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Uncategorized Published - 10 April, 2017    By - Dr Clemens
The best anesthetic I never gave

Author: MARY HERMAN, MD, PHD  A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Sometimes our best decisions as physician anesthesiologists are when we decide to call off a surgery or procedure. The “best anesthetic I never gave” was for 18-year-old Hunter Jones and her case really demonstrates the importance of talking with patients before surgery. […]

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Uncategorized Published - 10 April, 2017    By - Dr Clemens
Anterior Cervical Discectomy and Fusion: The Surgical Learning Curve

Authors: Benjamin C. Mayo, BA et al Spine. 2016;41(20):1580-1585. Study Design. Case-series Objective. The aim of the study was to investigate changes in intraoperative and postoperative parameters associated with the surgical learning curve for anterior cervical discectomy and fusion (ACDF). Summary of Background Data. ACDF is a common surgical spine procedure. The surgical learning curve for this procedure has […]

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Uncategorized Published - 10 April, 2017    By - Dr Clemens
Surgery for Lumbar Spinal Stenosis in Individuals Aged 80 and Older

Authors: Charalampis Giannadakis, MD et al J Am Geriatr Soc. 2016;64(10):2011-2018. A Multicenter Observational Study Objectives: To compare clinical outcomes after decompressive surgery for central lumbar spinal stenosis (LSS) in individuals aged 80 and older with those of individuals aged 18–79. Design: Prospective data from the Norwegian Registry for Spine Surgery. Setting: Multicenter observational study. Participants: Individuals with central LSS […]

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Uncategorized Published - 10 April, 2017    By - Dr Clemens
Effects of a Fixed Low-Dose Ropivacaine With Different Volume and Concentrations on Interscalene Brachial Plexus Block

Authors: Wenwen Zhai et al BMC Anesthesiol. 2016;16(80) A Randomized Controlled Trial Background: Ultrasound guidance has reduced the amount of local anesthetics to achieve a successful block. Previous studies of the relationship between the volume or concentration of local anesthetics and the effects of the block were based on relatively high doses of local anesthetics. We tested […]

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Uncategorized Published - 7 April, 2017    By - Dr Clemens
Are Strong Opioids Equally Effective and Safe in the Treatment of Chronic Cancer Pain?

A Multicenter Randomized Phase IV ‘Real Life’ Trial on the Variability of Response to Opioids Authors: O. Corli et al Ann Oncol. 2016;27(6):1107-1115. Background: Guidelines tend to consider morphine and morphine-like opioids comparable and interchangeable in the treatment of chronic cancer pain, but individual responses can vary. This study compared the analgesic efficacy, changes of therapy and […]

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