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Uncategorized Published - 5 July, 2016    By - Dr Clemens
Minimal Clinically Important Difference for Three Quality of Recovery Scales

Authors: Paul S. Myles, M.B.B.S., M.P.H., M.D. et al  Anesthesiology 7 2016, Vol.125, 39-45. Background: Several quality of recovery (QoR) health status scales have been developed to quantify the patient’s experience after anesthesia and surgery, but to date, it is unclear what constitutes the minimal clinically important difference (MCID). That is, what minimal change in score would […]

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Uncategorized Published - 5 July, 2016    By - Dr Clemens
A Retrospective Study of Success, Failure, and Time Needed to Perform Awake Intubation

Authors: Thomas T. Joseph, M.D., Ph.D. et al Anesthesiology 7 2016, Vol.125, 105-114. Background: Awake intubation is the standard of care for management of the anticipated difficult airway. The performance of awake intubation may be perceived as complex and time-consuming, potentially leading clinicians to avoid this technique of airway management. This retrospective review of awake intubations at […]

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Uncategorized Published - 5 July, 2016    By - Dr Clemens
Coprescribing Naloxone with Long-Term Opioids Effective and Feasible

Coprescribing naloxone to people who take opioids for chronic pain is both feasible and has clinical benefit, according to a study in the Annals of Internal Medicine. Six San Francisco primary care clinics that had lost patients to opioid overdose in recent years implemented a protocol emphasizing naloxone coprescription for patients with chronic pain. Of nearly […]

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Uncategorized Published - 5 July, 2016    By - Dr Clemens
The Value of Uncertainty in Critical Illness? An Ethnographic Study of Patterns and Conflicts in Care and Decision-making Trajectories

BMC Anesthesiol. 2016;16(11) Authors: I. J. Higginson et al Background: With increasingly intensive treatments and population ageing, more people face complex treatment and care decisions. We explored patterns of the decision-making processes during critical care, and sources of conflict and resolution. Methods: Ethnographic study in two Intensive Care Units (ICUs) in an inner city hospital comprising: non-participant observation […]

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Uncategorized Published - 1 July, 2016    By - Dr Clemens
APS Issues New Guidance on Medical Marijuana for Pain

With growing public support and promising, but inconclusive, signs of therapeutic benefits in the use of herbal cannabis, medical marijuana laws are marching full steam ahead across the United States, prompting the American Pain Society (APS) to issue a white paper to assist in cannabis-related clinical issues that pain physicians are increasingly facing. “Cannabis is […]

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