Author: Dr Clemens

Uncategorized Published - 29 October, 2018    By - Dr Clemens
Reducing the Incidence of Substance Use Disorders in Anesthesiology Residents: 13 Years of Comprehensive Urine Drug Screening

What We Already Know about This Topic: Substance abuse remains common among anesthesia clinicians Whether routine, random drug testing deters use remains unknown What This Article Tells Us That Is New: The Massachusetts General Hospital randomly tested residents over a period of 13 yr There was no detected substance abuse among residents during the testing […]

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Uncategorized Published - 29 October, 2018    By - Dr Clemens
Antidepressant Amitriptyline Might Help Ease Low Back Pain

Low doses of the tricyclic antidepressant amitriptyline may provide some relief for chronic low back pain, a JAMA Internal Medicine study suggests. Nearly 150 adults with chronic, nonspecific low back pain were randomized to receive either low-dose (25 mg) amitriptyline or 1-mg benztropine (an active control with similar adverse events as amitriptyline) every day for 6 […]

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Uncategorized Published - 29 October, 2018    By - Dr Clemens
Anesthesia drugs: Muscle relaxants increase risk of respiratory complications

Major European study led by Technical University of Munich confirms association and assesses current avoidance strategies TECHNICAL UNIVERSITY OF MUNICH (TUM) Muscle relaxants are a necessary part of anesthesia during certain major operations. Studies have, however, hinted at respiratory risks connected with these drugs. POPULAR, a major prospective observational European study supported by the European […]

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Uncategorized Published - 26 October, 2018    By - Dr Clemens
Deaths After Nonfatal Opioid Overdose: Causes and Risk Factors

I thought this was interesting so I wanted to share it Causes of death in the year after a nonfatal opioid overdose were often related to substance use disorders, as well as a range of mental health and medical conditions, in a US national cohort, according to a study published in JAMA Psychiatry. For this longitudinal […]

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Uncategorized Published - 26 October, 2018    By - Dr Clemens
Stroke Volume–Guided Resuscitation Improves Outcomes in Septic ICU Patients

Stroke volume–guided fluid resuscitation in severe sepsis and septic shock ICU patients may result in less fluid administered and improve patient outcomes that reduce cost of care, according to a new study. Patients who underwent noninvasive cardiac output monitoring (NICOM) had improved outcomes of significantly shorter ICU stays, compared with patients undergoing a less specific […]

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Uncategorized Published - 26 October, 2018    By - Dr Clemens
Ambulatory Surgery Centers Seeing Older, Sicker Patients

The demographic characteristics of patients presenting for ambulatory surgery are changing—they are older and sicker, a databa se review has confirmed. The analysis concluded that the proportion of ambulatory surgery patients having challenging medical conditions that influence their health status increased significantly between 2006 and 2010. “Although the criteria for outpatient surgery selection have become […]

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Uncategorized Published - 26 October, 2018    By - Dr Clemens
Rapid-Acting Sublingual Sufentanil Effective for Short-Duration Acute Pain

A review of several late-phase studies of sufentanil sublingual tablets (Dsuvia, AcelRx) concluded that the investigational product is effective and well tolerated for the short-term management of people suffering from moderate to severe acute pain. “Our goal with this review was to articulate any differences between IV sufentanil and the sublingual sufentanil tablet, identify the […]

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Uncategorized Published - 26 October, 2018    By - Dr Clemens
Excerpts From ‘Waking Up Safer? An Anesthesiologist’s Record’

Berend Mets, MB ChB, PhD, a professor and the chair of Anesthesiology and Perioperative Medicine at Penn State University College of Medicine, in Hershey, recently published “Waking Up Safer? An Anesthesiologist’s Record,” which is available through SilverWood Books, Bristol, England, and on Amazon. Written specifically to inform the lay public about anesthesia, this “anesthesiologist’s record” tells the story of […]

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Uncategorized Published - 25 October, 2018    By - Dr Clemens
TAP Block Does Not Reduce Opioid Consumption in Nephrectomy

The transversus abdominis plane (TAP) block catheter for nephrectomy does not produce a significant decrease in opioid use in the first 48 hours after surgery, according to a study presented here at the 2018 Annual Meeting of the Canadian Anesthesiologists Society (CAS). Jaasmit Khurana, BSc, University of Alberta, Edmonton, Alberta, presented the study on June […]

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Uncategorized Published - 25 October, 2018    By - Dr Clemens
Effects of local anesthetics on breast cancer cell viability and migration

Authors: Ru Li et al  BMC Cancer 2018 18:666 Background Breast cancer accounts for nearly a quarter of all cancers in women worldwide, and more than 90% of women diagnosed with breast cancer undergo mastectomy or breast-conserving surgery. Retrospective clinical studies have suggested that use of regional anesthesia leads to improved patient outcomes. Laboratory studies have reported that […]

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