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Uncategorized Published - 10 September, 2019    By - Dr Clemens
How lack of sleep harms circulation

This isn’t about anesthesia however it was very interesting so I wanted to share it with our readers. By Maria Cohut Medical News Today Scientists have long been aware of the relationship between insufficient sleep and poor cardiovascular health. However, exactly how the lack of adequate sleep can harm circulation has remained unclear. A new study […]

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Uncategorized Published - 10 September, 2019    By - Dr Clemens
Restless Legs Syndrome Linked to Increased Risk for Self-Harm or Suicide

I thought this was interesting that there could be a relationship between the two so I wanted to share it. By Amy Orciari Herman Adults with restless legs syndrome (RLS) may be at increased risk for suicide or self-harm, according to a JAMA Network Open study. Using a large U.S. health claims database, researchers matched roughly 25,000 […]

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Uncategorized Published - 9 September, 2019    By - Dr Clemens
Association of Intraoperative Ventilator Management With Postoperative Oxygenation, Pulmonary Complications, and Mortality

AUTHORS: Douville, Nicholas J. MD, PhD et al Anesthesia & Analgesia: May 15, 2019 BACKGROUND: “Lung-protective ventilation” describes a ventilation strategy involving low tidal volumes (VTs) and/or low driving pressure/plateau pressure and has been associated with improved outcomes after mechanical ventilation. We evaluated the association between intraoperative ventilation parameters (including positive end-expiratory pressure [PEEP], driving pressure, and […]

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Uncategorized Published - 9 September, 2019    By - Dr Clemens
Influence of Remifentanil on the Control Performance of the Bispectral Index Controlled Bayesian-Based Closed-Loop System for Propofol Administration

AUTHORS: Neckebroek, Martine MD et al Anesthesia & Analgesia: May 15, 2019 BACKGROUND: This study investigated the clinical performance of a model-based, patient-individualized closed-loop (CL) control system for propofol administration using the bispectral index (BIS) as a controlled variable during the induction and maintenance of anesthesia with propofol and remifentanil and studied the influence of the targeted […]

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Uncategorized Published - 9 September, 2019    By - Dr Clemens
Anaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis

Authors: Stavros G. Memtsoudis et al British Journal of Anaesthesia September 2019 Volume 123, Issue 3, Pages 269–287 Background Evidence-based international expert consensus regarding anaesthetic practice in hip/knee arthroplasty surgery is needed for improved healthcare outcomes. Methods The International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) systematic review, including randomised controlled and observational studies […]

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Uncategorized Published - 9 September, 2019    By - Dr Clemens
Study Shows Intrathecal Bupivacaine Effective For Long-Term Cancer Pain Treatment

AUTHOR: Michael Vlessides Anesthesiology News Patients suffering from cancer pain refractory to systemic opioids may find relief in an unlikely source, according to a pilot study by Swedish researchers: intrathecal bupivacaine. They concluded that the therapy can be effectively used for long-term pain management in these individuals with little increase in dose and few of […]

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Uncategorized Published - 9 September, 2019    By - Dr Clemens
Unpredictable Injectate Spread of the Erector Spinae Plane Block in Human Cadavers

AUTHORS: Dautzenberg, Karin H. W. MD et al Anesthesia & Analgesia: May 15, 2019 We performed bilateral ultrasound-guided erector spinae plane blocks at the second and eighth thoracic vertebrae in 11 fresh frozen cadavers. Methylene blue dye spread variably and extensively deep to the erector spinae muscles fascia with involvement of the spinal rami and paravertebral […]

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Uncategorized Published - 9 September, 2019    By - Dr Clemens
1 in 4 Teens Report Using Potent Cannabis Concentrate

By Amy Orciari Herman Roughly 25% of teens report ever having used cannabis concentrates, according to a Pediatrics study. Cannabis concentrates are produced by using a solvent (e.g., butane) or a nonsolvent method (e.g., a sieve) to extract tetrahydrocannabinol (THC) from the cannabis plant; they can contain roughly three times the THC as traditional marijuana. As part […]

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Uncategorized Published - 6 September, 2019    By - Dr Clemens
Intraoperative Hyperoxia Does Not Reduce Postoperative Pain

AUTHORS: Cohen, Barak MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1160-1166 BACKGROUND: Postoperative pain is common and promotes opioid use. Surgical wounds are hypoxic because normal perfusion is impaired. Local wound ischemia and acidosis promote incisional pain. Some evidence suggests that improving oxygen supply to surgical wounds […]

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Uncategorized Published - 6 September, 2019    By - Dr Clemens
Effect of Apneic Oxygenation on Tracheal Oxygen Levels, Tracheal Pressure, and Carbon Dioxide Accumulation

AUTHORS: Toner, Andrew J. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1154-1159 BACKGROUND: Apneic oxygenation via the oral route using a buccal device extends the safe apnea time in most but not all obese patients. Apneic oxygenation techniques are most effective when tracheal oxygen concentrations are maintained […]

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