Author: Dr Clemens

Uncategorized Published - 19 July, 2017    By - Dr Clemens
Medical Simulation App Facilitates Intubation Training

A free gaming application downloaded to mobile devices allows anesthesiologists to try their skills at a variety of airway procedures, without needing hardware. Airway EX from Level EX Inc, is a comprehensive, interactive, virtual patient airway simulator of rare and/or difficult cases such as fiberoptic laryngoscopy, a burned airway (featuring a firefighter) and selected tumors. […]

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Uncategorized Published - 19 July, 2017    By - Dr Clemens
Which Drugs Effectively Treat Diabetic Nerve Pain?

Certain antidepressants and anti-seizure drugs are among medications that effectively treat diabetic nerve pain, according to a study published in the journal Neurology. “Providing pain relief for neuropathy is crucial to managing this complicated disease,” said Julie Waldfogel, PharmD, Johns Hopkins Hospital, Baltimore, Maryland. “Unfortunately, more research is still needed, as the current treatments have […]

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Uncategorized Published - 19 July, 2017    By - Dr Clemens
Migraine Treatment With Self-Controlled Electric Stimulation

The participants were trained in the use of the device, involving an armband of electrodes placed on the upper arm coordinated through a customized cell phone app for self-reporting of responses. Remote electrical stimulation (RES) is an effective, noninvasive, nonpharmacologic alternative treatment to traditional medications for acute migraine, according to results of a clinical study […]

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Uncategorized Published - 19 July, 2017    By - Dr Clemens
Managing Spinal Pain With NSAIDs?

NSAIDs may not “provide clinically important effects for spinal pain over placebo.” Nonsteroidal anti-inflammatory drugs (NSAIDs) might not be ideal analgesics for treating spinal-related pain, including neck and lower back pain, as indicated by results from a recent meta-analysis published in the Annals of Rheumatic Diseases.1 Although several clinical guidelines recommend using NSAIDs as a second-line […]

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Uncategorized Published - 18 July, 2017    By - Dr Clemens
A High Preoperative Pain and Symptom Profile Predicts Worse Pain Outcomes for Children After Spine Fusion Surgery

AUTHORS: Voepel-Lewis, Terri PhD, RN et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1594–1602 BACKGROUND: Preoperative pain predicts persistent pain after spine fusion, yet little is understood about the nature of that pain, related symptoms, and how these symptoms relate to postoperative pain outcomes. This prospective study examined children’s […]

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Uncategorized Published - 18 July, 2017    By - Dr Clemens
A Perioperative Smoking Cessation Intervention With Varenicline, Counseling, and Fax Referral to a Telephone Quitline Versus a Brief Intervention: A Randomized Controlled Trial.

AUTHORS: Wong, Jean MD, FRCPC et al Anesthesia & Analgesia: Post Author Corrections: March 17, 2017 BACKGROUND: The effectiveness of perioperative interventions to quit smoking with varenicline has not been compared with brief interventions. Our objective was to determine the efficacy of a comprehensive smoking cessation program versus a brief intervention for smoking cessation. METHODS: In […]

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Uncategorized Published - 18 July, 2017    By - Dr Clemens
Process Improvement Initiative for the Perioperative Management of Patients With a Cardiovascular Implantable Electronic Device

AUTHORS: Ellis, Margaret K. Menzel MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 58–65 BACKGROUND: Economic, personnel, and procedural challenges often complicate and interfere with efficient and safe perioperative care of patients with cardiovascular implantable electronic devices (CIEDs). In the context of a process improvement initiative, we created […]

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Uncategorized Published - 18 July, 2017    By - Dr Clemens
Learn How to Dose a Neuromuscular Block Reversal Agent

TAILORED DOSING BASED ON DEPTH OF NEUROMUSCULAR BLOCK (NMB) BRIDION® (sugammadex) Injection 100 mg/mL (equivalent to 108.8 mg/mL sugammadex sodium) can be used to reverse different levels of rocuronium- and vecuronium-induced blockade BRIDION dosing should be based on actual body weight. Indication BRIDION is indicated for the reversal of neuromuscular blockade induced by rocuronium bromide and […]

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Uncategorized Published - 18 July, 2017    By - Dr Clemens
House Passes Federal Medical Malpractice Bill

On June 28th, the Protecting Access to Care Act passed through the House by a vote of 218-210. The bill was passed chiefly along party lines and establishes provisions governing healthcare lawsuits where coverage for the care was provided or subsidized by the federal government. The bill would impose a $250,000 cap on non-economic damages that could […]

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Uncategorized Published - 17 July, 2017    By - Dr Clemens
The First US Clinical Experience With Computer-Assisted Propofol Sedation: A Retrospective Observational Comparative Study on Efficacy, Safety, Efficiency, and Endoscopist and Patient Satisfaction.

AUTHORS: Lin, Otto S. MD, MSc et al Anesthesia & Analgesia: March 17, 2017 BACKGROUND: : Computer-assisted propofol sedation (CAPS) is now approved for moderate sedation of American Society of Anesthesiologists (ASA) class I and II patients undergoing routine endoscopy. As the first US medical center to adopt CAPS for routine clinical use, we compared patient […]

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