Author: Dr Clemens

Uncategorized Published - 21 October, 2016    By - Dr Clemens
Pilates for Low Back Pain

Complete Republication of a Cochrane Review Authors: Tiê P. Yamato, MSc et al Spine. 2016;41(12):1013-1021. Study Design. Systematic review. Objective. To determine the effects of the Pilates method for patients with nonspecific acute, subacute, or chronic low back pain. Summary of Background Data. The Pilates method is one of the most common forms of intervention based on exercise used […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
The Effect of Provision of Pain Management Advice on Patient Satisfaction With Their Pain Management

A Pilot, Randomised, Controlled Trial (Pain Advice Trial) Authors: David McD Taylor et al Emerg Med J. 2016;33(7):453-457. Objective We aimed to provide pain advice (‘The treatment of pain is very important and be sure to tell the staff when you have pain’) as an intervention and evaluate its effect upon patient satisfaction. The purpose of this […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
A Prospective, Randomized, Multicenter, Open-label Clinical Trial Comparing Intradiscal Biacuplasty to Conventional Medical Management for Discogenic Lumbar Back Pain

Authors: Mehul J. Desai, MD, MPH et al Spine. 2016;41(13):1065-1074. Study Design. This study was a prospective, randomized, crossover, multicenter trial for the evaluation of comparative effectiveness of intradiscal biacuplasty (IDB) versus conventional medical management (CMM) in the treatment of lumbar discogenic pain. Objective. The objective was to demonstrate the superiority of IDB over CMM in the treatment of discogenic […]

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Uncategorized Published - 20 October, 2016    By - Dr Clemens
The Median Effective Concentration (EC50) of Propofol With Different Doses of Fentanyl During Colonoscopy in Elderly Patients

Authors: Shiyang Li et al BMC Anesthesiol. 2016;16(24) Background: Propofol and fentanyl are the most widely administered anesthesia maintaining drugs during colonoscopy. In this study, we determined the median effective concentration (EC50) of propofol required for colonoscopy in elderly patients, and the purpose of this study was to describe the pharmacodynamic interaction between fentanyl and propofol when […]

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Uncategorized Published - 20 October, 2016    By - Dr Clemens
Patients at Low Risk of Developing Persistent Opioid Use 1 Year After Major Surgery

Researchers have determined that patients who have not had an opioid prescription within 1 year prior to their procedure are at low risk of developing persistent opioid use after major surgery. The research, published online by JAMA Surgery, showed that of the 39,140 observed patients only 0.4% (~1 in every 225 patients) continued to receive ongoing […]

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Uncategorized Published - 20 October, 2016    By - Dr Clemens
Acetaminophen Use When Pregnant Associated With Children’s Behavioural Problems

This is for our pain docs. Using the common pain-relieving medication acetaminophen during pregnancy was associated with increased risk for multiple behavioural problems in children, according to an article published online by JAMA Pediatrics. Acetaminophen is generally considered safe in pregnancy and is used by a many pregnant women for pain and fever. Evie Stergiakouli, […]

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Uncategorized Published - 20 October, 2016    By - Dr Clemens
Dexmedetomidine-Induced Neuroapoptosis Is Dependent on Its Cumulative Dose.

Anesthesia & Analgesia: August 12, 2016 AUTHORS: Liu, Jia-Ren MD, PhD et al BACKGROUND: Dexmedetomidine (DEX) has inherent neuroprotective properties that have been attributed to the activation of prosurvival kinases. However, the impact of supraclinical doses of DEX on neuroapoptosis and neuronal viability has not been determined. METHODS: Rat pups and primary neuronal cells were […]

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Uncategorized Published - 20 October, 2016    By - Dr Clemens
Development and Validation of a Risk Stratification Score for Children With Congenital Heart Disease Undergoing Noncardiac Surgery.

Anesthesia & Analgesia: Anesthesia & Analgesia: August 12, 2016 AUTHORS: Faraoni, David MD, PhD, FCCP et al BACKGROUND: Children with major and severe congenital heart disease (CHD) undergoing noncardiac surgery are at increased risk of mortality. The objective of this study was to identify the predictors for in-hospital mortality, and to develop a risk stratification […]

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Uncategorized Published - 19 October, 2016    By - Dr Clemens
Cardiac Power Parameters During Hypovolemia, Induced by the Lower Body Negative Pressure Technique, in Healthy Volunteers

Authors: Audun Eskeland Rimehaug et al BMC Anesthesiol. 2016;16(31) Background: Changes in cardiac power parameters incorporate changes in both aortic flow and blood pressure. We hypothesized that dynamic and non-dynamic cardiac power parameters would track hypovolemia better than equivalent flow- and pressure parameters, both during spontaneous breathing and non-invasive positive pressure ventilation (NPPV). Methods: Fourteen healthy volunteers underwent […]

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Uncategorized Published - 19 October, 2016    By - Dr Clemens
Surgeon Specialization and Operative Mortality in United States: Retrospective Analysis

Authors: Nikhil R Sahni et al BMJ. 2016;354(i3571) Objective To measure the association between a surgeon’s degree of specialization in a specific procedure and patient mortality. Design Retrospective analysis of Medicare data. Setting US patients aged 66 or older enrolled in traditional fee for service Medicare. Participants 25 152 US surgeons who performed one of eight procedures (carotid endarterectomy, coronary […]

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