Month: May 2016

Uncategorized Published - 3 May, 2016    By - Dr Clemens
Paracetamol Not Clinically Effective in Treating Osteoarthritis Pain or Improving Physical Function

In a large-scale analysis of pain-relief medication for osteoarthritis, researchers found that paracetamol does not meet the minimum standard of clinical effectiveness in reducing pain or improving physical function in patients with knee and hip osteoarthritis. Although paracetamol was slightly better than placebo, researchers concluded that, taken on its own, paracetamol has no role in […]

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Uncategorized Published - 3 May, 2016    By - Dr Clemens
Airway Medix Closed Suction System Reduces Endotracheal Tube Air Flow Resistance, Biofilm Formation

Use of the Airway Medix Closed Suction System (AMCSS) reduces clinical pulmonary infection scores (CPIS), endotracheal tube air flow resistance, and biofilm formation, compared with standard CSS for critically ill patients who require mechanical ventilation for ≥48 hours, according to a study presented here on March 15 at the 2016 International Symposium on Intensive Care […]

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Uncategorized Published - 3 May, 2016    By - Dr Clemens
Peripheral Nerve Blocks Linked to Improved Outcomes in Hip, Knee Arthroplasty

The use of peripheral nerve blocks (PNBs) is associated with better medical and economic outcomes in patients receiving hip and knee replacement, according to a study being presented later this month at the 41st Annual Meeting of the American Society of Regional Anesthesia and Pain Medicine. The use of PNBs is on the rise, but […]

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Uncategorized Published - 3 May, 2016    By - Dr Clemens
Liposomal Bupivacaine as Effective as Femoral Nerve Block in Managing Pain After ACL Surgery

Source: DGNews   Liposomal bupivacaine (LB) is at least as effective as femoral nerve block (FNB) for managing pain after anterior cruciate ligament (ACL) reconstruction, researchers said here on March 1 at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Femoral nerve block is the mainstay for pain management after knee surgery, but […]

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Uncategorized Published - 2 May, 2016    By - Dr Clemens
The effect of total hip arthroplasty on sagittal spinal-pelvic-leg alignment and low back pain in patients with severe hip osteoarthritis

Source: Eur Spine J AUTHORS: Weng W, Wu H et PURPOSE Sagittal spinopelvic malalignment has been reported in spinal disorders such as low back pain (LBP), and restoration of normal alignment is targeted when treating these disorders. Abnormal sagittal spinal-pelvic-leg alignment has been reported in patients with severe hip osteoarthritis (OA), who have a high prevalence […]

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Uncategorized Published - 2 May, 2016    By - Dr Clemens
Simple Frailty Assessment for Fragile Aortic Valve Surgery Patients Predicts Morbidity, Mortality and Hospital LOS

Frailty can be easily assessed in aortic valve surgery patients using variables that are typically at the behest of most anesthesiologists, and the assessment can predict morbidity, mortality and hospital length of stay (LOS) in this fragile patient population. “Previous research has shown that frailty is an independent risk factor for predicting morbidity and mortality […]

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Uncategorized Published - 2 May, 2016    By - Dr Clemens
Anesthesiologists’ Perceived Work Hours Fall Short of Actual Work Hours

A retrospective study of anesthesiologists at a large academic medical center has shown a significant difference between perceived work hours per shift and actual worked hours per shift. According to data presented at the 2016 American Society of Anesthesiologists Practice Management meeting, the study also demonstrated a 5,686-hour shortfall in actual work hours to expected […]

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Uncategorized Published - 2 May, 2016    By - Dr Clemens
Pupillary Unrest May Predict Pain Reduction by Opioid Administration

A study involving a specially modified pupillometer has shown a correlation between pupillary unrest under ambient light (PUAL) and pain response to opioid medications, suggesting that this instrument could one day help physicians determine the risk/benefit of giving patients additional opioids. “In this study, decreased levels of pupillary unrest were associated with decreased responsiveness to […]

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Uncategorized Published - 2 May, 2016    By - Dr Clemens
The Effect of Dexmedetomidine on Postoperative Opioid Consumption and Pain After Major Spine Surgery

Anesthesia & Analgesia: May 2016 – Volume 122 – Issue 5 – p 1646–1653 AUTHORS: Naik, Bhiken I. MBBCh et al BACKGROUND: Adult deformity correction spine surgery can be associated with significant perioperative pain because of inflammatory, muscular, neuropathic, and postsurgical pain. α-2 Agonists have intrinsic antinociceptive and antihyperalgesic properties that can potentially reduce both […]

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