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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Peripheral Nerve Stimulation and Clinical Outcomes

AUTHORS: Nafisseh S Warner, Kalli K Schaefer et al. Pain Pract. 2020 Nov 22 PURPOSE Peripheral nerve stimulation (PNS) is a rapidly expanding field within neuromodulation; however, there is limited data on therapeutic efficacy. This study describes the indications and clinical outcomes for patients undergoing PNS for chronic pain states. PATIENTS AND METHODS This is […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Tranexamic Acid or Epsilon Aminocaproic Acid in Cardiac Surgery

Author: Cardiac Anesthesiologist  Bleeding is a common occurrence after Cardiac Surgery (CS) and can adversely affect outcomes. Publications on patient blood management are typically focused on reducing red blood cell transfusions through identification and treatment of preoperative anemia, delineation of safe transfusion thresholds, intraoperative blood scavenging, monitoring of the coagulation system, and data-driven algorithms for appropriate transfusion practices. This has been an […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Racial Disparities in Failure to Rescue Following Unplanned Reoperation in Pediatric Surgery

AUTHORS: Willer, Brittany L. MD et al Anesthesia & Analgesia:  December 2020 BACKGROUND: Failure to rescue (FTR) and unplanned reoperation following an index surgical procedure are key indicators of the quality of surgical care. Given that differences in unplanned reoperation and FTR rates among racial groups may contribute to persistent disparities in postsurgical outcomes, we […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Rapid Sequence Induction With a Standard Intubation Dose of Rocuronium After Magnesium Pretreatment Compared With Succinylcholine

AUTHORS: Czarnetzki, Christoph MD, MBA et al Anesthesia & Analgesia: December 17, 2020 – BACKGROUND: Succinylcholine remains the muscle relaxant of choice for rapid sequence induction (RSI) but has many adverse effects. High-dose rocuronium bromide may be an alternative to succinylcholine for RSI but recovery times are nearly doubled compared with a standard intubating dose […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
Regional differences between superficial and deep lumbar multifidus in patients with chronic lumbar spine pathology

AUTHORS: Jennifer Padwal, David B Berry et al. BMC Musculoskelet Disord. 2020 Nov 20; 21(1): 764 BACKGROUND Due to its unique arrangement, the deep and superficial fibers of the multifidus may have differential roles for maintaining spine stabilization and lumbar posture; the superficial multifidus is responsible for lumbar extension and the deep multifidus for intersegmental […]

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Uncategorized Published - 7 January, 2021    By - Dr Clemens
CCTA an effective initial imaging option for patients with stable chest pain

Author: Michael Walter Cardiovascular Business News Coronary CT angiography (CCTA) is a safe and effective treatment option for patients with stable angina, according to a new analysis of the RESCUE Trial published in the Journal of the American Heart Association. The RESCUE Trial was a randomized, multicenter clinical trial designed to examine patient outcomes when either […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Unexpectedly, data show that anaesthetists and intensive care doctors are at lower risk of SARS-CoV-2

By AAGBI Following the first recorded death of an anaesthetist from COVID-19 in the UK in November 2020, a review of available data published in Anaesthesia (a journal of the Association of Anaesthetists) shows that unexpectedly, despite their perceived increased exposure to COVID-19 patients and high-risk procedures, anaesthetists and intensive care doctors appear to be at lower […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Effect of Different Positions During Surgical Preparation With Combined Spinal-Epidural Anesthesia for Elective Cesarean Delivery

AUTHORS: Liu, Tianyu BScet al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 10.1213 BACKGROUND: The intraoperative 15° left-tilt position during cesarean delivery has more recently been questioned regarding its effect on fetal acid-base balance and is a frequent source of complaints by surgeons. We hypothesized that a 30° left-tilt position during […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Elevated Plasma Concentrations of Syndecan-1 Do Not Correlate With Increased Capillary Leakage of 20% Albumin

AUTHORS: Hahn, Robert G. MD, PhD et al Anesthesia & Analgesia: December 21, 2020 – Volume – Issue – 10.1213 BACKGROUND: Preclinical experiments show that an inflammatory reaction causes degradation of the endothelial glycocalyx layer and accelerated capillary leakage of albumin and fluid. The hypothesis in the present study was that elevated plasma concentrations of […]

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Uncategorized Published - 6 January, 2021    By - Dr Clemens
Blind intubation through an i-gel® in the prone position

AUTHORS: Maarten van Dijck, Bernard M Houweling et al. Anaesth Intensive Care. 2020 Nov 22 Accidental extubation in the prone position is a medical emergency in which quick and low resource demanding airway management is required. Regaining oxygenation is the primary goal, but sometimes intubation may be required to regain oxygenation. Blind intubation through an […]

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