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Uncategorized Published - 24 March, 2017    By - Dr Clemens
The Clinical Conundrum of Medical Marijuana

By Kenneth Finn, MD There is no debate that the prevalence and acceptance of marijuana use are on the rise in the United States. Many states have approved the use of marijuana as a treatment for a variety of medical conditions, but there is no consistency or agreement across state lines as to what it […]

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Uncategorized Published - 23 March, 2017    By - Dr Clemens
Use of PVB Has No Effect on Cancer Survival

Contrary to some previous studies, the use of paravertebral block (PVB) is not associated with a reduced rate of cancer recurrence or improved survival after breast cancer surgery, new research suggests. There are two major hypotheses on the possible connection between PVB and breast cancer recurrence, according to Juan P. Cata, MD, study author, and […]

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Uncategorized Published - 23 March, 2017    By - Dr Clemens
Perioperative Nutrition and Immunonutrition In the Era of ERAS and PSH: A Review

Roy Soto, MD Professor Department of Anesthesiology Oakland University William Beaumont School of Medicine Royal Oak, Michigan To many, “nutrition” is a vague word that conjures visions of food pyramids, healthy salads (with dressing on the side), and daily vitamins. Patients and physicians alike inherently accept that poor nutrition in the perioperative period is probably […]

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Uncategorized Published - 23 March, 2017    By - Dr Clemens
Anesthesia’s Cognitive Effects In Young Children Vary by Age

An association between multiple exposures to general anesthesia in the first two years of life and increased risk for neurocognitive impairment was not found in two large Canadian studies. Exposures from 2 to 4 years of age, however, were another matter. “It remains uncertain whether the anesthetic neurotoxicity that’s been clearly demonstrated in animal studies […]

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Uncategorized Published - 23 March, 2017    By - Dr Clemens
Morbid Obesity Increases Catheter Failures of Epidural And Combined Spinal–Epidural Techniques During Labor

The increased prevalence of morbid obesity presents numerous analgesic challenges, including respiratory- and cardiovascular-related issues. According to a recent Wake Forest study, higher body mass index (BMI) also is associated with the reliability of epidural catheters during labor. The retrospective analysis of labor neuraxial procedures found that catheter failure for both epidural and combined spinal–epidural […]

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