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Uncategorized Published - 11 May, 2021    By - Dr Clemens
Safety and quality of perioperative anesthesia care-Ensuring safe care for older people living with frailty

DG Journal Club Authors: Matthias Derwall, Mark Coburn Best Pract Res Clin Anaesthesiol. 2021 May; 35(1): 3-9 The clinical concept of frailty as a detectable and improvable clinical condition has emerged in the field of geriatric medicine over the past two decades. Albeit frailty can be described as the rapid deterioration of organ function during […]

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Uncategorized Published - 11 May, 2021    By - Dr Clemens
The Effect of Low-Dose Intraoperative Ketamine on Closed-Loop-Controlled General Anesthesia

AUTHORS: Napoleone, Gabby BSc et al Anesthesia & Analgesia: February 8, 2021 BACKGROUND: Closed-loop control of propofol-remifentanil anesthesia using the processed electroencephalography depth-of-hypnosis index provided by the NeuroSENSE monitor (WAVCNS) has been previously described. The purpose of this placebo-controlled study was to evaluate the performance (percentage time within ±10 units of the setpoint during the maintenance […]

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Uncategorized Published - 11 May, 2021    By - Dr Clemens
Cannabinoid Receptor-2 Activation in Keratinocytes Contributes to Elevated Peripheral β-Endorphin Levels in Patients With Obstructive Jaundice

AUTHORS: Tao, Kunming MD, PhD et al Anesthesia & Analgesia: February 8, 2021 BACKGROUND: Cholestatic diseases are often accompanied by elevated plasma levels of endogenous opioid peptides, but it is still unclear whether central or peripheral mechanisms are involved in this process, and little is known about the change of pain threshold in these patients. The […]

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Uncategorized Published - 11 May, 2021    By - Dr Clemens
How valve type and anesthesia strategy affect 1-year TAVR outcomes

Author: Michael Walter Cardiovascular Business As transcatheter aortic valve replacement (TAVR) continues to gain popularity, researchers all over the world are working to learn as much as possible about how to boost outcomes while still delivering high-quality care. One team out of Germany, for example, explored how the care team’s heart valve of choice and […]

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Uncategorized Published - 11 May, 2021    By - Dr Clemens
A Case Report from the Anesthesia Incident Reporting System

ASA Monitor October 2020, Vol. 84, 13–14. Case 2020-10: Operating in a digital vacuum An active 4-year-old girl underwent anesthesia for routine MRI evaluation of medulloblastoma at a freestanding health care facility. Multiple previous anesthetics for the same investigation were noted to be uneventful. The parental MRI screening questionnaire noted a potential past reaction to […]

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Uncategorized Published - 10 May, 2021    By - Dr Clemens
A Survey of the Society for Pediatric Anesthesia on the Use, Monitoring, and Antagonism of Neuromuscular Blockade

AUTHORS: Faulk, Debra J. MD et al Anesthesia & Analgesia: February 4, 2021 – Volume – Issue – 10.1213 BACKGROUND: Although the package insert clearly states that “the safety and efficacy of sugammadex in pediatric patients have not been established,” we hypothesized that sugammadex is used widely in pediatric anesthetic practice supplanting neostigmine as the primary […]

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Uncategorized Published - 10 May, 2021    By - Dr Clemens
Intraoperative Analgesia Reduces Postoperative Pain, Opioid Use After Ambulatory Breast Surgery

DG News Authior: Brian Hoyle Local anesthetics reduce opioid requirement and pain scores after lumpectomy and sentinel node biopsy with multimodal analgesia, according to a study presented at the 2021 Virtual Meeting of the Society of Surgical Oncology (SSO). “Multimodal analgesia during ambulatory breast surgery is associated with reduced postoperative opioid use and pain scores, […]

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Uncategorized Published - 10 May, 2021    By - Dr Clemens
Association Between Intraoperative Remifentanil Dosage and Postoperative Opioid Consumption in Adolescent Idiopathic Spine Surgery

AUTHORS: Lo, Calvin MD, MSc et al Anesthesia & Analgesia: February 5, 2021 – Volume – Issue – 10.1213 BACKGROUND: Adolescent idiopathic scoliosis (AIS) surgery is associated with significant postoperative pain. Remifentanil is a short-acting opioid that is often used as a component of total intravenous anesthesia. Remifentanil has been implicated in acute opioid tolerance and […]

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Uncategorized Published - 10 May, 2021    By - Dr Clemens
Elective surgery catch-up could contribute to summer blood shortage, Red Cross says

Katie Adams Becker’s Hospital Review The American Red Cross is worried it may face a significant blood shortage heading into summer, Tucson, Ariz.-based ABC affiliate KGUN-TV reported May 6. As the pandemic wanes and more Americans are getting elective surgeries, the demand for blood is increasing. The American Red Cross says this is happening during an inopportune time, as […]

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Uncategorized Published - 10 May, 2021    By - Dr Clemens
Spinal Stimulation Provides Pain Relief in Some Patients With Diabetic Neuropathy

DG News By Alex Morrisson 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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