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Uncategorized Published - 27 January, 2021    By - Dr Clemens
Perioperative probiotic treatment decreased the incidence of postoperative cognitive impairment in elderly patients following non-cardiac surgery

DG Journal Club AUTHORS: Pingzhu Wang, Xinlin Yin et al. Clin Nutr. 2021 Jan; 40(1): 64-71 BACKGROUND Given that population aging is a global health challenge, the high prevalence of postoperative neurocognitive impairment in elderly patients necessitates the development of novel simple and effective prevention methods. OBJECTIVE To evaluate the effects of perioperative application of […]

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Uncategorized Published - 27 January, 2021    By - Dr Clemens
Altered mentation or stroke on admission associated with higher risk of in-hospital mortality in patients with COVID-19

DG Aleerts The incidence of altered mentation or stroke on admission predicts a modest but significantly higher risk of in-hospital mortality independent of disease severity among patients with coronavirus disease 2019 (COVID-19), according to a study published in Neurology. “We present the largest inpatient cohort of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infected patients to […]

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Uncategorized Published - 26 January, 2021    By - Dr Clemens
Hyperbaric prilocaine vs. hyperbaric bupivacaine for spinal anaesthesia in women undergoing elective caesarean section

DG Journal Club AUTHORS: K Chapron, J-C Sleth et al. Anaesthesia. 2021 Jan Hyperbaric bupivacaine spinal anaesthesia remains the gold standard for elective caesarean section, but the resultant clinical effects can be unpredictable. Hyperbaric prilocaine induces shorter motor block but has not previously been studied in the obstetric spinal anaesthesia setting. We aimed to compare […]

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Uncategorized Published - 26 January, 2021    By - Dr Clemens
Comparison of Deep Sedation and General Anesthesia With an Endotracheal Tube for Transcaval Transcatheter Aortic Valve Replacement

DG Journal Club AUTHORS: Joseph A Sanders, Ashwin Vaidyanathan et al. J Cardiothorac Vasc Anesth. 2021 Jan OBJECTIVES Transcaval transcatheter aortic valve replacement (TC-TAVR) is an alternative approach to transcatheter aortic valve replacement involving deployment of the bioprosthetic valve via a conduit created from the inferior vena cava to the descending aorta in patients for […]

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Uncategorized Published - 26 January, 2021    By - Dr Clemens
Statin therapy with evolocumab reduces patient’s risk of PCI, CABG

Author: Michael Walter Cardiovascular Business News Statin therapy that includes evolocumab can help patients with stable atherosclerosis decrease their risk of undergoing percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), according to a new study published in the Journal of the American College of Cardiology. The authors tracked data from more than 1,700 patients […]

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Uncategorized Published - 26 January, 2021    By - Dr Clemens
High-titre plasma reduces mortality risk in non-ventilated hospitalised COVID-19 patients

DG Alerts Among patients hospitalised with coronavirus disease 2019 (COVID-19) who were not receiving mechanical ventilation, transfusion of plasma with higher anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immunoglobulin (Ig)G antibody levels was associated with a lower risk of death than transfusion of plasma with lower antibody levels, finds a study published in The New England […]

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Uncategorized Published - 26 January, 2021    By - Dr Clemens
Sacral plexus disorder caused by a wooden toothpick in the rectum

DG Journal Club Takuro Endo, Taku Sugawara et al. BMJ Case Rep. 2021 Jan 5; 14(1): A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure […]

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Uncategorized Published - 25 January, 2021    By - Dr Clemens
The anesthetist’s choice of inhalational vs. intravenous anesthetics has no impact on survival of glioblastoma patients

DG Journal Club Thomas Schmoch, Christine Jungk et al. Neurosurg Rev. 2020 Dec Recent data suggest that the type of anesthesia used during the resection of solid tumors impacts the long-term survival of patients favoring total-intravenous-anesthesia (TIVA) over inhalative-anesthesia (INHA). Here we sought to query this impact on survival in patients undergoing resection of glioblastoma […]

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Uncategorized Published - 25 January, 2021    By - Dr Clemens
Periarticular analgesic injection containing a corticosteroid after total hip arthroplasty may prevent deep venous thrombosis

DG Journal Club Akira Hashimoto, Motoki Sonohata et al. BMC Musculoskelet Disord. 2021 Jan 6; 22(1): 19 BACKGROUND Of late, periarticular analgesic injection (PAI) has become a common alternative treatment for pain following total hip arthroplasty (THA). However, the systemic effects of PAI containing corticosteroids in patients subjected to THA have not been investigated. This […]

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Uncategorized Published - 25 January, 2021    By - Dr Clemens
Three Risk Stratification Tools and Postoperative Pneumonia After Noncardiothoracic Surgery

DG Journal Club AUTHERS: Mariana L Laporta, S Chandralekha Kruthiventi et al. Am Surg. 2020 Dec BACKGROUND Postoperative in-hospital pneumonia is a serious complication. This study aims to investigate the association between 3 preoperative stratification tools (American Society of Anesthesiologists Physical Status [ASA-PS] score, Charlson Comorbidity Index [CCI], and Rockwood Frailty Deficit Index [FI]) and […]

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