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Uncategorized Published - 25 January, 2021    By - Dr Clemens
Burden of increasing opioid use in the treatment of migraine: Results from the Migraine in America Symptoms and Treatment Study

DG Journal Club AUTHORS: Richard B Lipton, Dawn C Buse et al. Headache. 2020 Dec OBJECTIVE We sought to assess factors associated with the frequency of self-reported prescription opioid use in persons with migraine, including demographic variables, comorbidities, headache characteristics, and patterns of consultation. BACKGROUND Despite the dose-dependent effect of opioids on migraine progression and […]

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Uncategorized Published - 25 January, 2021    By - Dr Clemens
Study identifies factors and characteristics associated with headache in COVID‐19

DG Alerts Findings from a study published in the European Journal of Neurology show that headache was associated with a more benign severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. “We have found that [younger] age and the absence of baseline pathologies such as hypertension, atrial fibrillation and Charlson comorbidities are associated with the presence of headache […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Perineural Liposomal Bupivacaine Is Not Superior to Nonliposomal Bupivacaine for Peripheral Nerve Block Analgesia

Authors: Nasir Hussain, M.D., M.Sc. et al  Anesthesiology February 2021, Vol. 134, 147–164. Background Liposomal bupivacaine is purported to extend analgesia of peripheral nerve blocks when administered perineurally. However, evidence of the clinical effectiveness of perineural liposomal bupivacaine is mixed. This meta-analysis seeks to evaluate the effectiveness of perineural liposomal bupivacaine in improving peripheral nerve block […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Association of Preoperative Pneumonia With Postsurgical Morbidity and Mortality in Children

AUTHORS: Nafiu, Olubukola O. MD, FRCA, MS et al Anesthesia & Analgesia: September 2020 BACKGROUND: Pneumonia is a common lower respiratory tract infection (LRI) and the leading cause of pediatric hospitalization in the United States. Given its frequency, children with pneumonia may require surgery during their hospital course. This poses serious anesthetic and surgical challenges […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Effects of parental presence during induction of anesthesia on operative and perioperative times in pediatric patients undergoing adenotonsillectomy

DG Journal Club AUTHORS: Sydney L Moseley, Christopher Heine et al. Int J Pediatr Otorhinolaryngol. 2021 Jan; 140 110515 OBJECTIVES To evaluate the overall perioperative times among pediatric patients undergoing adenotonsillectomy (AT) who, in the perioperative period, received either parental presence at induction of anesthesia (PPIA), midazolam, both, or neither. METHODS A retrospective chart review […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
SHOULD YOU CANCEL SURGERY FOR A BLOOD PRESSURE OF 178/108?

Author: Richard Novak, MD The Anesthesia Consultant Clinical Case for Discussion:  This month’s question is on hypertension and anesthesia. You are scheduled to anesthetize a 71-year-old male for an arthroscopic rotator cuff repair.  His blood pressure when you meet him in pre-op is 178/108 mmHg.  The nurses and the surgeon are alarmed.  What would you […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Comparison of the effects of the Feldenkrais method versus core stability exercise in the management of chronic low back pain

DG Journal Club AUTHOR: Hanieh Ahmadi, Hanieh Adib et al. Clin Rehabil. 2020 Dec; 34(12): 1449-1457 OBJECTIVE To investigate the effect of the Feldenkrais method versus core stability exercises on pain, disability, quality of life and interoceptive awareness in patients with chronic non-specific low back pain. DESIGN A single-blinded, randomised, controlled trial. SETTING Outpatient, sports […]

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Uncategorized Published - 22 January, 2021    By - Dr Clemens
Study finds high prevalence of acute brain dysfunction in critically ill patients with COVID-19

DG Alerts Study data showed that acute brain dysfunction was highly prevalent and prolonged in critically ill patients with coronavirus disease 2019 (COVID-19) and the overuse of benzodiazepine sedative infusions and lack of family visitation were associated with more delirium. These findings, published in The Lancet Respiratory Medicine, came from a study which included 2,088 critically ill […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Exposure–Response Relationship of Tranexamic Acid in Cardiac Surgery

Authors: Paul Jacques Zufferey, M.D., Ph.D. et al  Anesthesiology February 2021, Vol. 134, 165–178. Background It is unclear whether high-dose regimens of tranexamic acid in cardiac surgery (total dose, 80 to 100 mg/kg) confer a clinical advantage over low-dose regimens (total dose, approximately 20 mg/kg), particularly as tranexamic acid–associated seizure may be dose-related. The authors’ aim […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Intraoperative Blood Pressure Monitoring in Obese Patients: Arterial Catheter, Finger Cuff, and Oscillometry

Authors: Roman Schumann, M.D. et al  Anesthesiology February 2021, Vol. 134, 179–188. Background The optimal method for blood pressure monitoring in obese surgical patients remains unknown. Arterial catheters can cause potential complications, and noninvasive oscillometry provides only intermittent values. Finger cuff methods allow continuous noninvasive monitoring. The authors tested the hypothesis that the agreement between finger […]

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