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Uncategorized Published - 8 April, 2021    By - Dr Clemens
No difference in respiratory support-free days between helmet noninvasive ventilation, high-flow nasal oxygen in hypoxemic COVID-19 patients

DG Alerts Among patients with coronavirus disease 2019 (COVID-19) and moderate-to-severe hypoxemia, treatment with helmet noninvasive ventilation, compared with high-flow nasal oxygen, resulted in no significant difference in the number of days free of respiratory support within 28 days, according to a study published in JAMA. Between October 13 and December 13, 2020, researchers led by […]

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Uncategorized Published - 8 April, 2021    By - Dr Clemens
Comparative short-term outcomes of enhanced recovery after surgery (ERAS) program and non-ERAS traditional care in elderly patients undergoing lumbar arthrodesis

DG Journal Club AUTHORS: Zhong-En Li, Shi-Bao Lu et al. BMC Musculoskelet Disord. 2021 Mar 17; 22(1): 283 BACKGROUND Enhanced recovery after surgery (ERAS) program is an evidence-based improvement over non-ERAS traditional care. The aim of the present study was to analyze the safety, feasibility, and efficacy of an ERAS program in patients over 70 years […]

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Uncategorized Published - 7 April, 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 April, 2021    By - Dr Clemens
Comparison of preoperative, intraoperative, and follow-up functional luminal imaging probe measurements in patients undergoing myotomy for achalasia

DG Journal Club AUTHORS: Amy L Holmstrom, Ryan J Campagna et al. Gastrointest Endosc. 2021 Mar BACKGROUND AND AIMS The functional luminal imaging probe (FLIP) is a novel catheter-based device that measures esophagogastric junction (EGJ) distensibility index (DI) in real-time. Previous studies have demonstrated DI to be a predictor of post-treatment clinical outcomes in patients […]

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Uncategorized Published - 7 April, 2021    By - Dr Clemens
Multidisciplinary programme for rehabilitation of chronic low back pain – factors predicting successful return to work

DG Journal Club AUTHORS: Gabriel Ching Ngai Leung, Prudence Wing Hang Cheung et al. BMC Musculoskelet Disord. 2021 Mar 6; 22(1): 251 BACKGROUND There are no clear indicators for predicting return to work for patients with chronic low back pain (LBP). We aim to report the outcomes of a 14-week multidisciplinary programme targeting patients with […]

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Uncategorized Published - 7 April, 2021    By - Dr Clemens
Study finds increased rates of multiorgan dysfunction in patients discharged from hospital after COVID-19

DG Alerts Individuals discharged from hospital after coronavirus disease 2019 (COVID-19) had increased rates of multiorgan dysfunction compared with a matched control group from the general population, according to a study published in The BMJ. In addition, researchers found that the increase in risk was not confined to the elderly and was not uniform across ethnicities. […]

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

By 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 April, 2021    By - Dr Clemens
A Comparison of Genicular Nerve Blockade With Corticosteroids Using Either Classical Anatomical Targets vs Revised Targets for Pain and Function in Knee Osteoarthritis

DG Journal Club AUTHORS: Loïc Fonkoue, Arnaud Steyaert et al. Pain Med. 2021 Mar 27 OBJECTIVE Compare the effectiveness of genicular nerve blockade (GNB) using classical anatomical targets (CT) versus revised targets (RT) in patients suffering from chronic knee osteoarthritis pain. DESIGN Double-blinded randomized controlled trial. SETTING Pain medicine center of a teaching hospital. METHODS […]

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Uncategorized Published - 6 April, 2021    By - Dr Clemens
Intraoperative Analgesia Reduces Postoperative Pain, Opioid Use After Ambulatory Breast Surgery

Author: Brian Hoyle DG News 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 - 6 April, 2021    By - Dr Clemens
CMS to Hold Claims Pending Congressional Action on Sequester Suspension

Author: Tony Mira F1rstNews As many of our readers may remember, the mandatory sequestration payment reduction of two percent, to be applied to all Medicare Fee-For-Service (FFS) claims, was put on hold by the Coronavirus Aid, Relief, and Economic Security (CARES) Act.  The suspension of these payment cuts ran from May 1 through December 31, […]

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