Author: Dr Clemens

Uncategorized Published - 6 October, 2017    By - Dr Clemens
Post-Surgical Pain Management Can Influence Progression to Chronic Pain

Understanding pre-operative and post-op factors that influence post-surgical pain management success may provide clues in preventing progression to chronic pain after surgery, according to research presented at the American Pain Society (APS) Annual Scientific Conference. “Post-operative pain, its consequences and response to treatment, vary greatly among patients,” said Timothy Brennan, MD, University of Iowa Medical […]

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Uncategorized Published - 6 October, 2017    By - Dr Clemens
Program Helps Reduce Risk of Delirium, Hospital Length of Stay for Older Surgical Patients

Older patients who underwent major abdominal surgery and received an intervention that included nutritional assistance and early mobilisation were less likely to experience delirium and had a shorter hospital stay, according to a study published by JAMA Surgery. Older patients undergoing abdominal surgery commonly experience preventable delirium, which extends their hospital length of stay (LOS). […]

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Uncategorized Published - 6 October, 2017    By - Dr Clemens
Hospital itself is greatest risk factor in C-section birth, Consumer Reports investigation says

Report said 6 in 10 hospitals studied had C-section rates above the national target rate for low-risk births. While there are a number of risks that can make birth by cesarean section more likely for women, a Consumer Reports investigation said the biggest risk factor is the hospital where the mother delivers, and how busy […]

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Uncategorized Published - 6 October, 2017    By - Dr Clemens
Vitamin D Deficiency and Chronic Tension-Type Headache

Vitamin D deficiency may cause musculoskeletal pain, muscle weakness, and muscle atrophy. New research published in Headache suggests there is a relationship between serum vitamin D levels and chronic tension-type headaches (CTTH).1 Sanjay Prakash, DM, from the Department of Neurology at the Smt. B. K. Shah Medical Institute and Research Center in Gujarat, India, and colleagues examined […]

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Uncategorized Published - 6 October, 2017    By - Dr Clemens
Sciatic Nerve Block Plus Femoral Nerve Block May Provide Superior Pain Relief After Total Knee

Adding sciatic nerve block to femoral nerve block may increase the occurrence of adverse effects such as weakness in the quadriceps. Pain relief after total knee arthroplasty (TKA) may be greater when femoral nerve block (FNB) is combined with sciatic nerve block (SNB) than when it is combined with local infiltration analgesia (LIA).1 While previous […]

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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Neostigmine Administration after Spontaneous Recovery to a Train-of-Four Ratio of 0.9 to 1.0: A Randomized Controlled Trial of the Effect on Neuromuscular and Clinical Recovery

Authors: Glenn S. Murphy, M.D. et al Anesthesiology published on September 28, 2017Background: When a muscle relaxant is administered to facilitate intubation, the benefits of anticholinesterase reversal must be balanced with potential risks. The aim of this double-blinded, randomized noninferiority trial was to evaluate the effect of neostigmine administration on neuromuscular function when given to patients after […]

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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Prediction of Bispectral Index during Target-controlled Infusion of Propofol and Remifentanil: A Deep Learning Approach

Authors: Hyung-Chul Lee, M.D. et al Anesthesiology published on September 28, 2017. Background: The discrepancy between predicted effect-site concentration and measured bispectral index is problematic during intravenous anesthesia with target-controlled infusion of propofol and remifentanil. We hypothesized that bispectral index during total intravenous anesthesia would be more accurately predicted by a deep learning approach. Methods: Long short-term memory […]

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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Two New Urine Drug Screens Get Approval for Quick In-Office Testing

Gaining 510(k) clearance from the Food and Drug Administration, two new drug screening tests offer practitioner rapid, in-office results for the most commonly abused opioid-derived drugs. By Kathleen Doheny Interviews with Scott Taille and Michael R. Clark, MD, MPH, MBA Physicians who are treating patients for pain now have two new urine screening options available for […]

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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Postoperative Opioids: What’s the Optimal Prescription Length?

The optimal duration of postsurgical opioid prescriptions likely ranges from 4 to 15 days, depending on the procedure, a JAMA Surgery study suggests. Using a U.S. military health system database, researchers identified 215,000 opioid-naive adults up to age 64 who underwent one of eight common surgeries and filled an opioid prescription within 14 days after the procedure. […]

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Uncategorized Published - 5 October, 2017    By - Dr Clemens
Overfeeding and ARDS a Toxic Combination

Unintentional overfeeding of ICU patients with acute respiratory distress syndrome (ARDS) may increase the risk for infections, prolong mechanical ventilation and boost hospital length of stay (LOS), according to a study presented at the 2017 American Society for Parenteral and Enteral Nutrition Clinical Nutrition Week (CNW). The study, from Rush University Medical Center and the […]

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