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Uncategorized Published - 23 March, 2020    By - Dr Clemens
Neuromodulation: more than a placebo effect?

Authors: Kjær, Sophie W et PAIN: March 2020 – Volume 161 – Issue 3 – p 491-495 1. Introduction Neuromodulation interventions use electrical stimulation to modulate neuronal activity and elicit a therapeutic response.19 These procedures are generally adjustable, reversible, and have demonstrated some efficacy in the treatment of several conditions, including chronic pain.26 Despite promising evidence in […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
The Role of Prone Positioning in the Management of Acute Respiratory Failure After Cardiac Surgery

Authors: Shekhar Saha, MD et al Cardiothoracic and Vascular Anesthesia Objectives The aim of this study was to determine the benefit of prone positioning (PP) in patients developing acute respiratory failure (ARF) after cardiac surgery. Design A retrospective analysis. Setting Review of the institutional database between October 2016 and October 2018 revealed 24 patients who […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
After Bariatric Surgery, Patients May Have Lower Risk for Colorectal Cancer

By Kelly Young Bariatric surgery is associated with lower risk for subsequent colorectal cancer, suggests an observational study in JAMA Surgery. Researchers studied obese adults aged 50 to 75 years who were hospitalized in France. Colorectal cancer rates were compared between 74,000 who underwent bariatric surgery and 970,000 who did not. During roughly 5 years’ follow-up, […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
Central Line Guidewire Confirmation With TEE

RK.MD blog Whenever my residents/fellows or I place central venous catheters (CVCs) in the operating room in a case where we’ll be performing intraoperative transesophageal echocardiography (TEE), I always place the TEE probe beforehand. I obtain a midesophageal bicaval view looking for preexisting hardware in the patient’s right atrium (RA) such as ICD wires, PICC […]

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Uncategorized Published - 23 March, 2020    By - Dr Clemens
The Use of Personal Protective Equipment by Anesthesia Professionals during the COVID-19 Pandemic

Joint Position Statement The American Society of Anesthesiologists (ASA), American Association of Nurse Anesthetists (AANA) and Anesthesia Patient Safety Foundation (APSF) believe that the safety of anesthesia professionals is of utmost importance in developing policies related to personal protective equipment (PPE).  When anesthesia professionals will be at an increased risk of exposure, such as caring […]

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Uncategorized Published - 20 March, 2020    By - Dr Clemens
Effect of Albuterol Premedication vs Placebo on the Occurrence of Respiratory Adverse Events in Children Undergoing Tonsillectomies

Authors: Britta S. von Ungern-Sternberg, MD, PhD et al JAMA Pediatrics June 1, 2019 The REACT Randomized Clinical Trial Educational Objective To determine whether inhaled albuterol sulfate (salbutamol sulfate) premedication decreases the risk of perioperative respiratory adverse events in children undergoing anesthesia for tonsillectomy. Key Points Question  Does the use of albuterol sulfate (salbutamol sulfate) premedication reduce […]

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Uncategorized Published - 20 March, 2020    By - Dr Clemens
Preliminary Study Faults Opioid-Free Anesthesia for Bariatric Surgery

Author: Michael Vlessides Anesthesiology News Despite its increasing popularity, opioid-free anesthesia for bariatric surgery may not be the optimal choice. A preliminary trial has found that the opioid-free approach did not improve patients’ recovery profile, although the population sample was small. “Obesity is a growing epidemic in the United States, and increasing numbers of these […]

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Uncategorized Published - 20 March, 2020    By - Dr Clemens
Obesity Rates Stable for Most Pediatric Surgery Patients

Author: Michael Vlessides Anesthesiology News Overall obesity rates among pediatric surgical patients have changed little over the past nine years, despite a nationwide trend in increasing obesity among the population at large. “The prevalence of obesity among children has been steadily rising across the country, but it hasn’t really been documented whether or not we’re […]

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Uncategorized Published - 20 March, 2020    By - Dr Clemens
Timing of Post-op Beta-Blocker Administration Affects Afib Rate

Author: Michael Vlessides Anesthesiology News Absent or delayed beta-blocker administration after the fifth postoperative day is associated with increased rates of postoperative atrial fibrillation in patients who underwent coronary artery bypass graft (CABG) surgery, valve surgery, or combined CABG and valve surgeries, according to new research. In addition, in these patient groups, absent or delayed […]

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Uncategorized Published - 20 March, 2020    By - Dr Clemens
American Hospital Capacity And Projected Need for COVID-19 Patient Care

Authors: Thomas C. Tsai et al Health Affairs March 17, 2020 The 2019 coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is rapidly spreading throughout the world. In the United States, the disease is expected to infect 20-60 percent of the population before the pandemic finishes its course. The recent experience […]

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