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Uncategorized Published - 4 November, 2016    By - Dr Clemens
The Patterns of Utilization of Interscalene Nerve Blocks for Total Shoulder Arthroplasty

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 758–761 AUTHORS: Gabriel, Rodney A. MD et al The interscalene block (ISB) is a common adjunct to general anesthesia for total shoulder arthroplasty (TSA). The aim of the study was to report the current national demographics of the patients who are receiving […]

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Uncategorized Published - 4 November, 2016    By - Dr Clemens
Clonidine Does Not Reduce Pain or Opioid Consumption After Noncardiac Surgery

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 749–757 AUTHORS: Turan, Alparslan MD et al BACKGROUND: Clonidine is an α2-adrenoceptor agonist, which has analgesic properties. However, the analgesic efficacy of perioperative clonidine remains unclear. We, therefore, tested the hypothesis that clonidine reduces both pain scores and cumulative opioid consumption during […]

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Uncategorized Published - 4 November, 2016    By - Dr Clemens
Epidural Volume Extension During Combined Spinal-Epidural Labor Analgesia Does Not Increase Sensory Block

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 684–689 AUTHORS: Zaphiratos, Valerie MD, MSc BACKGROUND: Combined spinal-epidural (CSE) analgesia is widely used for delivering labor analgesia. Epidural volume extension (EVE) involves the injection of fluid into the epidural space compressing the dural sac, causing cephalad shift of the cerebral spinal […]

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Uncategorized Published - 3 November, 2016    By - Dr Clemens
A Comeback for Vertebroplasty?

Clark W et al. Lancet 2016 Aug 17. Hirsch JA and Chandra RV. Lancet 2016 Aug 17. The procedure benefitted some highly selected patients when performed a few weeks after vertebral fracture. Vertebroplasty is injection of polymethylmethacrylate “cement” into a fractured vertebral body to reduce pain and disability. The popularity of this procedure declined after 2009, when two randomized, sham-controlled […]

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Uncategorized Published - 3 November, 2016    By - Dr Clemens
Patients at Low Risk of Developing Persistent Opioid Use 1 Year After Major Surgery

Researchers have determined that patients who have not had an opioid prescription within 1 year prior to their procedure are at low risk of developing persistent opioid use after major surgery. The research, published online by JAMA Surgery, showed that of the 39,140 observed patients only 0.4% (~1 in every 225 patients) continued to receive ongoing […]

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