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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Comparison of the analgesic effects of modified continuous intercostal block and paravertebral block under surgeon’s direct vision after video-assisted thoracic surgery: a randomized clinical trial

AUTHORS: Kadomatsu Y et al General Thoracic and Cardiovascular Surgery (May 2018) OBJECTIVE Clinical evidence comparing paravertebral (PVB) and continuous intercostal nerve (ICB) blocks for pain management post video-assisted thoracic surgery (VATS) is limited. This study confirms the analgesic effect of ICB using two catheters is not inferior to that of PVB under direct vision. […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Opioids in Setting of Hemodialysis Associated With Adverse Events

This is important because we see many dialysis patients in surgery. In a retrospective cohort study published in the Clinical Journal of the American Society of Nephrology, opioids were found to be associated with adverse events in older Medicare beneficiaries receiving hemodialysis. The investigators used the US Renal Data System to evaluate adverse events in 140,899 Medicare […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Intra-op IV Methadone Lowers Post-op Opioid Use

With the country’s opioid crisis in mind, anesthesiologists are on the lookout for ways to address pain after outpatient surgery while minimizing the possibility of diversion. A team of Missouri researchers may have found a possible solution in the unlikeliest of candidates: IV methadone. Their study found that a single intraoperative dose of the agent […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Risks Associated With Co-Administration of Aspirin and Other NSAIDs

In patients with rheumatoid arthritis or osteoarthritis at higher risk for cardiovascular events, celecoxib may be safer compared with naproxen or ibuprofen when these drugs are taken alone or in combination with aspirin, according to a study published in Journal of the American College of Cardiology. In this post hoc analysis of a trial that compared 3 nonsteroidal […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Pain begets pain. When marathon runners are not in pain anymore, they underestimate their memory of marathon pain––A mediation analysis

Authors: P. Bąbel MD et al   European Journal of Pain 22 December 2017 Background A previous study has shown that memory of pain induced by running a marathon might be underestimated. However, little is known about the factors that might influence such a memory distortion during pain recall. The aim of the study was to investigate […]

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