratory failure due to coronavirus disease 2019 (COVID-19) supported with high-flow nasal cannula reduced the incidence of treatment failure and the need for intubation without any signal of harm, according to a study published in The Lancet Respiratory Medicine. “Awake prone positioning has been reported to improve […]

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Uncategorized Published - 31 August, 2021    By - Dr Clemens
COVID-19 and the Brain

Authors: Timothy Gaulton, MD, MSc and Daniel J. Cole, MD, FASA ASA Monitor January 2021, Vol. 85, 25. “He seems a little off.” He was one of the first patients admitted to my (TG) hospital’s ICU with hypoxemic respiratory failure from COVID-19. Yet in contrast to the majority of other patients with this disease who presented […]

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Uncategorized Published - 31 August, 2021    By - Dr Clemens
2022 Proposed Medicare Fee Schedule: Additional Provisions for Anesthesia and Pain

Author: Tony Mira F1str News Last month, we published an alert outlining the provisions of the 2022 Medicare Physician Fee Schedule (PFS) Proposed Rule (PR) that were most pertinent to the practice of anesthesia. As promised in that alert, this article will act to provide further details arising from the PR that may impact our […]

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Uncategorized Published - 31 August, 2021    By - Dr Clemens
Lower urinary tract symptoms are associated with musculoskeletal pain among older men: Preliminary evidence for central sensitization as a mechanism?

This is for our readers that treat pain patients DG Journal Club AUTHORS: Angela Senders, Scott R Bauer et al. Neurourol Urodyn. 2021 Aug AIMS Features of central sensitization (CS) are present in almost all chronic pain conditions, including painful urinary conditions and back pain. Recently CS was proposed as a mechanism of nonpainful lower […]

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