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Uncategorized Published - 5 August, 2021    By - Dr Clemens
Associations Between Preoperative Biomarkers and Cardiac Surgery–Associated Acute Kidney Injury in Elderly Patients

AUTHORS: Verwijmeren, Lisa MD, PhD et al Anesthesia & Analgesia: June 2021 BACKGROUND: Acute kidney injury (AKI) is associated with mortality after cardiac surgery. Novel risk factors may improve identification of patients at risk for renal injury. The authors evaluated the association between preoperative biomarkers that reflect cardiac, inflammatory, renal, and metabolic disorders and cardiac surgery–associated […]

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Uncategorized Published - 5 August, 2021    By - Dr Clemens
Breast Regional Anesthesia Practice in the Italian Public Health System (BRA-SURVEY)

AUTHORS: Bonvicini, Daniele MD et al Anesthesia & Analgesia: July 2021 BACKGROUND: Breast cancer is the most common malignancy in women. Surgery is a mainstay therapy unfortunately burdened by complications as severe postoperative pain. Regional anesthesia may play a role in a multimodal strategy for prevention and treatment of postoperative pain. The main purpose of this […]

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Uncategorized Published - 5 August, 2021    By - Dr Clemens
Heart disease still the No. 1 killer in the US—COVID, stroke not far behind

Author: Anthony Vecchione Cardiovascular Business Heart disease and stroke still rank among the leading causes of death in the United States, according to new CDC data. As one might expect, COVID-19 landed near the top of that list as well. Heart disease is currently the No. 1 cause of death in the United States. COVID-19 […]

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Uncategorized Published - 4 August, 2021    By - Dr Clemens
Differential Perioperative Outcomes in Patients With Obstructive Sleep Apnea, Obesity, or a Combination of Both Undergoing Open Colectomy

AUTHORS: Stundner, Ottokar MD, MBA et al Anesthesia & Analgesia: June 2021 BACKGROUND: An increasing body of evidence demonstrates an association between obstructive sleep apnea (OSA) and adverse perioperative outcomes. However, large-scale data on open colectomies are lacking. Moreover, the interaction of obesity with OSA is unknown. This study examines the impact of OSA, obesity, or […]

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Uncategorized Published - 4 August, 2021    By - Dr Clemens
Regional Anaesthesia for Lower Extremity Amputation is Associated with Reduced Post-operative Complications Compared with General Anaesthesia

DG Journal Club AUTHORS: Syed Hamza Mufarrih, Nada Qaisar Qureshi et al. Eur J Vasc Endovasc Surg. 2021 Jul 21 OBJECTIVE Primary and secondary lower extremity amputation, performed for patients with lower extremity arterial disease, is associated with increased post-operative morbidity. The aim of the study was to assess the impact of regional anaesthesia vs. […]

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Uncategorized Published - 4 August, 2021    By - Dr Clemens
Intrathecal 2-Chloroprocaine 3% Versus Hyperbaric Bupivacaine 0.75% for Cervical Cerclage

AUTHORS: Lee, Allison MD, MS et al Anesthesia & Analgesia: June 2021 BACKGROUND: Cervical cerclage is a short ambulatory procedure. For spinal anesthesia, local anesthetic agents with rapid postoperative resolution are desired. We hypothesized that in combination with fentanyl, intrathecal 2-chloroprocaine would produce earlier resolution of motor block, resulting in shorter time to meet recovery room […]

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Uncategorized Published - 4 August, 2021    By - Dr Clemens
Trigeminal Neuralgia: Current Diagnosis and Treatment Options

Authors: Sachi Mehrotra, DDS, James F. Keane, DO, MEd and Leonard Goldstein, DDS, PhD Practical Pain Management Volume 19 Issue 4 Pages 46-47,49 Trigeminal neuralgia (TN) is an extremely painful yet rare orofacial pain condition, and clear understanding of its mechanism and management remains an enigma.1 Originally known as tic douloureux due to its characteristic facial tics, this disorder […]

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Uncategorized Published - 4 August, 2021    By - Dr Clemens
What is a vascular migraine?

Author: Jenna Fletcher MedicalNewsToday Vascular migraine is an outdated term to describe any headache associated with changes to the blood vessels in the head or neck. Migraine, cluster headache, and toxic or illness-related headaches all have links with changes to the blood vessels. This article will discuss what a vascular migraine is, its associated symptoms, […]

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Uncategorized Published - 3 August, 2021    By - Dr Clemens
Safety and Complications of Sedation Anesthesia during Pediatric Auditory Brainstem Response Testing

DG Journal Club AUTHORS: Senem Urfali, Boran Urfali et al. ORL J Otorhinolaryngol Relat Spec. 2021 Jul 12 1-5 OBJECTIVE The auditory brainstem response (ABR) test has been widely used in childhood. Although it is a painless procedure, sedation can be needed in pediatric patients. Thus, this study aimed to evaluate safety and complications of […]

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Uncategorized Published - 3 August, 2021    By - Dr Clemens
Ultrasound-guided genicular nerve blocks following total knee arthroplasty: a randomized, double-blind, placebo-controlled tri

DG Journal Club AUTHORS: Milly Rambhia, An Chen et al. Reg Anesth Pain Med. 2021 Jul 14 INTRODUCTION Local anesthetic blockade of the genicular nerves, known targets of radiofrequency ablative techniques for knee pain, has not previously been studied in a randomized controlled trial evaluating acute pain after knee arthroplasty. We hypothesized that genicular nerve […]

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