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Uncategorized Published - 25 June, 2019    By - Dr Clemens
Simplified OSA Screening Tool Proves Efficacy

Author: Michael Vlessides Anesthesiology News A screening tool designed to identify surgical patients at high risk for obstructive sleep apnea (OSA) bolsters clinical decision making and reduces both respiratory complications and hospital utilization rates. “In 2006, the Joint Commission recommended that hospitals establish screening tools for OSA,” said Katharina S. Platzbecker, MD, a research fellow […]

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Uncategorized Published - 25 June, 2019    By - Dr Clemens
How to Stop Obsessing Over Your Mistakes

I thought this was interesting so I wanted to share it with our readers. Author: Alice Boyes Harvard Business Review Do you ever find yourself endlessly mentally replaying situations in which you wish you’d performed differently? You wish you hadn’t said that dumb thing. You wish you’d volunteered for that project that’s now winning accolades. […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Effect of Intravenous Acetaminophen vs Placebo Combined With Propofol or Dexmedetomidine on Postoperative Delirium Among Older Patients Following Cardiac Surgery

Authors: Subramaniam B et al Journal of the American Medical Association (JAMA) 321 (7), 686-696 (Feb 2019) Importance Postoperative delirium is common following cardiac surgery and may be affected by choice of analgesic and sedative. Objective To evaluate the effect of postoperative intravenous (IV) acetaminophen (paracetamol) vs placebo combined with IV propofol vs dexmedetomidine on […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Aerobic Exercise and Cognitive Performance in Younger and Older Adults

I thought this was interesting so I wanted to share this with our readers. Authors: Stern Y et al. Neurology 2019 Jan 30 More evidence supports positive effects of aerobic exercise on cognitive outcomes, especially in older adults. Aerobic exercise can improve cognition and increase cortical thickness in older adults. In this randomized, community-based clinical trial, […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Excess Risk for Kidney Disease in Young Military Personnel Who Use NSAIDs

Authors: Nelson DA et al. JAMA Net Open 2019 Feb 15 Frequent use of nonsteroidal anti-inflammatory drugs was associated with ≈50 more kidney disease cases per 100,000 people annually. Nonsteroidal anti-inflammatory drugs (NSAIDs) have been associated with kidney disease in older patients. In this retrospective cohort study, researchers explored the health effects of NSAIDs in 760,000 […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Persistent breast pain in post-surgery breast cancer survivors and women with no history of breast surgery or cancer: associations with pain catastrophizing, perceived breast cancer risk, breast cancer worry, and emotional distress

Authors: Bovbjerg D et al Acta Oncologica 1-6 (Feb 2019) BACKGROUND Persistent breast pain (PBP) is prevalent among breast cancer survivors and has powerful negative psychological consequences. The present study provided a first test of the hypothesis that: (a) pain catastrophizing, (b) heightened perceived risk of cancer, and (c) worry that pain indicates cancer may […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Intensity of Withdrawal Symptoms During Opioid Taper in Patients with Chronic Pain-Individualized or Fixed Starting Dosage?

Authors: Bienek N et al Pain Medicine (Feb 2019) OBJECTIVE Controlled opioid withdrawal is recommended for patients with chronic noncancer pain (CNCP) with insufficient pain reduction or intolerable side effects while on opioid treatment. Few studies have investigated the management of opioid withdrawal (OW). Most common are protocols with an individualized starting dosage (ISD), calculated […]

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Uncategorized Published - 24 June, 2019    By - Dr Clemens
Does General Anesthesia in Neonates Impair Long-Term Neurodevelopment?

Authors: McCann ME et al.  Lancet 2019 Feb 16 A large randomized, controlled trial shows equivalent outcomes 5 years after infants received general anesthesia versus conscious sedation. Whether general anesthesia in neonates impairs long-term neurodevelopment and cognition remains uncertain. In an international randomized, controlled trial in 28 neonatal centers, investigators evaluated intelligence and other neurodevelopment measures […]

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Uncategorized Published - 21 June, 2019    By - Dr Clemens
Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report

AUTHORS: Asuka Kitajima et al  BMC Anesthesiology 2019 19:27 Background There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surgery, anesthesiologists should be alert when administering epidural analgesia to a patient undergoing left upper lobectomy, […]

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Uncategorized Published - 21 June, 2019    By - Dr Clemens
Effect of Adductor Canal Block on Acute Perioperative Pain and Function in Total Knee Arthroplasty

Authors: Richard D. Rames, MD et al Journal of Arthroplasty July 2019 Volume 34, Issue 7, Supplement, Pages S164–S167 Background Multimodal pain management strategies are commonplace in perioperative management of total knee arthroplasty (TKA), although controversy remains regarding the role of adductor canal blocks (ACB) in this algorithm. The purpose of this study is to independently […]

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