Author: Dr Clemens

Uncategorized Published - 3 March, 2016    By - Dr Clemens
Long-Term Opioid Use Associated With Increased Risk of Depression

Opioids may cause short-term improvement in mood, but long-term use imposes risk of new-onset depression, according to a study published online in the Annals of Family Medicine. Long-term opioid use of more than 30 days may lead to changes in neuroanatomy and low testosterone, among other possible biological explanations, according to Jeffrey Scherrer, PhD, Saint […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Steep Rise in Prescription Opioid Use in Pregnancy, Infants Pay the Price

Increased use of prescription opioids during pregnancy is likely a contributing factor in the rise in rates of neonatal abstinence syndrome (NAS) in the United States, warns Nora D. Volkow, MD, director of the National Institute on Drug Abuse (NIDA). “The steep increase in the number of opioid prescriptions dispensed in the United States has […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Mild Sedation Exacerbates or Unmasks Focal Neurologic Dysfunction in Neurosurgical Patients with Supratentorial Brain Mass Lesions in a Drug-specific Manner

Anesthesiology. 2016 Mar;124(3):598-607 AUTHORS: Lin N et al BACKGROUND: Sedation is commonly used in neurosurgical patients but has been reported to produce transient focal neurologic dysfunction. The authors hypothesized that in patients with frontal-parietal-temporal brain tumors, focal neurologic deficits are unmasked or exacerbated by nonspecific sedation independent of the drug used. METHODS: This was a prospective, […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Postoperative pain control with paravertebral catheters after pediatric total pancreatectomy and islet autotransplantation: a retrospective cohort study

Paediatr Anaesth. 2016 Mar;26(3):315-20 AUTHORS: Hutchins J et al     . BACKGROUND: Total pancreatectomy and islet autotransplantation (TPIAT) has been used to treat pediatric patients with chronic pancreatitis. The primary symptom of this disease is extreme poorly controlled pain. This results in significant alterations in the quality of life of the patient. We sought to determine if […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Fentanyl and Midazolam Are Ineffective in Reducing Episodic Intracranial Hypertension in Severe Pediatric Traumatic Brain Injury

Crit Care Med. 2016 Jan AUTHORS: Welch TP et al OBJECTIVE: To evaluate the clinical effectiveness of bolus-dose fentanyl and midazolam to treat episodic intracranial hypertension in children with severe traumatic brain injury. DESIGN: Retrospective cohort. SETTING: PICU in a university-affiliated children’s hospital level I trauma center. PATIENTS: Thirty-one children aged 0-18 years with severe traumatic […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
A comparison between fentanyl plus celecoxib therapy and epidural anesthesia for postoperative pain management following laparoscopic gastrectomy

Surg Today. 2015 Dec 23 AUTHORS: Shibasaki S et al PURPOSE: To clarify the efficacy of postoperative pain management following laparoscopic gastrectomy (LG), we retrospectively compared pain assessments in patients who received fentanyl plus celecoxib with those who received epidural anesthesia. METHODS: From 2011 to 2012, 55 consecutive LG patients at our institution received 48 h of […]

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Uncategorized Published - 1 March, 2016    By - Dr Clemens
New Approach to Diagnosing Low Back Pain

Serum levels of the pro-inflammatory cytokine interleukin-6 (IL-6) vary in individuals with lumbar intervertebral disc disease and biochemical profiling of circulating cytokines may assist in refining personalised diagnoses of disc diseases, according to a study published in the journal Arthritis Research and Therapy. Low back pain is caused by multiple triggers that present in similar ways. […]

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Uncategorized Published - 1 March, 2016    By - Dr Clemens
Dry Eye Linked to Chronic Pain Syndromes

Researchers have found a link between dry eye and chronic pain syndromes — a finding that suggests that a new paradigm is needed for diagnosis and treatment to improve patient outcomes. “Our study indicates that some patients with dry eye have corneal somatosensory pathway dysfunction and would be better described as having neuropathic ocular pain,” […]

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Uncategorized Published - 1 March, 2016    By - Dr Clemens
Methylnaltrexone for Opioid-Induced Constipation Might Also Improve Overall Survival in Advanced Cancer Patients

Methylnaltrexone, a peripherally acting μ-opioid receptor (MOR) antagonist, may play a role in slowing tumor progression, new research has found. According to the study, methylnaltrexone influenced cancer progression and prolonged survival in patients with advanced cancer, suggesting that the MOR antagonist may be an important therapeutic target. “Our data suggest that methylnaltrexone used in advanced […]

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Uncategorized Published - 1 March, 2016    By - Dr Clemens
Direct Relationship Found Between Immediate Post-op Pain In Peds and Persistent Pain

An Italian study has found a linear correlation between the presence of acute pain within the first few hours of surgery and postoperative pain persisting for as long as six months afterward. The researchers hypothesized that anesthetic technique, including regional approaches, may influence the development and prevention of persistent postoperative pain. “Our goal was to […]

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