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Uncategorized Published - 25 June, 2021    By - Dr Clemens
The Association Between Race and Adverse Postoperative Outcomes in Children With Congenital Heart Disease Undergoing Noncardiac Surgery

AUTHORS: Nasr, Viviane G. MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: The association between race and perioperative outcomes has been evaluated in adult cardiac surgical and in healthy pediatric patients but has not been evaluated in children with congenital heart disease (CHD) presenting for noncardiac procedures. This study compares the incidence of the primary […]

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Uncategorized Published - 25 June, 2021    By - Dr Clemens
Nerve Stimulation Reduces Pain, Opioid Use After Orthopaedic Surgery

DG Alert Percutaneous peripheral nerve stimulation yields impressive reductions in pain scores and opioid use during the first week after common orthopaedic surgery procedures, according to a study published online first in the journal Anesthesiology. The benefits of postoperative nerve stimulation were “much greater than what we had anticipated, concurrently reducing pain scores by more than […]

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Uncategorized Published - 25 June, 2021    By - Dr Clemens
Comparison of the Spectral Features of the Frontal Electroencephalogram in Patients Receiving Xenon and Sevoflurane General Anesthesia

AUTHORS: McGuigan, Steven MBChB et al Anesthesia & Analgesia: May 2021 BACKGROUND: Depth-of-anesthesia monitoring is often utilized for patients receiving xenon anesthesia. Processed electroencephalogram (EEG) depth-of-anesthesia monitoring relies to a significant extent on frequency domain analysis of the frontal EEG, and there is evidence that the spectral features observed under anesthesia vary significantly between anesthetic agents. […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
A preliminary prospective observational study of the effectiveness of high-concentration capsaicin cutaneous patch in the management of chronic post-surgical neuropathic pain

DG Journal Club AUTHORS: Cormac F Mullins, Sarah Walsh et al. Ir J Med Sci. 2021 May INTRODUCTION Chronic post-surgical neuropathic pain is difficult to treat. Topically applied analgesics provide an alternative to systemic therapy in localised neuropathic pain syndromes. The aim of this study was to prospectively assess whether 8% capsaicin is effective in […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
Inflammatory back pain: a concept, not a diagnosis

DG Journal Club AUTHOR: Fiona Louise Coath, Karl Gaffney Curr Opin Rheumatol. 2021 May PURPOSE OF REVIEW The concept of inflammatory back pain (IBP) describes a cohort of patients with chronic back pain (CBP) who have distinct clinical characteristics, rather than being a diagnosis in and of itself. IBP is a common and important feature […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
Epidural Use at Birth Not Linked to Autism Risk

DG News Having an epidural during childbirth was not associated with a greater risk of autism in the child, according to a study published in JAMA Pediatrics. “We did not find evidence for any genuine link between having an epidural and putting your baby at increased risk of autism spectrum disorder,” said senior author Alexander Butwick, […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
The Association of Preoperative Frailty and Postoperative Delirium

AUTHORS: Gracie, Thomas J. BS et al Anesthesia & Analgesia: May 2021 BACKGROUND: Both frailty and postoperative delirium (POD) are common in elective surgical patients 65 years of age and older. However, the association between preoperative frailty and POD remains difficult to characterize owing to the large number of frailty and POD assessment tools used in […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
Surgery still more common than TMVR among AMI patients, but the gap is shrinking

Author: Michael Walter Cardiovascular Business Mitral valve surgery remains much more common than transcatheter mitral valve repair (TMVR) among acute myocardial infarction (AMI) patients, according to a new study published in the American Journal of Cardiology. However, the authors noted, TMVR is gaining momentum as time goes on. Researchers tracked data from the Nationwide Readmissions Database, […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study

Anaesthesia June 2021 Vol 76 Issue 6 pages 748-758 COVIDSurg Collaborative, GlobalSurg Collaborative This article is accompanied by an editorial by Wijeysundera and Khadaroo, Anaesthesia 2021; 76: 731–5. Summary Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Association Between Ionized Calcium Concentrations During Hemostatic Transfusion and Calcium Treatment With Mortality in Major Trauma

AUTHORS: Chanthima, Phuriphong MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1684-1691 BACKGROUND:  Transfusion of citrated blood products may worsen resuscitation-induced hypocalcemia and trauma outcomes, suggesting the need for protocolized early calcium replacement in major trauma. However, the dynamics of ionized calcium during hemostatic resuscitation of severe injury […]

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