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Uncategorized Published - 28 May, 2015    By - Dr Clemens
Study Found Nine Modifiable Triggers for Low Back Pain

Distraction was the greatest risk factor by far for new-onset acute low back pain (LBP), according to a new case-crossover study. The study in the issue of Arthritis Care & Research, also found that onset was most likely between 7:00 am and noon, that LBP risk was substantially increased by a number of modifiable physical and […]

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Uncategorized Published - 28 May, 2015    By - Dr Clemens
Malnutrition ‘Skeleton’ Still Rattling in Hospital Closets

Progress report cites awareness gaps among caregivers. One in three Americans enters a hospital malnourished, which increases their risk for adverse events, such as surgical site infections, postoperative pneumonia and the development of pressure ulcers. So with the Centers for Medicare & Medicaid Services (CMS) withholding payment to hospitals for 11 of these preventable conditions, […]

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Uncategorized Published - 28 May, 2015    By - Dr Clemens
Hypertonic Saline in Subarachnoid Hemorrhage Patients Increases Risk for Acute Kidney Injury

Although hypertonic saline solution helps control intracranial hypertension and symptomatic hyponatremia in critically ill patients with sub arachnoid hemorrhage (SAH), such treatment appears to come at a cost: Hypertonic saline, or high sodium exposure, significantly increases the odds of developing acute kidney injury (AKI) in this already-fragile patient population. “When you look at subarachnoid hemorrhage, […]

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Uncategorized Published - 27 May, 2015    By - Dr Clemens
Obstructive Sleep Apnea Patients Benefit From Perioperative Use of CPAP

Cumbersome though it may be, perioperative continuous positive airway pressure (CPAP) is a boon to obstructive sleep apnea (OSA) patients undergoing surgery, according to a meta-analysis. Researchers from Toronto Western Hospital found that CPAP reduces the perioperative Apnea–Hypopnea Index (AHI) and hospital length of stay (LOS) in this at-risk patient population. “We already know that […]

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Uncategorized Published - 27 May, 2015    By - Dr Clemens
An effective and safe sedation technique combining target-controlled infusion pump with propofol, intravenous pentazocine, and bispectral index monitoring for peroral double-balloon endoscopy.

Published in Digestion. 2015;91(2):112-6 Authors: Kawano S et al BACKGROUND/AIMS: Because peroral double-balloon endoscopy (DBE) is a time-consuming, painful procedure, sedation with analgesics, and/or anesthetics is generally required. The aim of this prospective study was to investigate the safety and efficacy of our sedation protocol for peroral DBE, which consisted of target-controlled infusion (TCI) anesthesia with […]

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