Author: Dr Clemens

Uncategorized Published - 29 August, 2016    By - Dr Clemens
Multi-Society Pain Workgroup: Washington State’s Spinal Injections Coverage ‘a Win for Back Pain Patients’

The Multi-Society Pain Workgroup (MPW), representing more than 100,000 physicians and 15 medical societies, has commended the Washington State Health Care Authority’s Health Technology Clinical Committee (HTCC) for preserving access to spinal injection therapies for back pain. The HTCC held a hearing in March to determine coverage of spinal injections for Medicaid enrollees, workers covered […]

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Uncategorized Published - 29 August, 2016    By - Dr Clemens
Qualified Clinical Data Registry Reporting: The Future Is Now

Quality Queries and Quandaries: By: Emil Engels, MD, MBA, CPC At the invitation of Anesthesiology News, this is a recurring column in which experts attempt to answer many of the questions regarding quality reporting. This column will address topics such as: What is a qualified clinical data registry (QCDR)? How do the reporting requirements of […]

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Uncategorized Published - 29 August, 2016    By - Dr Clemens
Twins Study Finds Anesthesia Has Minimal Long-Term Cognitive Effects

There are “negligible” long-term cognitive effects after major surgery during adulthood, new research has concluded (Anesthesiology 2016;124:312-321). This finding should help bolster physicians when confronted with older patients balking at surgery out of fear that undergoing anesthesia will cause cognitive and memory issues—preoperative medical conditions and mental functioning likely play a more significant role. “This study […]

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Uncategorized Published - 26 August, 2016    By - Dr Clemens
Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation Shows Promise

Brian M. Ilfeld, MD, MS, has been involved in more than his fair share of regional anesthesia research, adding his name to more than 100 publications and receiving some $4.5 million in grant support. Now, however, Dr. Ilfeld says he’s involved in something as exciting as anything he’s ever worked on. Dr. Ilfeld feels this […]

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Uncategorized Published - 26 August, 2016    By - Dr Clemens
Deaths of Children During Dental Procedures Raise Safety Concerns

Anesthesia complications suspected; state rules differ The highly publicized deaths of two children who died after an in-office dental procedure performed by a dentist and an oral surgeon, respectively, have many questioning whether national guidelines or individual state dental board requirements need to be strengthened when it comes to administering general anesthesia to a pediatric […]

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Uncategorized Published - 26 August, 2016    By - Dr Clemens
Migraine in Men Not Uncommon but Not Always Diagnosed

It is not uncommon for men to suffer migraines, but they are less likely than women with this condition to consult a doctor, and if they do, they are less likely to be diagnosed with migraine. Those are some of the conclusions of a study on sex differences in migraine burden presented at the American […]

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Uncategorized Published - 26 August, 2016    By - Dr Clemens
Risk of Blindness From Spine Surgery Down Significantly

The risk of blindness caused by spinal fusion has dropped almost 3-fold since the late 1990s, according to a study published in the journal Anesthesiology. “While there are significant complications that can result from spinal-fusion surgery, it seems that blindness, a catastrophic and devastating complication, is one that has become far rarer in recent years,” […]

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Uncategorized Published - 26 August, 2016    By - Dr Clemens
Sedation during bronchoscopy: data from a nationwide sedation and monitoring survey

BMC Pulm Med. 2016; 16: 113. published 2016 Aug 5. Authors: Thomas Gaisl et al Background There is limited knowledge on practice patterns in procedural sedation and analgesia (PSA), the use of propofol, and monitoring during flexible bronchoscopy (FB). The purpose of this study was to assess the current practice patterns of FBs and to […]

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Uncategorized Published - 25 August, 2016    By - Dr Clemens
Independent Predictors of Stroke After CABG Identified

Unique predictors of stroke following coronary artery bypass graft (CABG) surgery have been found in a study. According to the researchers, identification and modification of these risk factors for stroke could help prevent this outcome and aid in surgical planning. “Age, preoperative hematocrit levels, smoking status and a history of congestive heart failure are all […]

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Uncategorized Published - 25 August, 2016    By - Dr Clemens
Dexamethasone, Avoiding Profound Anaesthesia Reduce Post-operative Cognitive Dysfunction in Older Patients

A study published by the journal PLoS One suggests that 2 relatively simple measures can help to reduce the incidence of post-operative cognitive dysfunction (POCD) in older patients: administering a small dose of the anti-inflammatory drug dexamethasone immediately before an operation and avoiding profound anaesthesia during the operation. Opinions on the adequate depth of anaesthesia […]

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