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Uncategorized Published - 7 January, 2016    By - Dr Clemens
Intrapleural migration of a spinal catheter in a patient with arachnoiditis and extensive epidural scarring after tethered cord release: a case report and review of literature

The objective of this study was to report a case of new onset refractory pain from intrapleural migration of a spinal catheter five months after the implantation of an intrathecal drug delivery system (IDDS). A 57-year-old man had intractable pain because of multiple intradural spinal explorations for tethered cord release. His pain was effectively treated […]

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Uncategorized Published - 7 January, 2016    By - Dr Clemens
Propofol Provides More Effective Protection for Circulating Lymphocytes Than Sevoflurane in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery

J Cardiothorac Vasc Anesth 2015 Oct;29(5):1172-9. Authors: Jia L et al OBJECTIVE To compare the effects of propofol, sevoflurane, and the combination of the 2 on circulating lymphocytes in patients undergoing off-pump coronary artery bypass graft (OPCAB) surgery. DESIGN: A prospective, randomized study. SETTING: A university hospital. PARTICIPANTS: One hundred five patients undergoing elective OPCAB surgery. […]

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Uncategorized Published - 6 January, 2016    By - Dr Clemens
Inadvertent Hypothermia After Procedural Sedation and Analgesia in a Cardiac Catheterization Laboratory: A Prospective Observational Study

J Cardiothorac Vasc Anesth 2015 Oct;29(5):1285-90. Authors: Conway A et al OBJECTIVES: To identify the prevalence of and risk factors for inadvertent hypothermia after procedures performed with procedural sedation and analgesia in a cardiac catheterization laboratory. DESIGN: A single-center, prospective observational study. SETTING: A tertiary-care private hospital in Australia. PARTICIPANTS: 399 patients undergoing elective procedures with procedural […]

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Uncategorized Published - 6 January, 2016    By - Dr Clemens
Greater Use of Opioids During Cancer Treatment Can Reduce Survival

High opioid exposure is a prognostic factor for shorter overall survival, according to a study presented here at the 2015 American Society of Clinical Oncology (ASCO) Palliative Care in Oncology Symposium. The study involved patients with stage IV non-hematologic malignancies. For these and other patients with advanced cancer, pain is a challenging problem. “Opioids are […]

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Uncategorized Published - 6 January, 2016    By - Dr Clemens
Comparison of intra-articular bupivacaine-morphine with bupivacaine-tenoxicam combinations on post-operative analgesia in patients with arthroscopic meniscectomy: a prospective, randomised study

Int Orthop 2015 Sep 15. Authors: Sanel S et al AIM: There are many alternatives for post-operative pain relief in patients who have had general anaesthesia. The aim of this study was to evaluate the efficacy of intra-articular bupivacaine + morphine and bupivacaine + tenoxicam applications in post-operative pain control in patients undergoing knee arthroscopy with general […]

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