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Uncategorized Published - 29 August, 2017    By - Dr Clemens
Could Greater Depth of ED Sedation Be Associated with Worse Outcome?

Authors: Stephens RJ et al., Chest 2017 Jun 29; In a prospective study of mechanically ventilated emergency department patients, deeper sedation levels were associated with increased mortality. Deeper sedation levels within the first 48 hours of intensive care unit admission have been associated with longer duration of mechanical ventilation and increased mortality. Unclear, however, is whether deeper […]

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Uncategorized Published - 29 August, 2017    By - Dr Clemens
Perioperative Gabapentin Does Not Reduce Postoperative Delirium in Older Surgical Patients: A Randomized Clinical Trial

Authors: Jacqueline M. Leung, M.D., M.P.H. et al Anesthesiology published on July 20, 2017 Background: Postoperative pain and opioid use are associated with postoperative delirium. We designed a single-center, randomized, placebo-controlled, parallel-arm, double-blinded trial to determine whether perioperative administration of gabapentin reduced postoperative delirium after noncardiac surgery. Methods: Patients were randomly assigned to receive placebo (N = 347) […]

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Uncategorized Published - 29 August, 2017    By - Dr Clemens
Radiofrequency Denervation for Chronic Low Back Pain

Authors: Juch JNS et al., JAMA 2017 Jul 4; 318:68 The procedure conferred no clinically important improvement in pain related to facet or sacroiliac joints or intervertebral discs. Radiofrequency denervation, or nerve ablation, is used to treat patients with chronic low back pain associated with facet or sacroiliac joints or intervertebral discs. However, evidence of the procedure’s […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Predictive Modeling of Massive Transfusion Requirements During Liver Transplantation and Its Potential to Reduce Utilization of Blood Bank Resources

AUTHORS: Pustavoitau, Aliaksei MD, MHS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1644–1652 BACKGROUND: Patients undergoing liver transplantation frequently but inconsistently require massive blood transfusion. The ability to predict massive transfusion (MT) could reduce the impact on blood bank resources through customization of the blood order schedule. […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Patients With Mental Disorders Get Half of All Opioid Prescriptions

The 16% of Americans who have mental health disorders receive over half of all opioids prescribed in the United States. Improving pain management among this population is critical to reduce national dependency on opioids, noted the authors. By Vickie Connor and Kaiser Health News Adults with a mental illness receive more than 50% of the 115 million opioid […]

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