Author: Dr Clemens

Uncategorized Published - 17 May, 2018    By - Dr Clemens
Drug epidemic ensnares 25-year-old pill for nerve pain

The story line sounds familiar: a popular pain drug becomes a new way to get high as prescribing by doctors soars. But the latest drug raising red flags is not part of the opioid family at the center of the nation’s drug epidemic. It’s a 25-year-old generic pill long seen as a low risk way […]

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Uncategorized Published - 17 May, 2018    By - Dr Clemens
5 Lifestyle Factors Could Add More Than 10 Years to Life Expectancy

This is another article I found interesting so I wanted to share with our readers Middle-aged adults with five low-risk lifestyle factors could live more than a decade longer than their less healthy peers, according to a Circulationstudy. Using data from the Nurses’ Health Study and Health Professionals Follow-up Study, researchers examined associations between five low-risk […]

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Uncategorized Published - 17 May, 2018    By - Dr Clemens
Flexible ICU visiting hours tied to less delirium, anxiety

By LISA RAPAPORT Reuters When intensive care units have flexible visiting hours that allow families to spend more time at the bedside, patients may be less likely to suffer delirium or severe anxiety, a research review suggests. Most ICUs have restrictive visiting policies, often driven by a concern that families lingering in patient rooms might […]

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Uncategorized Published - 16 May, 2018    By - Dr Clemens
Caffeine: A Not So Stiff Drink

Mayo Clinic Proceedings May 2018 Volume 93, Issue 5, Pages 558-559 Author: Michael J. Joyner, MD Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN When blood is ejected from the heart, it first meets the aorta and large conducting blood vessels that branch from it. In young healthy people, these vessels are compliant […]

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Uncategorized Published - 16 May, 2018    By - Dr Clemens
Effect of Perioperative Gabapentin Use on Postsurgical Pain in Patients Undergoing Head and Neck Mucosal Surgery

Authors: Melanie Townsend, MD et al JAMA Otolaryngol Head Neck Surg. published April 2018. Question  Can perioperative pain control be improved with the addition of gabapentin to traditional narcotic medication regimens in patients undergoing mucosal head and neck surgery? Findings  In this randomized clinical trial, compared with a placebo group of 46 individuals, 44 patients who received 300 mg […]

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Uncategorized Published - 16 May, 2018    By - Dr Clemens
Few Patients Maximize Opioid-Sparing Medications after Orthopaedic Surgery, Study Finds

Patients Also Improperly Store and Dispose of Opioids A new study led by Johns Hopkins researchers adds to growing evidence that patients underuse nonopioid pain relievers to supplement opioid pain management after spine and joint surgery. A report on the findings, which also shows that patients improperly store and dispose of unused opioids, was published in the […]

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Uncategorized Published - 16 May, 2018    By - Dr Clemens
Auditory Icon Alarms Are More Accurately and Quickly Identified than Current Standard Melodic Alarms in a Simulated Clinical Setting

Authors: Richard R. McNeer, M.D., Ph.D. et al   Anesthesiology published on April 25, 2018. Background: Current standard audible medical alarms are difficult to learn and distinguish from one another. Auditory icons represent a new type of alarm that has been shown to be easier to learn and identify in laboratory settings by lay subjects. In this study, […]

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Uncategorized Published - 16 May, 2018    By - Dr Clemens
Association of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study

Authors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al   Anesthesiology 5 2018, Vol.128, 891-902. doi:10.1097/ALN.0000000000002132 Background: Multimodal analgesia is increasingly considered routine practice in joint arthroplasties, but supportive large-scale data are scarce. The authors aimed to determine how the number and type of analgesic modes is associated with reduced opioid prescription, complications, and resource utilization. Methods: Total hip/knee […]

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Uncategorized Published - 15 May, 2018    By - Dr Clemens
Association of Preprocedural Fasting With Outcomes of Emergency Department Sedation in Children

Authors: Maala Bhatt, MD, MSc et al  JAMA Pediatr May 2018.  Question  Does the duration of preprocedural fasting alter the risk pulmonary aspiration and associated adverse outcomes in children undergoing emergency department procedural sedation? Findings  In this study of 6183 healthy patients undergoing sedation in 1 of 6 geographically separate and nationally representative Canadian emergency departments, 2974 (48.1%) did not […]

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Uncategorized Published - 15 May, 2018    By - Dr Clemens
Researchers propose tweak to pulse oximetry testing for CHD

Author: Daniel Allar Modifying the American Academy of Pediatrics’ (AAP) critical congenital heart disease (CCHD) screening algorithm to include one repeat pulse oximetry test instead of two could identify more infants with other serious diseases that require attention, according to a study published online April 24 in Pediatrics. Pulse oximetry—which measures oxygen concentrations in the blood—has been […]

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