Author: Dr Clemens

Uncategorized Published - 23 January, 2018    By - Dr Clemens
Popular Pain Med Might Not Work for Low Back Problems

PLoS Medicine · August 15, 2017 Authors: Harsha Shanthana et al Background And Objective Chronic Low Back Pain (CLBP) is very common, with a lifetime prevalence between 51% and 80%. In majority, it is nonspecific in nature and multifactorial in etiology. Pregabalin (PG) and Gabapentin (GB) are gabapentinoids that have demonstrated benefit in neuropathic pain […]

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Uncategorized Published - 23 January, 2018    By - Dr Clemens
Routine Pressure Checks Reduce Incidence Of Laryngeal Mask Cuff Overinflation

Cuff pressure when using a laryngeal mask (LM) for general anesthesia tends to be too high, which can result in postoperative adverse events. But this problem can be corrected with careful routine monitoring, a recent study concluded. The study, which presented findings from a quality improvement project at Children’s Hospital Colorado, in Aurora, was conducted […]

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Uncategorized Published - 23 January, 2018    By - Dr Clemens
Intrathecal Analgesic Drug Delivery is Effective for Analgesia in a Patient with Post-Poliomyelitis Syndrome

A Case Report. BACKGROUND Post-poliomyelitis syndrome (PPS) is a progressive neuromuscular syndrome, with chronic pain being one of the most prevalent symptoms. We present a case report on intrathecal analgesic drug delivery to diminish chronic, refractory pain in a patient with PPS. CASE REPORT In a wheelchair-bound 45-year-old female patient (Caucasian, body mass index [BMI] […]

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Uncategorized Published - 23 January, 2018    By - Dr Clemens
Fed Up With Drug Companies, Hospitals Decide to Start Their Own

This does not deal with anesthesia but I thought this was very interesting so I wanted to share with our readers. By REED ABELSON and KATIE THOMASJAN. 18, 2018 A group of large hospital systems plans to create a nonprofit generic drug company to battle shortages and high prices. For years, hospital executives have expressed frustration when essential drugs […]

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Uncategorized Published - 23 January, 2018    By - Dr Clemens
Researchers ID Practices Leading to Safer Outcomes in Procedural Sedation for Children

Researchers have identified sedation medications and practices associated with the best clinical outcomes in children. Researchers at the Children’s Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, looked at the incidence of and risk factors associated with sedation-related adverse events in paediatric emergency departments as part of a multi-centre observational study, published online by JAMA Pediatrics. […]

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Uncategorized Published - 23 January, 2018    By - Dr Clemens
Why the United States is ‘the most dangerous of wealthy nations for a child to be born into?

Author: Karen Kaplan A new study examines how infant and child mortality became so much worse in the U.S. than in other wealthy countries. It’s no surprise that the United States ranks absolutely last in child mortality among the world’s wealthiest countries — that’s been true for years. A new study examines how this sad […]

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Uncategorized Published - 22 January, 2018    By - Dr Clemens
CMS Announces new Voluntary Bundled Payments Model

The Centers for Medicare and Medicaid Services (CMS) announced a new voluntary Medicare payment model as a replacement for the recently cancelled mandatory bundled payment program. A full copy of the announcement is here or below. ASA will continue to review this release to provide updates. CMS announces new payment model to improve quality, coordination, and cost-effectiveness […]

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Uncategorized Published - 22 January, 2018    By - Dr Clemens
New Approach for Infraclavicular Peripheral Nerve Block Has Theoretical Benefits

Author: Patrycja Olszynski, MD A newly described infraclavicular approach to the brachial plexus may provide additional potential benefits over the traditional technique. According to the sonoanatomy of this approach, the shorter distance between the upper part of the artery and cutaneous surface and the clustering of cords lateral to the artery could lead to a […]

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Uncategorized Published - 22 January, 2018    By - Dr Clemens
Insurance Status Predicts Perioperative Risk in Total Hip Replacement

AUTHOR: Hannah Xu, MD Retrospective analyses of total hip replacement (THR) surgeries in California, Florida and New York indicate that insurance status is associated with perioperative risks. According to the findings, Medicaid and other non-private insurance patients had higher unadjusted rates and risk-adjusted odds of in-hospital mortality, postoperative complications, and 30- and 90-day readmission rates […]

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Uncategorized Published - 22 January, 2018    By - Dr Clemens
Emergency Non-Operating Room Airway Management of The Morbidly Obese Patient

Trends and Complications Thomas C. Mort, MD Senior Anesthesiologist Associate Director, Surgical ICU Hartford Hospital Associate Professor of Anesthesiology and Surgery University of Connecticut School of Medicine Farmington, Connecticut Daniel Tighe, DO Anesthesiology and Critical Care Medicine Hartford Hospital University of Connecticut School of Medicine Farmington, Connecticut Obesity is a major health caredilemma. All aspects […]

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