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Uncategorized Published - 4 February, 2019    By - Dr Clemens
Why mu-opioid agonists have less analgesic efficacy in neuropathic pain?

Authors: Martínez-Navarro M et al European Journal of Pain (Oct 2018) Injury to peripheral nerves often lead to abnormal pain states (hyperalgesia, allodynia and spontaneous pain), which can remain long after the injury heals. Although opioid agonists remain the gold standard for the treatment of moderate to severe pain, they show reduced efficacy against neuropathic […]

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Uncategorized Published - 1 February, 2019    By - Dr Clemens
Regional Anesthesia Roundtable: An International Expert Panel

Anesthesiology News Once again, Kamen V. Vlassakov, MD, the director of the Division of Regional and Orthopedic Anesthesia at Brigham and Women’s Hospital in Boston, assembled an international expert panel of regionalists and asked them to respond to 7 questions that the group created. Herewith, 7 questions for 7 anesthesiologists… Michael Barrington, MBBS, PhD Senior […]

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Uncategorized Published - 1 February, 2019    By - Dr Clemens
Sinus arrest with prolonged asystole due to the trigeminocardiac reflex during application of local anaesthetic in the nasal mucosa

Authors: Meuwly C et al BMJ Case Reports 2018 (Oct 2018) The trigeminocardiac reflex (TCR) is defined as a sudden onset of parasympathetic dysrhythmias during stimulation of the trigeminal nerve. We describe a peripheral variation of TCR during manipulation of the nasal mucosa. A 42-year-old patient suffering from severe obstructive sleep apnoea was scheduled for […]

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Uncategorized Published - 1 February, 2019    By - Dr Clemens
The Assessment of Neuromuscular Function

Anesthesiology News Rafael Ortega, MD Professor Vice Chair of Academic Affairs Department of Anesthesiology Boston University School of Medicine Boston, Massachusetts Gerardo Rodriguez, MD Assistant Professor Director, SICU East Newton Campus Department of Anesthesiology Boston University School of Medicine Boston, Massachusetts One source of resistance to the establishment of guidelines for monitoring neuromuscular function is […]

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Uncategorized Published - 1 February, 2019    By - Dr Clemens
Current Concepts In the Management of The Difficult Airway

Anesthesiology News Volume 15, Number 2 Carin A. Hagberg, MD, FASA Chief Academic Officer Division Head, Division of Anesthesiology, Critical Care, and Pain Medicine Helen Shaffer Fly Distinguished Professor of Anesthesiology Department of Anesthesiology and Perioperative Medicine The University of Texas MD Anderson Cancer Center Houston, Texas Executive Director, Society for Airway Management Dr. Hagberg […]

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Uncategorized Published - 1 February, 2019    By - Dr Clemens
Dexmedetomidine May Prolong Analgesia Duration in Nerve Blocks

When used in combination with local anesthetics, dexmedetomidine (DEX) may increase nerve block-associated analgesia for approximately 5 hours, but use of DEX may be associated with a higher risk for intraoperative hypotension and bradycardia, according to a study published in the European Journal of Anaesthesiology. The researchers performed a systematic review that included randomized controlled trials with […]

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Uncategorized Published - 31 January, 2019    By - Dr Clemens
Trump calls for cracking down on surprise medical bills

I included this because it could involve anesthesia bills if the group is not in network. Author: Peter Sullivan The Hill President Trump on Wednesday spoke out against surprise medical bills that patients often cannot afford, highlighting an issue that has received bipartisan concern in Congress. “The health care system too often harms people with some […]

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Uncategorized Published - 31 January, 2019    By - Dr Clemens
Salaries of hospital executives nearly doubled, while physicians see more modest increases

Between 2005 and 2015, average CEO compensation jumped from $1.6 million to $3.1 million, an increase of 93 percent. Author: Jeff Lagasse  Physicians have a reputation for commanding strong salaries, but when it comes to pay increases, they pale next to those of their counterparts at the executive level. A piece published in Clinical Orthopaedics and Related […]

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Uncategorized Published - 31 January, 2019    By - Dr Clemens
Data-Driven Innovation and Technology in Anesthesia

Anesthesiology News Updates from the Society for Technology in Anesthesia Annual Meeting Jonathan M. Tan, MD, MPH, MBI Assistant Professor Departments of Anesthesiology and Critical Care & Biomedical and Health Informatics The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania 2018 Society for Technology in Anesthesia Annual Meeting Program Co-Chair Lara Brewer, PhD Assistant Research Professor Departments […]

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Uncategorized Published - 31 January, 2019    By - Dr Clemens
Anesthetic management of parturients with Arnold Chiari malformation-I: a multicenter retrospective study

Authors: T.R. Gruffi International Journal of Obstetric Anesthesia Highlights •Arnold-Chiari malformation was diagnosed after delivery in 20% of our cohort. •Neuraxial and general anesthetics were done with few complications. •Catastrophic neurological outcomes were not observed. Consensus regarding the safest mode of delivery and anesthetic management for parturients with Arnold Chiari malformation-I (ACM-I) remains controversial. This study […]

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