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Uncategorized Published - 1 July, 2016    By - Dr Clemens
Buprenorphine ‘Underused’ in Primary Care as Opioid Abuse Soars

Despite being at the front lines in the nation’s battle against opioid addiction as the first to treat chronic pain, and opioid overuse, few primary care and family physicians use the one drug available to them to treat addiction, buprenorphine, experts say. “Sublingual buprenorphine is the only treatment for opioid addiction that can be provided […]

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Uncategorized Published - 1 July, 2016    By - Dr Clemens
Lithium Absorption Systems Equal Calcium Absorbers When Nitric Oxide Administered Via Anesthesia Systems

Lithium (Li) absorption systems are equal to calcium (Ca) absorbers in their ability to scavenge nitrogen dioxide (NO2) when nitric oxide (NO) is administered via anesthesia systems in the cardiac lab or operating room, research suggests. The anesthesia systems are “semiclosed” to conserve anesthetic agents and require carbon dioxide (CO2) absorption to allow recirculation. As […]

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Uncategorized Published - 1 July, 2016    By - Dr Clemens
Dexmedetomidine and Propofol in Critically Ill ICU Patients Pose Hemodynamic Risks

When maintaining light sedation in critically ill ICU patients, dexmedetomidine should be avoided in those predisposed to bradycardia and propofol in those predisposed to hypotension. While propofol and dexmedetomidine are the preferred sedative agents to maintain light sedation in the ICU, both sedatives leave critically ill patients at risk for hemodynamic adverse events, said Amy […]

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Uncategorized Published - 1 July, 2016    By - Dr Clemens
ERAS Pathway Improves Analgesia, Opioid Use and PONV Following Total Mastectomy

With surgery still the primary treatment for breast cancer, strategies to minimize acute postoperative pain have the potential for significant benefit, perhaps even preventing development of chronic pain. A research team at the University of California, San Francisco (UCSF) has moved much closer to this lofty goal. They developed an enhanced recovery after surgery (ERAS) […]

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Uncategorized Published - 30 June, 2016    By - Dr Clemens
Determining Readmission Risk After Hip Replacement

A Preoperative Scale for Determining Surgical Readmission Risk After Total Hip Replacement Authors: Siracuse BL, Chamberlain RS JAMA Surg. 2016 Mar Study Summary In this study, investigators analyzed retrospective discharge data on 268,518 patients from New York and California (ie, the derivation cohort) and 153,560 patients from Florida and Washington (ie, the validation cohort) who […]

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