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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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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Spinal Stimulation Provides Pain Relief in Some Patients With Diabetic Neuropathy

Author: Alex Morrisson DG Alerts Spinal cord stimulation using a 10 kilohertz device suppresses pain caused by diabetic neuropathy, according to a study presented at the Virtual 2021 Annual Meeting of the American Academy of Neurology (AAN). In the multicentre randomised SENZA-PDN study, patients diagnosed with diabetic neuropathy said their pain scores decreased from an […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Analgesia After Cesarean Delivery in the United States 2008–2018

AUUTHORS: Reed, Sydney E. MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Optimizing analgesia after cesarean delivery is a priority and requires balancing adequate pain relief with the risk of analgesics-associated adverse effects. Current recommendations are for use of a multimodal, opioid-sparing analgesic regimen that includes neuraxial morphine combined with scheduled nonsteroidal anti-inflammatory drugs (NSAIDs) […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Young adults with vaccine-related heart damage see all symptoms resolve

Author: Michael Walter Cardiovascular Business All young adults who develop myocarditis-like symptoms after receiving a COVID-19 vaccine heal completely within two to four days, according to a new analysis published in Circulation. “As of June 5, 2021, more than 170 million individuals in the US and 894 million individuals worldwide had received at least one dose […]

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Uncategorized Published - 22 June, 2021    By - Dr Clemens
Sugammadex Versus Neostigmine for Reversal of Rocuronium Neuromuscular Block in Patients Having Catheter-Based Neurointerventional Procedures

AUTHORS: Farag, Ehab MD, FCRA, FASA et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1666-1676 BACKGROUND:  Catheter-based endovascular neurointerventions require deep neuromuscular blocks during the procedure and rapid subsequent recovery of strength to facilitate neurological evaluation. We tested the primary hypothesis that sugammadex reverses deep neuromuscular blocks faster than […]

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Uncategorized Published - 22 June, 2021    By - Dr Clemens
Intraoperative Hypotension Is Associated With Adverse Clinical Outcomes After Noncardiac Surgery

AUTHORS: Gregory, Anne MD, MSc, FRCPC et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1654-1665 BACKGROUND:  Intraoperative hypotension (IOH) occurs frequently during surgery and may be associated with organ ischemia; however, few multicenter studies report data regarding its associations with adverse postoperative outcomes across varying hemodynamic thresholds. Additionally, no […]

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Uncategorized Published - 22 June, 2021    By - Dr Clemens
Propofol for Induction and Maintenance of Anesthesia in Patients With Brugada Syndrome

AUTHORS: Flamée, Panagiotis MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1645-1653 BACKGROUND:  Propofol administration in patients with Brugada syndrome (BrS) is still a matter of debate. Despite lacking evidence for its feared arrhythmogenicity, up to date, expert cardiologists recommend avoiding propofol. The main aim of this […]

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Uncategorized Published - 22 June, 2021    By - Dr Clemens
Association Between Antifibrinolytic Therapy and Perioperative Outcomes in Patients With Coronary Artery Stents Undergoing Noncardiac Surgery

AUTHORS: Boswell, Michael R. MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1635-1644 BACKGROUND:  Patients with existing coronary artery stents are at an increased risk for major adverse cardiac events (MACEs) when undergoing noncardiac surgery (NCS). Although the use of antifibrinolytic (AF) therapy in NCS has significantly increased […]

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Uncategorized Published - 22 June, 2021    By - Dr Clemens
Comparison of Liposomal Bupivacaine and Conventional Local Anesthetic Agents in Regional Anesthesia

AUTHORS: Jin, Zhaosheng MBBS et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1626-1634 BACKGROUND:  Pain is one of the most common adverse events after surgery. Regional anesthesia techniques are effective for pain control but have limited duration of action. Liposomal bupivacaine is a long-acting formulation of bupivacaine. We conduct […]

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