Month: November 2016

Uncategorized Published - 24 November, 2016    By - Dr Clemens
Happy Thanksgiving

We wish all of our readers a very fun and safe Thanksgiving Day!!!

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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Zinc Lozenges Can Soothe Postoperative Sore Throat

Zinc lozenges help soothe postoperative sore throat after endotracheal intubation, a study has confirmed. “Zinc does help and has no adverse side effects,” said Lydia Grondin, MD, associate professor of anesthesiology at the University of Vermont College of Medicine, in Burlington. Zinc, which is involved in processes such as growth and tissue repair, is an […]

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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Study Finds Connection Between Chronic Pain, Anxiety Disorders

New research provides insight into a long-observed, but little-understood connection between chronic pain and anxiety and offers a potential target for treatment. The findings, published in Biological Psychiatry, showed that increased expression of a peptide neurotransmitter the body releases in response to stress — pituitary adenylate cyclase activating polypeptide (PACAP) — is also increased in […]

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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Review Finds Nondrug Approaches Effective for Treatment of Common Pain Conditions

Data from a review of US-based clinical trials published today in Mayo Clinic Proceedings suggest that some of the most popular complementary health approaches appear to be effective tools for helping to manage common pain conditions. The review was conducted by a group of scientists from the National Center for Complementary and Integrative Health (NCCIH), […]

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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Which level is responsible for gluteal pain in lumbar disc hernia?

BMC Musculoskelet Disord. 2016; 17(1): 356. Authors: Guofang Fang, et al There are many different reasons why patients could be experiencing pain in the gluteal area. Previous studies have shown an association between radicular low back pain (LBP) and gluteal pain (GP). Studies locating the specific level responsible for gluteal pain in lumbar disc hernias […]

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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Near Miss for Wrong-Sided Block Illustrates Importance of Protocols

The Case of the Sweaty Patient: Despite a zero-tolerance policy at many institutions and organizations, wrong-sided blocks still occur, although many go unreported. Yet as a near miss at Duke University Medical Center helps illustrate, implementation of an anesthesiologist-led block protocol helps prevent such accidents from taking place. “We’ve always had an institutional guideline for […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
Device for Identifying Epidural Space Shows Promise

Preliminary analysis of data from an ongoing multicenter trial suggests that epidural analgesia may be about to take its most radical turn in more than a century. The analysis found that a novel computerized injection pump technology is as successful in identifying the epidural space as are fluoroscopy and loss of resistance, which one of […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
For TAVR, Lower Mortality Using Moderate Sedation Versus General Anesthesia

Is moderate sedation safer than general anesthesia for transcatheter aortic valve replacement (TAVR), or is it that lower-risk patients are more likely to receive moderate sedation? That is the question raised by a new 11,000-patient study that found 30-day mortality rates were 38% lower among TAVR patients who received moderate sedation than those who were […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
Sedation and Analgesia in Pediatric Cardiac Critical Care

Authors: Viviane G. Nasr, MD et al Pediatr Crit Care Med. 2016;17(S1):S225-S231. Objectives: This review will focus on the pharmacokinetics (with an emphasis on the context-sensitive half-time), pharmacodynamics, and hemodynamic characteristics of the most commonly used sedative/hypnotic, analgesic, and IV anesthetics used in cardiac intensive care. In addition, the assessment of pain and agitation and withdrawal will […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
Perioperative Aspirin for Prevention of Venous Thromboembolism: The PeriOperative ISchemia Evaluation-2 Trial and a Pooled Analysis of the Randomized Trials

Authors: John W. Eikelboom, M.B.B.S. et al Anesthesiology 12 2016, Vol.125, 1121-1129. Background: The PeriOperative ISchemia Evaluation-2 (POISE-2) trial compared aspirin with placebo after noncardiac surgery. Methods: The authors randomly assigned 10,010 patients undergoing noncardiac surgery to receive 200 mg aspirin or placebo 2 to 4 h before surgery and then 100 mg aspirin daily or placebo daily […]

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