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Uncategorized Published - 5 November, 2019    By - Dr Clemens
Midazolam Premedication Facilitates Mask Ventilation During Induction of General Anesthesia

AUTHORS: Park, Jin-Woo MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 500-506 BACKGROUND: During induction of general anesthesia, proper mask ventilation is crucial for supplying sufficient oxygen to unconscious patients. Midazolam has a relaxing effect on airway muscles. We hypothesized that sedative premedication with midazolam would facilitate […]

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Uncategorized Published - 5 November, 2019    By - Dr Clemens
The Relationship Between Neuropathic Pain and Spinal Alignment: Independent Risk Factors for Low Quality of Life in Middle-Aged and Elderly People

Authors: Lmagama S et al Spine (Jun 2019) MINI: In multivariate logistic regression analysis in 1,128 elderly people, NeP(+) (odds ratio (OR): 3.01), positive spinal inclination (OR: 1.14), and high VAS for LBP (OR: 1.04) were identified as risk factors for low physical QOL, and NeP(+) (OR: 5.32) was the only significant risk factor for […]

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Uncategorized Published - 5 November, 2019    By - Dr Clemens
FDA Releases Multiagency Report on Causes of Drug Shortages

Anesthesiology News The FDA released a new report on the causes of the ongoing drug shortages in the U.S. health care system, according to the agency. A multiagency task force—made up of the Centers for Medicare & Medicaid Services and the Department of Veterans Affairs, among others—conducted the report, which analyzed 163 drugs that were in […]

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Uncategorized Published - 4 November, 2019    By - Dr Clemens
Ketorolac Use Shortens Hospital Length of Stay After Bariatric Surgery

AUTHORS: Hariri K et al Obesity Surgery June 2019 INTRODUCTION There has been a recent increased interest in the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ketorolac for post-operative pain management to minimize opioid use and decrease hospital length of stay (LOS). Although NSAID use has been controversial following bariatric surgery due to anecdotal […]

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Uncategorized Published - 4 November, 2019    By - Dr Clemens
The Use of Intraperitoneal Bupivacaine in Laparoscopic Roux-en-Y Gastric Bypass

AUTHORS: Schipper I et al Obesity Surgery June 2019 BACKGROUND Several studies have shown a reduction in postoperative pain and length of hospital stay when using intraperitoneal local anesthetics during laparoscopic surgery. In morbidly obese patients, respiratory depression due to opioid use is a serious side effect. Any different type of analgesia is therefore clinically […]

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Uncategorized Published - 4 November, 2019    By - Dr Clemens
Risks Associated with Anesthesia for Endoscopy

Authors: Lieber SR et al. Clin Gastroenterol Hepatol 2019 Oct 14 Although anesthesia-directed sedation is safe overall, specific risks for adverse anesthesia-related events are identifiable. The use of anesthesia services for endoscopic procedures has increased steadily in the U.S.; it is the dominant method of endoscopic sedation. The popularity of anesthesia-directed sedation (ADS), including with propofol, […]

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Uncategorized Published - 4 November, 2019    By - Dr Clemens
Spinal Stimulation for the Treatment of Intractable Spine and Limb Pain

AUTHORS: Lamer T et al Mayo Clinic Proceedings July 2019 OBJECTIVE To synthesize the evidence regarding the effect of spinal stimulation (SS) vs medical therapy (MT) and the effect of newer SS technologies vs conventional SS on pain reduction in patients with intractable spine or limb pain. METHODS A comprehensive literature search was conducted by […]

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Uncategorized Published - 4 November, 2019    By - Dr Clemens
Surgery Before Pregnancy Linked to Higher Risk of Neonatal Abstinence Syndrome

Babies whose mothers underwent surgery before pregnancy have an increased risk of opioid withdrawal symptoms at birth, according to a study published in CMAJ. “Use of opioids for pain control after surgery may increase the risk of opioid dependence in women and withdrawal in their newborns,” said Nathalie Auger, MD, University of Montreal Hospital Research Centre, […]

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Uncategorized Published - 4 November, 2019    By - Dr Clemens
Tips for Working with Someone Who Always Thinks They’re Right

I thought this was interesting so I wanted to share with our readers. A colleague who always thinks they’re right can be extremely frustrating. There are a few ways to keep the relationship productive and professional. The next time you find yourself in a debate with this person, don’t fight back — escalating an argument […]

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Uncategorized Published - 1 November, 2019    By - Dr Clemens
Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Tracheal Intubation in Neonates

AUTHORS: Tao, Bingdong MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 482-486 BACKGROUND: GlideScope video laryngoscope (GS) has been widely used to facilitate tracheal intubation in adults and pediatric patients because it can improve glottic view. Several investigations performed in pediatric patients have shown that GS provides […]

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