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Uncategorized Published - 13 November, 2019    By - Dr Clemens
Preoperative Opioid Score Does Not Predict Patient Outcomes After Spinal Surgery

DG News An opioid use score based on state prescription databases does not predict complications or other adverse outcomes in patients undergoing spinal surgery, according to a study published in the journal Spine. The increasingly used NarxCare narcotics score does not predict adverse outcomes or patient dissatisfaction after elective spine surgery, according to Anoop Raj […]

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Uncategorized Published - 13 November, 2019    By - Dr Clemens
Randomised controlled trial to investigate the effectiveness of thoracic epidural and paravertebral blockade in reducing chronic post-thoracotomy pain (TOPIC)

AUTHORS: Yeung J et al BMJ Open 9 (7), e023679 (Jul 2019) OBJECTIVES Thoracotomy is considered one of the most painful surgical procedures. The incidence of chronic post-thoracotomy pain (CPTP) is up to 50%. Paravertebral blockade (PVB) may be superior to thoracic epidural blockade (TEB) in preventing CPTP. The specific objective of this pilot study […]

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Uncategorized Published - 12 November, 2019    By - Dr Clemens
Unhappy Hour: The Emerging Burden of Alcoholic Liver Disease

Authors: Brian C. Davis, MD and Jasmohan S. Bajaj, MD Anesthesiology News Alcohol use is deeply ingrained in American culture. More adults in this country report drinking regularly than say they voted in the last election, own a pet, or attend religious services—in some cases, by significant margins. And the problem is worsening. In the […]

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Uncategorized Published - 12 November, 2019    By - Dr Clemens
Spinal and epidural sufentanil and fentanyl in early labour

AUTHORS: Väänänen A et al Acta Anaesthesiologica Scandinavica (Jul 2019) BACKGROUND AND AIM The analgesic effect on labour pain of either spinal or epidural sufentanil or fentanyl was tested in a total of 80 primiparousparturients at an early phase of the delivery. The aim of the study was to compare the level of analgesia achieved […]

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Uncategorized Published - 12 November, 2019    By - Dr Clemens
Efficacy of liposomal bupivacaine in shoulder surgery

AUTHORS: Roberts T et al Journal of Shoulder and Elbow Surgery (Jul 2019) HYPOTHESIS The aim of this meta-analysis was to compare the safety, efficacy, and opioid-sparing effect of liposomal bupivacaine (LB) vs. nonliposomal local anesthetic agents (NLAs) for postoperative analgesia after shoulder surgery. METHODS A systematic literature review of randomized controlled clinical studies comparing […]

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