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Uncategorized Published - 4 May, 2021    By - Dr Clemens
Intraoperative Analgesia Reduces Postoperative Pain, Opioid Use After Ambulatory Breast Surgery

DG News Author: 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 - 4 May, 2021    By - Dr Clemens
Associations of a Preoperative Anemia and Suboptimal Iron Stores Screening and Management Clinic in Colorectal Surgery With Hospital Cost, Reimbursement, and Length of Stay

AUTHORS: Trentino, Kevin M. MPH et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 344-352 BACKGROUND:  In 2016, a preoperative clinic was implemented to screen, evaluate, and manage anemia and suboptimal iron stores at a major tertiary care medical center in Western Australia. Few studies compare the costs and reimbursements […]

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Uncategorized Published - 4 May, 2021    By - Dr Clemens
Study suggests linear increase in risk of severe COVID-19 at BMI of more than 23, especially in younger adults

DG Alerts A study of more than 20,000 patients with coronavirus disease 2019 (COVID-19) who were hospitalised or died during the first wave found that the risk of worse outcomes from COVID-19 start increasing in people with a body mass index (BMI) >23 kg/m2, which is considered to be in the healthy range. The findings […]

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Uncategorized Published - 3 May, 2021    By - Dr Clemens
Effects of an Intraoperative Intravenous Bolus Dose of Dexmedetomidine on Remifentanil-Induced Postinfusion Hyperalgesia in Patients Undergoing Thyroidectomy

AUTHORS: Wu, Zhijie MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 320-328 BACKGROUND:  Consecutive exposure to high-dose remifentanil during anesthesia may induce remifentanil-induced postinfusion hyperalgesia (RPH). Dexmedetomidine, a highly selective α2-adrenergic receptor agonist, may have synergistic effects with opioids and aid in perioperative pain management. In this study, […]

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Uncategorized Published - 3 May, 2021    By - Dr Clemens
A Positive Cocaine Urine Toxicology Test and the Effect on Intraoperative Hemodynamics Under General Anesthesia

AUTHORS: Moon, Tiffany S. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 308-316 BACKGROUND:  Cocaine has a short biological half-life, but inactive urine metabolites may be detectable for a week following use. It is unclear if patients who test positive for cocaine but have a normal electrocardiogram and […]

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Uncategorized Published - 3 May, 2021    By - Dr Clemens
Spinal Stimulation Provides Pain Relief in Some Patients With Diabetic Neuropathy

By Alex Morrisson DG News 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 - 3 May, 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 - 3 May, 2021    By - Dr Clemens
An adult with episodic retrosternal chest pain: an unusual presentation of congenital pulmonary airway malformation – case report

DG Journal Club AUTHORS: Ira Goldsmith, Joseph George et al. J Cardiothorac Surg. 2021 Apr 13; 16(1): 78 BACKGROUND Congenital pulmonary airway malformation (CPAM) with partial anomalous pulmonary venous connection presenting as episodic retrosternal chest pain on exertion in an adult has not been described. CASE PRESENTATION A 21-year-old female, non-smoker, presented with a 4-year […]

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Uncategorized Published - 1 May, 2021    By - Dr Clemens
Skip the catheterization? AI uses imaging data to ID coronary plaque blockages that require surgery

Author: Michael Walter Cardiovascular Business Researchers have found that an advanced AI model can use imaging findings to make fractional flow reserve (FFR) calculations and predict when coronary artery plaque blockages require surgery. Sharing its findings in the International Journal of Cardiology, the team noted that this algorithm could help patients avoid invasive catheterization procedures. The […]

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Uncategorized Published - 30 April, 2021    By - Dr Clemens
Posterior Quadratus Lumborum Block in Total Hip Arthroplasty

Authors: Sophia Margareta Brixel, M.D. et al Anesthesiology May 2021, Vol. 134, 722–733. Background Pain management is important for ensuring early mobilization after hip arthroplasty; however, the optimal components remain controversial. Recently, the quadratus lumborum block has been proposed as an analgesic option. The current study tested the hypothesis that the posterior quadratus lumborum block […]

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