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Uncategorized Published - 29 July, 2021    By - Dr Clemens
20/20 with Peter Staats, MD: The Future of Pain Medicine

By Peter Staats, MD, MBA, Jeff Gudin, MD and Jeffrey Fudin, PharmD, DAIPM, FCCP, FASHP Practical Pain Management Vol 21 Issue 3 Pages 65-66 Dr. Fudin: Could you start by telling us how you got started in pain management and how it led you to found the pain medicine division at Johns Hopkins University in 1994? Dr. Staats: Well, it wasn’t […]

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Uncategorized Published - 28 July, 2021    By - Dr Clemens
Delirium in Older Patients after Combined Epidural–General Anesthesia or General Anesthesia for Major Surgery

Authors: Ya-Wei Li, M.D. et al  Anesthesiology August 2021, Vol. 135, 218–232. Background Delirium is a common and serious postoperative complication, especially in the elderly. Epidural anesthesia may reduce delirium by improving analgesia, reducing opioid consumption, and blunting stress response to surgery. This trial therefore tested the hypothesis that combined epidural–general anesthesia reduces the incidence of […]

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Uncategorized Published - 28 July, 2021    By - Dr Clemens
Pectoral Nerve Blocks for Breast Augmentation Surgery

Authors: Yassir Aarab, M.D., M.Sc. et al  Anesthesiology June 2021. Background Pectoral nerve blocks have been proposed for analgesia during and after breast cancer surgery, but data are conflicted in aesthetic breast surgery. This trial tested the primary hypothesis that adding a preincisional pectoral nerve block is superior to systemic multimodal analgesic regimen alone for […]

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Uncategorized Published - 28 July, 2021    By - Dr Clemens
Epidural Anesthesia–Analgesia and Recurrence-free Survival after Lung Cancer Surgery

Authors: Zhen-Zhen Xu, M.D. et al  Anesthesiology June 2021. Background Regional anesthesia and analgesia reduce the stress response to surgery and decrease the need for volatile anesthesia and opioids, thereby preserving cancer-specific immune defenses. This study therefore tested the primary hypothesis that combining epidural anesthesia–analgesia with general anesthesia improves recurrence-free survival after lung cancer surgery. […]

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Uncategorized Published - 28 July, 2021    By - Dr Clemens
Evolving Treatments for Chronic Headache and Migraine

Authors: Charles Argoff, MD, and Ben Portal, MD, By PPM Editorial Vol 21 Issue 3 The Case A 50-year-old woman has been referred to a neurologist because of severe headaches. She first developed headaches during adolescence, and they worsened in the setting of menopause. A typical headache is unilateral and localized to the right frontotemporal […]

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Uncategorized Published - 28 July, 2021    By - Dr Clemens
Risk score predicts outcomes for heart failure patients undergoing TEER

Author: Michael Walter Cardiovascular Business Researchers in Germany have found that a popular risk score for patients with degenerative mitral regurgitation (MR) can be used to predict the outcomes of patients undergoing transcatheter edge-to-edge repair (TEER). The team shared its findings in the Journal of the American Heart Association. The analysis included 680 high-risk patients who […]

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Uncategorized Published - 27 July, 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 21, 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, […]

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Uncategorized Published - 27 July, 2021    By - Dr Clemens
Epidural Anesthesia-Analgesia and Recurrence-free Survival after Lung Cancer Surgery

AUTHORS: Zhen-Zhen Xu, Huai-Jin Li et al. Anesthesiology. 2021 Jun 30 BACKGROUND Regional anesthesia and analgesia reduce the stress response to surgery and decrease the need for volatile anesthesia and opioids, thereby preserving cancer-specific immune defenses. This study therefore tested the primary hypothesis that combining epidural anesthesia-analgesia with general anesthesia improves recurrence-free survival after lung […]

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Uncategorized Published - 27 July, 2021    By - Dr Clemens
Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain

AUTHORS: Aidan G Cashin, Thiago Folly et al. BMJ. 2021 07 7; 374 n1446 OBJECTIVE To investigate the efficacy, acceptability, and safety of muscle relaxants for low back pain. DESIGN Systematic review and meta-analysis of randomised controlled trials. DATA SOURCES Medline, Embase, CINAHL, CENTRAL, ClinicalTrials.gov, clinicialtrialsregister.eu, and WHO ICTRP from inception to 23 February 2021. […]

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Uncategorized Published - 27 July, 2021    By - Dr Clemens
Controlling Anesthesia Hardware With Simple Hand Gestures: Thumbs Up or Thumbs Down?

AUTHORS: Owens, Gwen E. MD, PhD et al  Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 243-250 BACKGROUND:  Modern consumer electronic devices and automobiles are often controlled by interfaces that sense physical gestures and spoken commands. In contrast, patient monitors and anesthesia devices are typically equipped with panel-mounted buttons, dials, and […]

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