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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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Uncategorized Published - 4 December, 2020    By - Dr Clemens
Effects of prophylactic atropine on the time to tracheal intubation with the pre-administration of remifentanil

DG Journal Club AUTHORS Jae-Geum Shim, Eun A Cho et al. Acta Anaesthesiol Scand. 2020 Nov 9 BACKGROUND Pre-administration of remifentanil in target-controlled propofol and remifentanil anaesthesia could prolong the time of onset of muscle relaxation owing to haemodynamic effects, thereby prolonging the time to tracheal intubation. Although the sympatholytic effects of remifentanil result in […]

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Uncategorized Published - 4 December, 2020    By - Dr Clemens
Patient and procedural risk factors for increased postoperative pain after cesarean delivery under neuraxial anesthesia

AUTHORS: J E Mehdiratta, R Saab et al. Int J Obstet Anesth. 2020 11; 44 60-67 BACKGROUND There is significant interindividual variability in pain experienced after cesarean delivery. The goal of this study was to identify risk factors for increased postoperative pain in women undergoing cesarean delivery under neuraxial anesthesia with neuraxial morphine. METHODS A […]

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Uncategorized Published - 4 December, 2020    By - Dr Clemens
CDC report: 9% of COVID-19 patients readmitted to same hospital within 2 months

DG Alerts The US Centers for Disease Control and Prevention’s (CDC) Morbidity and Mortality Weekly Report has found that 9% of patients discharged from an initial coronavirus disease 2019 (COVID-19) hospitalization were readmitted to the same hospital within 2 months of discharge. In addition, multiple readmissions occurred in 1.6% of patients. Using electronic health record […]

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Uncategorized Published - 4 December, 2020    By - Dr Clemens
Effect of a stepwise opioid-sparing analgesic protocol on in-hospital oxycodone use and discharge prescription after cesarean delivery

DG Journal Club AUTHORS Ruth Landau, Erik Romanelli et al. Reg Anesth Pain Med. 2020 Nov 10 INTRODUCTION Opioid exposure during hospitalization for cesarean delivery increases the risk of new persistent opioid use. We studied the effectiveness of stepwise multimodal opioid-sparing analgesia in reducing oxycodone use during cesarean delivery hospitalization and prescriptions at discharge. METHODS […]

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Uncategorized Published - 4 December, 2020    By - Dr Clemens
Presence of Pneumocystis jirovecii in critically ill patients with COVID-19

DG Alerts An unexpectedly high proportion of Pneumocystis jirovecii-positive pulmonary samples was observed in critically ill coronavirus disease 2019 (COVID-19) patients, according to a study published in Journal of Infection. “Based on our findings, we advocate systematically searching for P. jirovecii in deep respiratory specimens in these patients. We believe that this strategy may be useful in limiting enhanced […]

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Uncategorized Published - 3 December, 2020    By - Dr Clemens
Intranasal oxytocin as a treatment for chronic pelvic pain

This is for our readers who treat pain patients AUTHORS: Michelle J Flynn, Tavis S Campbell et al. Int J Gynaecol Obstet. 2020 Oct 28 OBJECTIVES To investigate the effect of intranasal oxytocin on chronic pelvic pain in a randomized, double-blind, within-subject crossover trial. Aims included: (1) determine intranasal oxytocin’s effect on pain intensity and […]

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Uncategorized Published - 3 December, 2020    By - Dr Clemens
TRPV1-Targeted Drugs in Development for Human Pain Conditions

DG Journal Club AUTHORS Mircea Iftinca, Manon Defaye et al. Drugs. 2020 Nov 9 The transient receptor potential vanilloid-1 (TRPV1) is a non-specific cation channel known for its sensitivity to pungent vanilloid compound (i.e. capsaicin) and noxious stimuli, including heat, low pH or inflammatory mediators. TRPV1 is found in the somatosensory system, particularly primary afferent […]

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Uncategorized Published - 3 December, 2020    By - Dr Clemens
93% of patients with type 2 diabetes are at an increased risk of a fatal heart attack or stroke

Author: Michael Walter Cardiovascular Business News A whopping 93% of adult patients with type 2 diabetes (T2D) are at a high risk of experiencing a fatal acute myocardial infarction (AMI) or stroke, according to new research published in the European Journal of Preventive Cardiology. The study was focused on data out of Catalonia, Spain, but its findings […]

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Uncategorized Published - 3 December, 2020    By - Dr Clemens
First Covid vaccines to be offered to health workers, nursing homes, CDC panel says

By Akshay Syal and Sara G. Miller NBC Health Health care personnel and residents of long-term care facilities will be the first groups to be offered the Covid-19 vaccine, according to a new proposal from an independent advisory committee within the Centers for Disease Control and Prevention. The Advisory Committee on Immunization Practices met virtually on Tuesday to […]

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