Month: October 2018

Uncategorized Published - 10 October, 2018    By - Dr Clemens
Is Pain Worse During Nicotine Withdrawal?

Authors: Ditre JW et al.  J Abnorm Psychol 2018 May 21. In some people, quit attempts might be thwarted by increases in pain reactivity. The prevalence of cigarette smoking in people with pain is higher than in the general population. Situational pain has both been found to motivate smoking behavior and been associated with relapse; furthermore, […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
ACOG Recommends Postpartum Pain Management Approach Tailored to Patients

An individualised approach to postpartum pain management that may include non-opioids, opioids, and non-pharmacologic approaches is appropriate for women following childbirth, according to new guidance released by the American College of Obstetricians and Gynecologists (ACOG). Evidence shows that women experience pain in variable ways during the early postpartum period. As such, providers should engage in […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
Bupivacaine Does Not Reduce Opioid Use or Complications After Knee Surgery

Liposomal bupivacaine did not reduce in-hospital opioid prescriptions or opioid-related complications in patients who received the drug during total knee replacement surgery, finds a study published Anesthesiology. Previous studies suggested that the long-lasting pain control provided by liposomal bupivacaine could reduce the need for opioid painkillers, leading researchers to analyse how it would fare as part […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
Perianesthetic and Anesthesia-Related Mortality in a Southeastern United States Population: A Longitudinal Review of a Prospectively Collected Quality Assurance Data Base

Authors: Pollard R et al Anesthesia & Analgesia (May 2018) BACKGROUND Perianesthetic mortality (death occurring within 48 hours of an anesthetic) continues to vary widely depending on the study population examined. The authors study in a private practice physician group that covers multiple anesthetizing locations in the Southeastern United States. This group has in place […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
National Survey Finds No Clear Consensus On Patient Selection Criteria for ASCs

A recent survey of anesthesiologists across the United States found a lack of consensus on appropriate patient selection criteria at ambulatory surgery centers (ASCs). The study’s authors said the survey results call attention to an urgent need to obtain a consensus on evidence-based inclusion and exclusion criteria for these facilities. Researchers at the University of […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
More Doctor Visits Lead to Less Suicide Attempts for Patients With Fibromyalgia

Patients with fibromyalgia who regularly visit their physicians are much less likely to attempt suicide than those who do not, according to a study published in Arthritis Care & Research. Patients who did not attempt suicide were at the doctor an average of 50 hours per year versus less than 1 hour per year for the […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Nonpharmacologic analgesia for L&D

Additional well-designed studies are warranted to further clarify the effectiveness of nonpharmacologic techniques on maternal pain relief and fetal outcomes. However, women who wish to use nonpharmacologic techniques during labor should be supported by all her providers including the anesthesiologist. At present, none of the techniques discussed have strong scientific evidence for their benefit but […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Intraoperative Hypothermia is Common, but not Associated With Blood Loss or Transfusion in Pediatric Posterior Spinal Fusion

Authors: Schur M et al Journal of Pediatric Orthopaedics 38 (9), 450-454 (Oct 2018) BACKGROUND Intraoperative hypothermia may be associated with increased blood loss due to the effects of temperature on clotting but this has not been evaluated in the setting of pediatric posterior spinal fusion (PSF). The purpose of this study was to determine […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Clinical Characteristics of Tracheobronchopathia Osteochondroplastica

Authors: Luo T et al Respiratory Care (Sep 2018) BACKGROUND Tracheobronchopathia osteochondroplastica (TO) consists of benign lesions of tracheal and bronchial mucosa with multiple nodular hyperplasia of bone or cartilage protruding into the lumen. METHODS We diagnosed 73 subjects with TO with the use of bronchoscopy in the Department of Respiratory and Critical Care Medicine […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Continuous Neuromuscular Blockade and Mortality in Subjects With Exacerbation of Idiopathic Interstitial Pneumonias

Authors: Mouri H et al Respiratory Care (Aug 2018) BACKGROUND Exacerbation of idiopathic interstitial pneumonias (IIPs) requiring mechanical ventilation is associated with high mortality. However, evidence for the optimal management strategy in patients on mechanical ventilation for exacerbation of IIPs is scarce. This study aimed to evaluate the association between continuous rocuronium infusion and in-hospital […]

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