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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Postoperative Analgesic Effectiveness of Quadratus Lumborum Block for Cesarean Delivery under Spinal Anesthesia

Authors Nasir Hussain, M.D., M.Sc. et al  Anesthesiology Newly Published on November 2020 Background Spinal morphine is the mainstay of postcesarean analgesia. Quadratus lumborum block has recently been proposed as an adjunct or alternative to spinal morphine. The authors evaluated the analgesic effectiveness of quadratus lumborum block in cesarean delivery with and without spinal morphine. Methods […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Brief Preoperative Screening for Frailty and Cognitive Impairment Predicts Delirium after Spine Surgery

Authors: Maria J. Susano, M.D. et al  Anesthesiology December 2020, Vol. 133, 1184–1191. Background Frailty and cognitive impairment are associated with postoperative delirium, but are rarely assessed preoperatively. The study was designed to test the hypothesis that preoperative screening for frailty or cognitive impairment identifies patients at risk for postoperative delirium (primary outcome). Methods In this […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Pre-pregnancy hypertension on the rise throughout the US

Author: Michael Walter Cardiovascular Business News Pre-pregnancy hypertension rates have climbed substantially in the United States in recent years, according to a new analysis published in the Journal of the American College of Cardiology. “Cardiovascular disease (CVD) is now the leading cause of pregnancy-related deaths, and hypertension is a well-established risk factor for these potentially preventable […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Covid reinfection ‘highly unlikely’ for at least six months, Oxford study says

Author: Sam Meredith CNBC KEY POINTS The study, published Friday, claims to be the first large-scale research into how much protection people get against reinfection after contracting the coronavirus. Researchers say the findings are “exciting” because they represent an important step in understanding how Covid-19 immunity may work. The study was part of a major […]

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Uncategorized Published - 8 December, 2020    By - Dr Clemens
Study suggests delirium is common in older patients with COVID-19 presenting to emergency department

DG Alerts Findings from a study published in JAMA Network Open suggest that delirium is common and often seen without other typical symptoms or signs in older adults with coronavirus disease 2019 (COVID-19) presenting to the emergency department. In addition, delirium was associated with poor hospital outcomes and death. “In this cohort study of 817 older patients […]

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Uncategorized Published - 7 December, 2020    By - Dr Clemens
Intraoperative Dextrose Rate during Exploratory Laparotomies in Neonates and the Incidence of Postoperative Hyperglycemia

DG Journal Club AUTHORS Scott E Kolesky, Soumya Nyshadham et al. Paediatr Anaesth. 2020 Nov 15 INTRODUCTION Compared to the older pediatric population, neonates have greater perioperative morbidity and mortality. Difficulty with glucose regulation may be a contributing modifiable risk factor during perioperative anesthetic management. To mitigate the risk of hyperglycemia in neonates, some providers […]

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Uncategorized Published - 7 December, 2020    By - Dr Clemens
Oral Dexmedetomidine Promotes Non-rapid Eye Movement Stage 2 Sleep in Humans

Authors: Shubham Chamadia, Ph.D. et al  Anesthesiology December 2020, Vol. 133, 1234–1243. Background The administration of dexmedetomidine is limited to highly monitored care settings because it is only available for use in humans as intravenous medication. An oral formulation of dexmedetomidine may broaden its use to all care settings. The authors investigated the effect of a […]

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Uncategorized Published - 7 December, 2020    By - Dr Clemens
Nerve Blocks for Acute Pain Management

Author: Tony Mira Summary CPT codes often take time to be established.  Many new nerve blocks are still unlisted, even though they are now used quite commonly.  Providers should not be discouraged from trying new techniques just because they may be unpayable.  The process of establishing new codes may be slow, but it does eventually […]

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Uncategorized Published - 7 December, 2020    By - Dr Clemens
Study identifies risk factors of liver injury in patients with COVID-19

This is important in anesthesia due to the drugs we use are often metabolized by the liver. DG Alert Age over 50 years, male sex and use of lopinavir-ritonavir were the independent risk factors of liver injury in coronavirus disease 2019 (COVID-19) patients, according to a study published in the Journal of Medical Virology. Jian Wang, […]

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Uncategorized Published - 7 December, 2020    By - Dr Clemens
Obese COVID-19 patients face a greater risk of in-hospital death, mechanical ventilation

Author: Michael Walter Cardiovascular Business News Obese individuals are more likely to be hospitalized for COVID-19, according to new findings published in Circulation. Obesity was also linked to higher rates of in-hospital mortality and mechanical ventilation. The analysis included data from the American Heart Association’s COVID-19 Cardiovascular Disease Registry. More than 7,500 patients from 88 different U.S. […]

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