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Uncategorized Published - 3 March, 2016    By - Dr Clemens
Ultrasound Guidance Lowers Risks of Thoracic Nerve Block Technique for Mastectomy

Ultrasound-guided thoracic paravertebral nerve block (TPVB) is highly effective in controlling pain after breast cancer surgery and lowers the risk of complications, according to a study published in the journal Anesthesia & Analgesia. Previous reports have suggested that performing this nerve block under ultrasound guidance might make the procedure safer. The current study is the […]

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Uncategorized Published - 3 March, 2016    By - Dr Clemens
Long-Term Opioid Use Associated With Increased Risk of Depression

Opioids may cause short-term improvement in mood, but long-term use imposes risk of new-onset depression, according to a study published online in the Annals of Family Medicine. Long-term opioid use of more than 30 days may lead to changes in neuroanatomy and low testosterone, among other possible biological explanations, according to Jeffrey Scherrer, PhD, Saint […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Steep Rise in Prescription Opioid Use in Pregnancy, Infants Pay the Price

Increased use of prescription opioids during pregnancy is likely a contributing factor in the rise in rates of neonatal abstinence syndrome (NAS) in the United States, warns Nora D. Volkow, MD, director of the National Institute on Drug Abuse (NIDA). “The steep increase in the number of opioid prescriptions dispensed in the United States has […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Mild Sedation Exacerbates or Unmasks Focal Neurologic Dysfunction in Neurosurgical Patients with Supratentorial Brain Mass Lesions in a Drug-specific Manner

Anesthesiology. 2016 Mar;124(3):598-607 AUTHORS: Lin N et al BACKGROUND: Sedation is commonly used in neurosurgical patients but has been reported to produce transient focal neurologic dysfunction. The authors hypothesized that in patients with frontal-parietal-temporal brain tumors, focal neurologic deficits are unmasked or exacerbated by nonspecific sedation independent of the drug used. METHODS: This was a prospective, […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Postoperative pain control with paravertebral catheters after pediatric total pancreatectomy and islet autotransplantation: a retrospective cohort study

Paediatr Anaesth. 2016 Mar;26(3):315-20 AUTHORS: Hutchins J et al     . BACKGROUND: Total pancreatectomy and islet autotransplantation (TPIAT) has been used to treat pediatric patients with chronic pancreatitis. The primary symptom of this disease is extreme poorly controlled pain. This results in significant alterations in the quality of life of the patient. We sought to determine if […]

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