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Uncategorized Published - 5 January, 2020    By - Dr Clemens
Chronic postsurgical pain after total knee arthroplasty

AUTHORS: Koji Aso, Masahiko Ikeuchi et al. Mod Rheumatol. 2020 Dec 4 1-17 OBJECTIVE To elucidate the prevalence and risk factors of chronic postsurgical pain (CPSP) after primary total knee arthroplasty (TKA) in Japanese population. METHODS Consecutive patients undergoing primary TKA in a Japanese tertiary hospital (211 knees) were assessed. CPSP after TKA was defined […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
Pain Control During Cesarean Delivery

Anesthesiology News The Frost Series #354 Author: Laura Nora Zeidan, MD Case Presentation An 18-year-old woman, gravida 1, para 0, with a body mass index of 51 kg/m2, presented for induction of labor at 40 weeks’ gestation due to oligohydramnios. An epidural catheter was placed at the L3-L4 intervertebral space when the patient reached 3 […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
Single-Shot and Continuous Fascia Iliaca Blocks Similar for Geriatric Hip Fracture

Author: Bob Kronemyer Anesthesiology News Pain scores and other measured outcomes did not vary significantly between single-shot and continuous fascia iliaca blocks for geriatric patients with hip fractures. Narcotic use, pain scores, opioid-related complications, hospital length of stay and time to ambulation were all similar between the two methods. “We wanted to try to provide […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
No Difference in Morbidity or Mortality for Restrictive or Liberal Transfusion Policies

Author: Michael Vlessides Anesthesiology News A restrictive transfusion strategy does not have a significant impact on either morbidity or mortality relative to a liberal transfusion strategy. The systematic review and meta-analysis also found that the restrictive strategy decreased exposure to packed red blood cells (PRBCs) by more than 30%, while saving approximately 0.2 unit of […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
Study Maps IV Morphine Equivalence of Sublingual Sufentanil

Author: Ethan Covey Anesthesiology News A single dose of a 15-mcg sublingual sufentanil tablet (ssT) offers analgesic relief equivalent to 2.5 mg of IV morphine, and is an effective alternative to IV morphine in surgical patients with moderate to severe postoperative pain. “We are constantly striving to improve our patients’ pain experience,” said Harold S. […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
Total and Partial Hip Arthroplasty After Fracture Have Similar Reoperation Rates

By Kelly Young Edited by André Sofair, MD, MPH Patients undergoing total or partial hip arthroplasty have similar reoperation rates after 2 years, according to a study presented at the Orthopedic Trauma Association’s annual meeting and published in the New England Journal of Medicine. The research was supported, in part, by industry funding. Researchers studied roughly 1500 […]

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Uncategorized Published - 3 January, 2020    By - Dr Clemens
Slow Gait Speed at Midlife May Be Predictor of Accelerated Aging

This has nothing to do with anesthesia however I thought it was interesting so I wanted to share with our readers. By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD A person’s gait speed at midlife is associated with physical and biological indicators of accelerated aging, suggests a JAMA Network Open study. Roughly […]

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Uncategorized Published - 2 January, 2020    By - Dr Clemens
Ropivacaine Activates Multiple Proapoptotic and Inflammatory Signaling Pathways That Might Subsume to Trigger Epidural-Related Maternal Fever

Authors: Wohlrab, Peter MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Epidural-related maternal fever (ERMF) is an adverse effect of epidural analgesia during labor and is associated with perinatal and neonatal morbidity. Local anesthetics have been proposed to trigger ERMF via sterile inflammation. Ropivacaine is currently the most frequently used epidural anesthetic and considered […]

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Uncategorized Published - 2 January, 2020    By - Dr Clemens
Anesthesia Disrupts Neural Microanatomy to Alter Consciousness

Author: Jenna Bassett PhD Anesthesiology News Anesthesia-induced loss of consciousness is accompanied by microscale changes in neural signaling patterns, according to a recent study. The results highlight the role of local network dynamics in managing conscious states. General anesthesia produces medically induced loss of consciousness (mLOC), and its implementation is fundamental to modern surgical practice. […]

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Uncategorized Published - 2 January, 2020    By - Dr Clemens
Modeling the Effect of Excitation on Depth of Anesthesia Monitoring in γ-Aminobutyric Acid Type A Receptor Agonist ABP-700

Authors: Beatrijs I. Valk, M.D. et al  Anesthesiology January 2021, Vol. 134, 35–51. Background γ-Aminobutyric acid type A (GABAA) receptor agonists are known to cause involuntary muscle movements. The mechanism of these movements is not known, and its relationship to depth of anesthesia monitoring is unclear. We have explored the effect of involuntary muscle movement on […]

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