Month: August 2018

Uncategorized Published - 3 August, 2018    By - Dr Clemens
Optimal Approaches to the Management of Burn Pain: Expert Insight

Depending on the extent of the injury, pain due to burns can range from mild to severe to excruciating. Research indicates that pain experienced during the early hospitalization period may predict long-term outcomes,1 and that acute pain at the time of discharge may serve as a predictor of suicidal ideation post-burn injury.2 A study conducted in soldiers who […]

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Uncategorized Published - 2 August, 2018    By - Dr Clemens
Comparing Lateral Branch Capture Capabilities of Bipolar, Monopolar Sacroiliac Joint Radiofrequency Ablation Techniques

According to an anatomic comparison recently published in Pain Medicine, bipolar sacroiliac joint (SIJ) radiofrequency ablation (RFA) techniques might better capture sacral lateral branches (LBs) than monopolar techniques. The cadaveric fluoroscopy study compared the percentage of LBs captured when lesions were created in 40 cadaveric SIJs using 4 bipolar and 3 monopolar RFA techniques. In total, 17 […]

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Uncategorized Published - 2 August, 2018    By - Dr Clemens
Awake Versus Asleep Craniotomy: A Cost Comparison and Analysis

Robert S. Ackerman, MD1 Christopher W. Tufts, MD1 Rosemarie E. Garcia Getting, MD2 Devang M. Padalia, MD2 Jonathan B. Cohen, MD2 Arnold B. Etame, MD, PhD3 Sephalie Y. Patel, MD2 Affiliations: 1 University of South Florida, Morsani College of Medicine, Tampa, Florida 2 Department of Anesthesiology, Moffitt Cancer Center, Tampa, Florida 3 Department of Neuro-Oncology, Moffitt Cancer Center, Tampa, Florida Introduction […]

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Uncategorized Published - 2 August, 2018    By - Dr Clemens
A Better Way to Predict Outcome in Low-Flow Aortic Stenosis

Authors: Annabi MS et al.  J Am Coll Cardiol 2018 Feb 6. Calculating the projected aortic valve area may be better than the usual dobutamine stress echocardiographic criteria for identifying severe AS. Distinguishing between true severe aortic stenosis (AS) and pseudo-severe AS in patients with low gradient, low left ventricular ejection fraction (LVEF), and calculated low […]

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Uncategorized Published - 2 August, 2018    By - Dr Clemens
Variability in Case Durations for Common Surgical Procedures

AUTHORS: Glance, Laurent, G., MD et al Anesthesia & Analgesia: June 2018 – Volume 126 – Issue 6 – p 2017–2024 BACKGROUND: Under the Merit-based Incentive Payment System, physician payment will be adjusted using a composite performance score that has 4 components, one of which is resource use. The objective of this exploratory study is to quantify […]

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Uncategorized Published - 2 August, 2018    By - Dr Clemens
Perioperative Management May Improve Long-term Survival in Patients After Lung Cancer Surgery: A Retrospective Cohort Study

AUTHORS: Huang, Wen-Wen, MD et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1666–1674 BACKGROUND: Surgical resection is the main treatment for patients with non–small-cell lung cancer (NSCLC), but patients’ long-term outcome is still challenging. The purpose of this study was to identify predictors of long-term survival in patients after lung […]

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Uncategorized Published - 1 August, 2018    By - Dr Clemens
Opioids Linked to Complications in OSA Patients Undergoing Arthroplasties

Patients with obstructive sleep apnea (OSA) who underwent total joint arthroplasty and received higher levels of opioids had an increased risk for gastrointestinal complications, according to researchers. Those patients also experienced longer hospital lengths of stay, but they were less likely to develop pulmonary complications. This study, a retrospective analysis of a nationwide database, indicates […]

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Uncategorized Published - 1 August, 2018    By - Dr Clemens
Ilioinguinal-Transversus Abdominis Plane Block When Standard Analgesia Fails After Cesarean Delivery

Ilioinguinal-transversus abdominis plane (I-TAP) block was shown to provide superior pain relief compared with a multimodal analgesic regimen in patients undergoing elective cesarean delivery, and to be associated with reduced use of high fentanyl doses, in a study published in Anaesthesia. In this prospective placebo-controlled triple-blind trial, investigators evaluated pain outcomes in 100 women who underwent […]

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Uncategorized Published - 1 August, 2018    By - Dr Clemens
Diabetes, Insulin Therapies, and Migraine Risk

The presence of diabetes — both type 1 and type 2 — may be associated with a reduced risk for migraine, according to a long-term nationwide Norwegian study published in Cephalalgia. Study investigators evaluated patients with type 1 diabetes (n=7883) and type 2 diabetes (n=93,600) who were included in the Norwegian Prescription Database, the Norwegian National […]

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Uncategorized Published - 1 August, 2018    By - Dr Clemens
Less Saline Could Lead to Fewer Kidney Complications and Increased Survival

Intravenous saline use causes more kidney complications and decreases survival rates compared with balanced crystalloids (lactated Ringer’s solution or Plasma-Lyte A [Baxter]), according to researchers at Vanderbilt University Medical Center, in Nashville, Tenn. The researchers found that patients experience better outcomes when given the balanced crystalloids, which most closely resemble components of the liquid part […]

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