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By Thomas G. Ciccone Interview with Lawrence Kei, MD At the CHANGEpain Clinic (CpC), a community based chronic pain center based in Vancouver, Canada, clinicians have taken a layered approach to myofascial pain care, using a first-line approach of self-management therapies. The treatment approach focuses on helping patients improve their diet, stress levels, and sleep before employing more […]
Read MoreBy Thomas G. Ciccone Interview with Kathryn Schopmeyer, DPT, CPE, CSCS Clinicians treating patients for nonspecific low back pain may want to consider how they communicate to patients about the condition. A real language barrier can exist between clinicians and patients, something clinicians may be unaware of or simply overlook, according to Kathryn Schopmeyer, DPT, CPE, CSCS, physical […]
Read MoreBy Thomas G. Ciccone Interview with Alexis LaPietra, DO Renal colic (RC), or kidney stone pain, is a common pain condition seen in emergency departments (ED), with some 1.2 million patients hospitalized every year for the condition.1 Lidocaine, a local anesthetic, can be an effective intravenous (IV) agent for the treatment of both acute and chronic pain conditions,2-5 but […]
Read MoreBy Thomas G. Ciccone Interview with Michael M. Bottros, MD The importance of incorporating alternative treatment modalities received a great deal of focus during the conference, especially with regard to treating acute pain in the emergency care setting. Epidural local anesthetics are one such example of an alternative modality clinicians have found useful. Epidurals have the potential […]
Read MoreBy Thomas G. Ciccone Serotonin-norepinephrine reuptake inhibitors (SNRIs) typically are considered first-line treatments for neuropathic pain.1 Duloxetine and venlafaxine are 2 selective SNRIs considered appropriate for neuropathic pain patients, although new data suggest duloxetine may be a superior option to venlafaxine. A new study conducted by researchers based out of the VA Tennessee Valley Healthcare System in Murfreesboro, […]
Read MoreAuthors: Andreas Ranft, M.D. et al Anesthesiology 11 2016, Vol.125, 861-872. Background: The neural correlates of anesthetic-induced unconsciousness have yet to be fully elucidated. Sedative and anesthetic states induced by propofol have been studied extensively, consistently revealing a decrease of frontoparietal and thalamocortical connectivity. There is, however, less understanding of the effects of halogenated ethers on functional […]
Read MoreAuthors: David Legouis, M.D. et al Anesthesiology published on October 20, 2016 Background: There is recent evidence to show that patients suffering from acute kidney injury are at increased risk of developing chronic kidney disease despite the fact that surviving tubular epithelial cells have the capacity to fully regenerate renal tubules and restore renal function within days […]
Read MoreA nursing association takes issue with the American College of Surgeons’ guidelines for clinician attire. A dress code for surgical teams intended to “support professionalism on behalf of patients,” has been met with questions from a nursing group, which says the code lacks rigor. The guidelines on operating room attire issued by the American College of […]
Read MoreAuthors: Daniel Lubelski, MD et al Spine. 2016;41(11):978-986. Study Design. Electronic survey. Objective. To identify the surgical treatment patterns for low back pain (LBP), among U.S. spine surgeons. Specifically determine (1) differences in surgical treatment responses based on various demographic variables; (2) probability of disagreement based on surgeon subgroups. Summary of Background Data. Multiple surgical and nonsurgical treatments exist […]
Read MoreAuthors: Erin J. Aiello Bowles, MPH et al J Am Geriatr Soc. 2016;64(3):602-607. Objectives: To evaluate the associations between anesthesia and dementia or Alzheimer’s disease (AD) risk using prospectively collected data. Design: Cohort study. Participants: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). Measurements: Participants self-reported […]
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