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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation: A Pragmatic Effectiveness Trial of a Nonpharmacologic Alternative for the Treatment of Postoperative Pain

DG Journal Club AUTHORS: Brian M Ilfeld, Harold Gelfand et al. Pain Med. 2020 Dec 12; 21(Supplement_2): S53-S61 BACKGROUND Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducer needle followed by the delivery of electric current after needle withdrawal. This modality has been used extensively to […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
Opioid-Related Diagnoses at Birth Continue to Increase

By Christine Judge Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM NEJM Journal Watch Neonatal abstinence syndrome increased 82% in the U.S. between 2010 and 2017, while maternal opioid-related diagnoses increased 131%, researchers report in JAMA. Previous analyses documented their rise between 2000 and 2014. Based on 12 million discharge records from […]

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Uncategorized Published - 21 January, 2021    By - Dr Clemens
The Ongoing Impact of Medicare on Anesthesia Practices

Author: Tony Mira Anesthesiallc Summary There is often a cause-and-effect relationship between higher utilization and lower reimbursement within the healthcare sector.  This relationship is coming into sharp focus with the surge of seniors now entering the Medicare program. Baby boomers are increasingly entering the rolls of Medicare.  While many of them lead healthy and active […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
Intraoperative Oxygen Concentration and Neurocognition after Cardiac Surgery

Authors: Shahzad Shaefi, M.D. et al  Anesthesiology February 2021, Vol. 134, 189–201. Background Despite evidence suggesting detrimental effects of perioperative hyperoxia, hyperoxygenation remains commonplace in cardiac surgery. Hyperoxygenation may increase oxidative damage and neuronal injury leading to potential differences in postoperative neurocognition. Therefore, this study tested the primary hypothesis that intraoperative normoxia, as compared to hyperoxia, […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
Association between Neuraxial Labor Analgesia and Neonatal Morbidity after Operative Vaginal Delivery

Authors: Alexander J. Butwick, M.B.B.S., F.R.C.A., M.S. et al  Anesthesiology January 2021, Vol. 134, 52–60. Background Up to 84% of women who undergo operative vaginal delivery receive neuraxial analgesia. However, little is known about the association between neuraxial analgesia and neonatal morbidity in women who undergo operative vaginal delivery. The authors hypothesized that neuraxial analgesia is […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
Study: Coffee reduces risk for prostate cancer

Author: Brian P. Dunleavy UPI Coffee consumption may reduce prostate cancer risk, a new analysis has found. Drinking several cups of coffee daily appears to lower risk for developing prostate cancer, according to an analysis published Monday by BMJ Open. Each additional daily cup of coffee reduced the drinker’s risk for the cancer, the data showed. […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
L-bupivacaine Inhibition of Nociceptive Transmission in Rat Peripheral and Dorsal Horn Neurons

Authors: Daisuke Uta, Ph.D. et al  Anesthesiology January 2021, Vol. 134, 88–102. Background Although the widely used single L-enantiomers of local anesthetics have less toxic effects on the cardiovascular and central nervous systems, the mechanisms mediating their antinociceptive actions are not well understood. The authors hypothesized that significant differences in the ion channel blocking abilities of […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
Virtual Visits for 2021: Telehealth Rules Refined

Author: Tony Mira Anesthesiallc Summary: Telehealth will continue to be a viable option for many providers and patients; but how applicable will these services be to the practice of anesthesia and chronic pain? During the course of this year, the Centers for Medicare and Medicaid Services (CMS) produced a number of rule changes concerning the utilization […]

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Uncategorized Published - 20 January, 2021    By - Dr Clemens
No limit to cardiovascular benefits of exercise, study finds

PLOS Summary: Physical activity is not only associated with a lower risk of cardiovascular disease, but there is no threshold for that association, with the lowest risk of cardiovascular disease seen for those who are most active, according to a new study. Physical activity is not only associated with a lower risk of cardiovascular disease, […]

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Uncategorized Published - 19 January, 2021    By - Dr Clemens
TRENDS FOR THE FUTURE OF ANESTHESIOLOGY

Author: Richard Novak, MD The Anesthesia Consultant What can we expect in the next 10 years of anesthesiology? What will be the trends for the future of anesthesiology? I’m writing this in January 2016. God willing, we’ll all be alive and well to reread this in 2026, and find out how many of these predictions […]

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