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Uncategorized Published - 31 December, 2015    By - Dr Clemens
Beta-Blockade and Other Perioperative Pharmacological Protectors

What Is Now Available and Efficacious? Authors: J. W. Sear et al Br J Anaesth. 2015;115(3):333-336. Publication, in 2008, of the results of POISE, the largest randomized controlled trial (RCT) of perioperative beta-blockade, confirmed previous studies that had shown beta-blockade to offer cardiac protection in patients with, or at risk for, coronary heart disease.[1] However, this protection […]

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Uncategorized Published - 31 December, 2015    By - Dr Clemens
Inhalation of Isopropyl Alcohol Alleviates Nausea in ED Patients

This might be worth trying in RR since it works in ER. Authors: Beadle KL et al., Ann Emerg Med 2015 Dec 8; Breathing with an alcohol wipe in front of the nose was more effective than breathing with a saline wipe. Prior research has found antiemetics to be no more effective than placebo in emergency department […]

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Uncategorized Published - 31 December, 2015    By - Dr Clemens
Short-term Improvements in Disability Mediate Patient Satisfaction After Epidural Corticosteroid Injections for Symptomatic Lumbar Spinal Stenosis

Authors: Pradeep Suri, MD, MS et al Spine. 2015;40(17):1363-1370. Abstract Study Design. Secondary analysis of data from a double-blind randomized controlled trial. Objective. To identify mediators of the effect of lumbar epidural injections of corticosteroid plus lidocaine on patient satisfaction at 6 weeks postinjection in patients with lumbar spinal stenosis. We hypothesized that short-term (≤3 wk) change in […]

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Uncategorized Published - 31 December, 2015    By - Dr Clemens
The Effect of Epidural Steroid Injection on Postoperative Outcome in Patients From the Lumbar Spinal Stenosis Outcome Study

Authors. Tamas Fekete, MD et Study Design. Retrospective analysis of data from patients participating in the Lumbar Spinal Stenosis Outcome Study (LSOS). Objective. The aim of LSOS was to assess clinical outcomes after surgical or nonoperative treatment in patients with and without prior epidural steroid injections. Summary of Background Data. Epidural steroid injections (ESI), a common treatment modality, […]

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Uncategorized Published - 31 December, 2015    By - Dr Clemens
Does a Single Dose of Intravenous Dexamethasone Reduce Symptoms in Emergency Department Patients With Low Back Pain and RAdiculopathy (SEBRA)?

A Double-Blind Randomised Controlled Trial Authors: Ravichandra Balakrishnamoorthy et al Emerg Med J. 2015;32(7):525-530. Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients with low back pain with radiculopathy (LBPR). Methods Double-blind randomised controlled trial […]

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