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Uncategorized Published - 23 July, 2014    By - Dr. Clemens
Should providers get financial incentives for moving to ICD-10?

One of the major arguments against the ICD-10 transition are the financial costs to medical practices. Sure, there are accusations of bureaucratic overreach and preventing physicians from spending time treating patients, but the anti-ICD-10 argument is primarily financial. So why not offer providers an incentive? Take the example of Meaningful Use. If the same physicians […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Does Anesthetic Regimen Influence Implicit Memory During General Anesthesia?

  Published in Anesth Analg. 2014 May 5 Authors: Lequeux PY et al BACKGROUND: Implicit learning of intraoperative auditory stimuli during general anesthesia is very difficult to quantify but may require the presence of noxious stimulation. We hypothesized that an anesthetic regimen with a low dose of opioid would enhance implicit memory, while a regimen […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Continuous ultrasound-guided adductor canal block for total knee arthroplasty: a randomized, double-blind trial

Published in Anesth Analg. 2014 Jun;118(6):1370-7 Authors: Hanson NA et al BACKGROUND: Adductor canal blocks have shown promise in reducing postoperative pain in total knee arthroplasty patients. No randomized, controlled studies, however, evaluate the opioid-sparing benefits of a continuous 0.2% ropivacaine infusion at the adductor canal. We hypothesized that a continuous adductor canal block would […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Long-term survival after resection of hepatocelluar carcinoma: a potential risk associated with the choice of postoperative analgesia

Published in Anesth Analg. 2014 Jun;118(6):1309-16 Authors: Cao L et al BACKGROUND: Associations between anesthetic management and cancer recurrence or long-time survival remain uncertain. In this study, we compared the effects of postoperative epidural morphine analgesia with that of postoperative IV fentanyl analgesia on cancer recurrence and long-term survival in patients undergoing resection of hepatocellular […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Intraoperative systemic lidocaine for pre-emptive analgesics in subtotal gastrectomy: a prospective, randomized, double-blind, placebo-controlled study

Published in Can J Surg. 2014 Jun;57(3):175-82. Authors: Yon JH et al BACKGROUND: Pre-emptive intravenous lidocaine infusion is known to improve postoperative pain in abdominal surgery. We assessed the effect of intravenous lidocaine infusion in patients who underwent subtotal gastrectomy. METHODS: We conducted a double-blind, placebo-controlled study with patients undergoing subtotal gastrectomy for early gastric […]

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