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Uncategorized Published - 3 February, 2017    By - Dr Clemens
When and How to Wean Patients Off Opioids

By Jordon L. Newmark, MD To achieve positive and safe outcomes with opioid therapy, it is essential to set realistic treatment expectations with the patient. A crucial and sometimes sensitive part of those expectations relates to opioid weaning and discontinuation. Ideally, discussions between provider and patient about when and how to wean the patient off opioids […]

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Uncategorized Published - 3 February, 2017    By - Dr Clemens
Botox Injections Provide Pain Relief for Knee Osteoarthritis

Intra-articular injections are considered a last resort nonoperative treatment for refractory knee osteoarthritis. Now, patients may achieve a significant reduction in pain for knee OA using a botulinum toxin A injection. Interview with Bahman Jabbari, MD, FAAN The use of botulinum toxin A (BoNT/A) injections for knee osteoarthritis (OA) could be a viable treatment for […]

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Uncategorized Published - 3 February, 2017    By - Dr Clemens
FDA Approves Arymo ER (morphine sulfate), New Abuse-Deterrent Opioid

New extended release morphine tablets are designed to prevent crushing, cutting, or dissolving. The US Food and Drug Administration (FDA) announced the approval of Arymo ER (morphine sulfate) tablets C-II for the management of pain “severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate,” noted a press […]

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Uncategorized Published - 3 February, 2017    By - Dr Clemens
Perioperative Outcomes and Management in Pediatric Complex Cranial Vault Reconstruction: A Multicenter Study from the Pediatric Craniofacial Collaborative Group

Authors: Paul A. Stricker, M.D. et al Anesthesiology 2 2017, Vol.126, 276-287. Background: The Pediatric Craniofacial Collaborative Group established the Pediatric Craniofacial Surgery Perioperative Registry to elucidate practices and outcomes in children with craniosynostosis undergoing complex cranial vault reconstruction and inform quality improvement efforts. The aim of this study is to determine perioperative management, outcomes, and complications in […]

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Uncategorized Published - 3 February, 2017    By - Dr Clemens
Intravenous Amisulpride for the Prevention of Postoperative Nausea and Vomiting: Two Concurrent, Randomized, Double-blind, Placebo-controlled Trials

Authors: Tong J. Gan, M.D. et al      Anesthesiology 2 2017, Vol.126, 268-275. Background: Two essentially identical, randomized, double-blind, placebo-controlled, parallel-group phase III studies evaluated the efficacy of intravenous amisulpride, a dopamine D2/D3 antagonist, in the prevention of postoperative nausea and vomiting in adult surgical patients. Methods: Adult inpatients undergoing elective surgery during general anesthesia and having at […]

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