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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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Uncategorized Published - 7 May, 2021    By - Dr Clemens
Real-Time Injection Pressure Sensing and Minimal Intensity Stimulation Combination During Ultrasound-Guided Peripheral Nerve Blocks

AUTHORS: Varobieff, Maxime MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 556-565 BACKGROUND:  Nerve damage can occur after peripheral nerve block (PNB). Ultrasound guidance does not eliminate the risk of intraneural injection or nerve injury. Combining nerve stimulation and injection pressure (IP) monitoring with ultrasound guidance has been […]

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Uncategorized Published - 7 May, 2021    By - Dr Clemens
Macintosh Videolaryngoscope for Intubation in the Operating Room

AUTHORS: De Jong, Audrey MD, PhD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 524-535 BACKGROUND:  “Macintosh”-videolaryngoscopes (VLs) are VLs that allow both direct and indirect laryngoscopy for intubation. We describe the decision-making and implementation-processes that our hospital used regarding the choice of device. We compared the performances of […]

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Uncategorized Published - 7 May, 2021    By - Dr Clemens
Pharmacokinetics and Pharmacodynamics of 3 Doses of Oral-Mucosal Dexmedetomidine Gel for Sedative Premedication in Women Undergoing Modified Radical Mastectomy for Breast Cancer

AUTHORS: Mohamed, Sahar Abdel-Baky MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 456-464 BACKGROUND:  Buccal dexmedetomidine (DEX) produces adequate preoperative sedation and anxiolysis when used as a premedication. Formulating the drug as a gel decreases oral losses and improves the absorption of buccal DEX. We compared pharmacokinetic and […]

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Uncategorized Published - 7 May, 2021    By - Dr Clemens
Ketamine Infusion Improves PTSD Symptoms, Chronic Pain in Veterans

Author: Louise Gagnon DG News A single infusion of ketamine lessened pain and post traumatic stress disorder (PTSD) symptoms in veterans, without persisting dissociative symptoms or side effects, according to a study presented at the Virtual 2021 Annual Meeting of the Anxiety and Depression Association of American (ADAA). Sonalee Joshi, University of Michigan, Ann Arbor, […]

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Uncategorized Published - 7 May, 2021    By - Dr Clemens
Intraoperative Data Enhance the Detection of High-Risk Acute Kidney Injury Patients When Added to a Baseline Prediction Model

AUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 430-441 BACKGROUND:  Aspects of intraoperative management (eg, hypotension) are associated with acute kidney injury (AKI) in noncardiac surgery patients. However, it is unclear if and how the addition of intraoperative data affects a baseline risk prediction […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies

AUTHORS: Carella, Michele MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 500-511 BACKGROUND:  The anesthetic management of supratentorial craniotomy (CR) necessitates tight intraoperative hemodynamic control. This type of surgery may also be associated with substantial postoperative pain. We aimed at evaluating the influence of regional scalp block (SB) […]

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Uncategorized Published - 6 May, 2021    By - Dr Clemens
Development and Impact of an Institutional Enhanced Recovery Program on Opioid Use, Length of Stay, and Hospital Costs Within an Academic Medical Center

AUTHORS: Thiele, Robert H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 442-455 BACKGROUND:  Enhanced Recovery (ER) is a change management framework in which a multidisciplinary team of stakeholders utilizes evidence-based medicine to protocolize all aspects of a surgical care to allow more rapid return of function. While […]

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