Author: Dr Clemens

Uncategorized Published - 17 October, 2016    By - Dr Clemens
Spinal Cord Stimulation for Treatment of Neuropathic Pain Associated With Erythromelalgia

Regional Anesthesia & Pain Medicine: September/October 2016 – Volume 41 – Issue 5 – p 619–620 Authors: Matzke, Laura L. MD et al Objective: Erythromelalgia is a rare disorder associated with neuropathic pain that commonly affects the lower extremities. This pain is often refractory to multimodal treatment. Both pharmacologic management and interventional anesthetic blocks have […]

Read More
Uncategorized Published - 17 October, 2016    By - Dr Clemens
Updated Blood Transfusion Guidelines Back a Conservative Approach

Updated guidelines from the AABB (formerly, American Association of Blood Banks), published in JAMA, recommend a conservative strategy for blood transfusion. The recommendations, an update from the group’s 2012 guidance, are based on an analysis of 31 randomized trials comparing a restrictive strategy (triggered by a hemoglobin concentration 7–8 g/dL) with a liberal strategy (9–10 g/dL). […]

Read More
Uncategorized Published - 17 October, 2016    By - Dr Clemens
Current Use of Prescribed NSAIDs Is Associated with Elevated Risk for Heart Failure

Arfè A et al., BMJ 2016 Sep 28; 354:i4857 Level of risk varied among nonsteroidal anti-inflammatory drugs. Nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with excess risk for heart failure (HF). In this study, researchers used healthcare databases in four European countries to evaluate the association between NSAID use and hospital admission for HF. Among 7.7 million adults […]

Read More
Uncategorized Published - 14 October, 2016    By - Dr Clemens
Anesthetic Management of a Newborn With Severe Subglottic Stenosis

Inês Furtado, MD Anesthesiology Resident Centro Hospitalar de Lisboa Central Hospital Dona Estefânia Lisbon, Portugal Subglottic stenosis from endotracheal intubation (ETI) is a known iatrogenic complication. This implies difficulties in ventilation and endotracheal intubation for the pediatric age group. The incidence of pediatric patients undergoing ETI is less than 2%, and data on the anesthetic […]

Read More
Uncategorized Published - 14 October, 2016    By - Dr Clemens
The Effect of Technology on Difficult Airway Management and Decision Making

Felipe Urdaneta, MD Secretary, Society for Airway Management Professor of Anesthesiology University of Florida North Florida/South Georgia Veterans Health System Gainesville, Florida   Lauren Berkow, MD Vice President, Society for Airway Management Associate Professor University of Florida College of Medicine Gainesville, Florida In the last 30 years, new technology has revolutionized difficult airway management. The […]

Read More
Uncategorized Published - 14 October, 2016    By - Dr Clemens
Study Finds No Link Between Sleep Apnoea, Joint Pain in Men

According to a study published in the journal Arthritis Care & Research, there is no association between obstructive sleep apnoea (OSA) and joint pain or daytime sleepiness. This lack of association between pain and OSA is surprising given the established link between pain and poor sleep quality, according to Joule J Li, MD, University of […]

Read More
Uncategorized Published - 14 October, 2016    By - Dr Clemens
Study Shows Distress Intolerance Associated With Opioid Misuse

Inability to manage negative emotional and somatic stress is associated with opioid misuse in adults with chronic pain, according to a study published in the Journal of Pain. Previous research suggests those with chronic pain who misuse their opioids exhibit higher levels of distress in general, as well as heightened reactivity to that distress. Kathryn McHugh, […]

Read More
Uncategorized Published - 13 October, 2016    By - Dr Clemens
Doctors need new skill set for opioid abuse treatment

Opioid drug overdoses have reached epidemic levels, roughly 78 Americans die every day from opioid overdose. In a big hotel conference room near New York’s Times Square, six doctors huddle around a greasy piece of raw pork. They watch as addiction medicine specialist Michael Frost delicately marks the meat, incises it and implants four match-sized […]

Read More
Uncategorized Published - 13 October, 2016    By - Dr Clemens
The Role of the Supraglottic Airway in Neurosurgery

Irene P. Osborn, MD Associate Professor of Clinical Anesthesiology Director, Division of Neuroanesthesia Albert Einstein/Montefiore Medical Center Bronx, New York Sara Aljohani, MD Fellow in Neuroanesthesia Albert Einstein/Montefiore Medical Center Bronx, New York The authors reported no relevant financial disclosures. Airway management in neurosurgical patients can be a perplexing endeavor. In achieving and maintaining a […]

Read More
Uncategorized Published - 13 October, 2016    By - Dr Clemens
Study Identifies Most Costly Emergency Surgery Cases

Seven procedures account for approximately 80% of all admissions, deaths, complications and inpatient costs attributable to emergency general surgery nationwide, according to a study published online by JAMA Surgery (2016 Apr 27). The finding is viewed as a “starting point” for developing national benchmarks for this tremendously expensive area of health care, the investigators indicated. […]

Read More