Author: Dr Clemens

Uncategorized Published - 25 August, 2016    By - Dr Clemens
Defining Avoidable and Unavoidable Complications in Spine Surgery

A Survey-Based Study of Spine Fellowship Directors Authors: Mohammed A. Khaleel, MD et al Spine. 2016;41(11):958-962. Study Design. A cross-sectional survey of orthopedic spine surgery fellowship directors in the United States. Objective. The aim of this study was to investigate whether consensus exists with respect to spine-related adverse events and certain hospital-acquired conditions (HACs) or “never events.” Summary […]

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Uncategorized Published - 25 August, 2016    By - Dr Clemens
Pharmacists Key To Expanding Naloxone Distribution

Community pharmacists and those working in hospital settings are being trained to help make naloxone easier to obtain and use for people who are at risk for an opioid overdose. In western New York, for instance, the University at Buffalo is partnering with public health and a national advocacy group to train community pharmacists on […]

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Uncategorized Published - 25 August, 2016    By - Dr Clemens
Thalidomide Mechanism Could Improve Cancer Treatment

Researchers from the Technical University of Munich (TUM) claim to have discovered the molecular mechanism for the sedative thalidomide (Thalomid, Celgene). The findings could help to improve cancer treatment Nat Med. 2016 Jun 13. Thalidomide, an immunomodulatory drug developed in West Germany during the 1950s, was marketed in Europe as the first safe sleeping pill—even […]

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Uncategorized Published - 24 August, 2016    By - Dr Clemens
Multimodal Analgesic Protocol Improves Analgesia, Pain Documentation After Arthroplasty

The implementation of a multimodal analgesic protocol may be a simple, effective way to boost the documentation of preoperative pain scores and opioid use in an acute pain service, new research suggests. Multimodal protocols for nonopioid analgesia using acetaminophen, cyclooxygenase-2 inhibitors, gabapentinoids and peripheral nerve catheters have been shown to decrease opioid use and improve […]

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Uncategorized Published - 24 August, 2016    By - Dr Clemens
Anesthesia Group Must Pay Up After Patient Bleeds Out in Recovery

A hernia repair patient suffered from internal bleeding in PACU for more than 2 hours before undergoing emergency surgery. An anesthesiologist is liable for the death of a woman who bled out in PACU after undergoing a hernia repair, an Illinois appellate court recently ruled, leaving the doctor’s anesthesia group on the hook for a multi-million dollar […]

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Uncategorized Published - 24 August, 2016    By - Dr Clemens
ACOG: New Recommendations on Obstetric Lacerations

The most recent data on obstetric lacerations during vaginal delivery have been incorporated into recommendations from the American College of Obstetricians and Gynecologists (ACOG), published in the July issue of Obstetrics & Gynecology. However, guidance on prevention and repair of severe perineal lacerations and on indications for episiotomy remains largely hampered by insufficient evidence. An estimated 53% to […]

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Uncategorized Published - 24 August, 2016    By - Dr Clemens
CRP Levels Elevated in Migraine

Levels of the inflammatory marker C-reactive protein (CRP) are significantly elevated in young adults with migraine, which may not only offer insights into the pathogenesis of the condition but also point to novel therapeutic avenues, researchers say. Delegates here at the American Headache Society (AHS) 58th Annual Scientific Meeting heard that levels of the protein, […]

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Uncategorized Published - 24 August, 2016    By - Dr Clemens
As Little as a Free Meal Influences Prescribing, Data Suggest

Physicians’ prescribing behavior may be influenced by their receipt of industry-sponsored meals, new data suggest. Physicians who received an industry-sponsored meal promoting a company’s drug were more likely to prescribe the brand-name drug than a less expensive generic one. “Physicians who received a single meal promoting the drug of interest had higher rates of prescribing […]

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Uncategorized Published - 23 August, 2016    By - Dr Clemens
FDA Approves First Buprenorphine Implant To Treat Opioid Dependence

The FDA approved Probuphine (Titan/Braeburn), the first buprenorphine implant for the maintenance treatment of opioid dependence. Probuphine is designed to provide a constant, low-level dose of buprenorphine for six months in patients who are already stable on low-to-moderate doses of other forms of buprenorphine, as part of a complete treatment program. Until now, buprenorphine for […]

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Uncategorized Published - 23 August, 2016    By - Dr Clemens
The Biomechanical Effects of Resuscitation Colloids on the Compromised Lung Endothelial Glycocalyx

Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 382–393 AUTHORS: Job, Kathleen M. PhD et al BACKGROUND: The endothelial glycocalyx is an important component of the vascular permeability barrier, forming a scaffold that allows serum proteins to create a gel-like layer on the endothelial surface and transmitting mechanosensing and mechanotransduction […]

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