Author: Dr Clemens

Uncategorized Published - 2 June, 2016    By - Dr Clemens
Clinical Practice Guidelines for the Management of Neuropathic Pain

A Systematic Review Authors: Yunkun Deng et al BMC Anesthesiol. 2016;16(12) Background: The management of neuropathic pain (NP) is challenging despite it being the recent focus of extensive research. A number of clinical practice guidelines (CPGs) for the management of NP have been published worldwide over the past 2 decades. This study aimed to assess the quality […]

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Uncategorized Published - 2 June, 2016    By - Dr Clemens
Short-Term Fibromyalgia Program Met Needs of Most Women

A 2-day interdisciplinary treatment program including cognitive behavioral therapy (CBT), exercise, and education about fibromyalgia (FM) reduced pain and improved health status as effectively as a 10-week program, researcher report in an article published April 7 in Rheumatology International. However, the shorter program may not have been as effective at reducing fatigue and improving physical function. […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Intravenous Sedation Without Intubation and the Risk of Anesthesia Complications for Obese and Non-Obese Women Undergoing Surgical Abortion: A Retrospective Cohort Study

Anesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1957–1962 AUTHORS: Gokhale, Priyanka BS et al BACKGROUND: The primary objective of this study was to assess the risk of perioperative anesthesia-related complications in a cohort of obese and non-obese women undergoing outpatient surgical abortion under IV sedation without tracheal intubation. METHODS: […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Neuraxial vs General Anaesthesia for Total Hip and Total Knee Arthroplasty

A Systematic Review of Comparative-Effectiveness Research Authors: R. L. Johnson et al Br J Anaesth. 2016;116(2):163-176. Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vsgeneral anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central Register of Controlled Trials from […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Patient Wakes Up, Makes Death Threats to Connecticut Surgery Center Staff

Police say she hit and punched staff members, yelled “I’m one of those bad people!” Talk about a rude awakening. Police say a patient at a Connecticut surgery center became “verbally combative” and later began “hitting and punching staff” and threatened to return with a gun after she emerged from anesthesia last week. Was it […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Cataract Surgeon Can’t Be Blamed for Failure of Anesthesia Providers, Jury Finds

Suit was brought by patient who moved twice during cataract surgery, causing complications. CLEARED A jury agreed that keeping the patient still during cataract surgery wasn’t ophthalmologist Michael DellaVecchia’s responsibility. A Philadelphia-area ophthalmologist who was accused of negligence has been cleared, thanks to a simple defense often heard outside the courtroom: It’s not my job. The job […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Anesthesiologist gets 8 years for fraud that led to patient death

Jaime Guerrero, MD, has been sentenced to 100 months in prison for distribution of controlled substances, including prescription opioid hydrocodone, without a legitimate medical purpose, according to the Department of Justice. Dr. Guerrero admitted to distributing and dispensing Schedule II and III controlled substances without a medical purpose and beyond the bounds of professional medical practice […]

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Uncategorized Published - 31 May, 2016    By - Dr Clemens
Ganglion Block Beats Blood Patch for Dural Puncture Headache

A noninvasive, easy-to-administer sphenopalatine ganglion block relieves postdural puncture headache (PDPH) faster than an epidural blood patch in obstetric patients and has fewer adverse effects, new research shows. The block works so well in patients with PDPH that it should the considered the first line treatment in this population, said Preet Patel, MD, Department of […]

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Uncategorized Published - 31 May, 2016    By - Dr Clemens
Dexamethasone Does Not Inhibit Sugammadex Reversal After Rocuronium-Induced Neuromuscular Block

Anesthesia & Analgesia: March 2016 AUTHORS: Buonanno, Pasquale MD, PhD et al BACKGROUND: Sugammadex is a relatively new molecule that reverses neuromuscular block induced by rocuronium. The particular structure of sugammadex traps the cyclopentanoperhydrophenanthrene ring of rocuronium in its hydrophobic cavity. Dexamethasone shares the same steroidal structure with rocuronium. Studies in vitro have demonstrated that […]

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Uncategorized Published - 31 May, 2016    By - Dr Clemens
Prevalence of Dementia 7.5 Years after Coronary Artery Bypass Graft Surgery

Authors: Lisbeth A. Evered, B.Sc. et al Anesthesiology published on 4 2016 Background:: Although postoperative cognitive dysfunction (POCD) is well described after coronary artery bypass graft (CABG) surgery, a major concern has been that a progressive decline in cognition will ultimately lead to dementia. Since dementia interferes with the ability to carry out daily functions, the impact […]

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