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Uncategorized Published - 21 August, 2018    By - Dr Clemens
Evaluating Headache in the Elderly: Primary vs Secondary Causes

Ubiquitous and disabling, headache disorders are common — with an estimated prevalence of migraine in the United States between 11.7% and 22.7% — and are one of the leading causes of emergency department visits.1,2 Evidence suggests a difference in prevalence of headache disorders between the elderly (≥65 years) and younger adults (˂65 years) that may […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
TAP Block Not Superior in Children Undergoing Hydrocelectomy or Hernia Repair

A small pilot trial comparing transverse abdominis plane (TAP) block and IV local infiltration in children undergoing hydrocelectomy and/or hernia repair has demonstrated equivalence of clinical efficacy. In the study, postoperative opioid use, time to first rescue medication, average pain scores and parental satisfaction were similar between groups. “This was a negative result, which I […]

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Uncategorized Published - 21 August, 2018    By - Dr Clemens
Opioid Shortages Felt Throughout U.S. Hospitals

There is a national shortage of certain opioids that hospitals stock for perioperative and trauma pain relief, according to a series of announcements from the FDA. Injectable formulations of morphine, hydromorphone and fentanyl, including prefilled syringes, as well as small ampulesand vials for intravenous delivery are affected. While some pharmaceutical companies have had to cut production as far back as last year, […]

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Uncategorized Published - 20 August, 2018    By - Dr Clemens
Sedation Response to Propofol Dosing for GI Endoscopy Differs for Minorities

Jeffrey White, MD, an associate professor of anesthesiology and an associate medical director of GI Endoscopy, and Samsun Lampotang, PhD, a professor of anesthesiology at the University of Florida College of Medicine, in Gainesville, discussed their study on the different responses to propofol dosing for Asian, black and white patients during gastrointestinal endoscopy. Upon noticing […]

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Uncategorized Published - 20 August, 2018    By - Dr Clemens
Pulmonary Complications Not Increased by Combined Regional–General Anesthesia

Postoperative pulmonary complications may be a leading cause of poor surgical outcomes, but combined regional and general anesthesia is not necessarily to blame. After adjusting for confounders, subanalysis of a recent prospective observational study showed that combined regional and general anesthesia was not associated with having at least one postoperative pulmonary complication. According to Kristina Coger, MD, […]

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