Author: Dr Clemens

Uncategorized Published - 30 May, 2016    By - Dr Clemens
The High-risk Surgical Patient

A Role for a Multi-disciplinary Team Approach? Authors: A. R. Whiteman; J. K. Dhesi; D. Walker Br J Anaesth. 2016;116(3):311-314. Introduction There is a growing cohort of multimorbid, often frail and elderly patients who disproportionally suffer predictable complications, as a consequence of seeking surgical intervention.[1] A strong case for better Multi-Disciplinary Team (MDT) care during […]

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Uncategorized Published - 30 May, 2016    By - Dr Clemens
HHS Releases National Pain Strategy

A National Pain Strategy that outlines the federal government’s first coordinated plan for reducing the burden of chronic pain has been released. The report, issued by the Office of the Assistant Secretary for Health at the Department of Health and Human Services (HHS), comes on the heels of new opioid prescribing guidelines released recently by […]

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Uncategorized Published - 30 May, 2016    By - Dr Clemens
Syringe Pump Performance Maintained with IV Filter Use During Low Flow Rate Delivery for Pediatric Patients

Anesthesia & Analgesia: April 2016 AUTHORS: Chau, Destiny F. MD et al BACKGROUND: Complex surgical and critically ill pediatric patients rely on syringe infusion pumps for precise delivery of IV medications. Low flow rates and in-line IV filter use may affect drug delivery. To determine the effects of an in-line filter to remove air and/or […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Obesity is associated with more disability at presentation and after treatment in low back pain but not in neck pain: findings from the OIOC registry

BMC Musculoskeletal Disorders 17 (1), 140 (2016) AUTHORS: Wertli M et al BACKGROUND The influence on the treatment response in patients with low back pain (LBP) and neck pain (NP) is unknown. The aim of the study was to investigate the influence of body weight in patients with low back pain (LBP) and neck pain […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Meta-analysis of the Cardioprotective Effect of Sevoflurane Versus Propofol During Cardiac Surgery

BMC Anesthesiol. 2015;15(128) Authors: Feng Li et al Background: To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. Methods: Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. Results: As a […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Biological Inflammatory Markers Mediate the Effect of Preoperative Pain-related Behaviours on Postoperative Analgesics Requirements

BMC Anesthesiol. 2015;15(183) Authors: Myriam Daoudia et al Background: The predictive value of an individual’s attitude towards painful situations and the status of his immune system for postoperative analgesic requirements are not well understood. These may help the clinician to anticipate individual patient’s needs. Methods: Sixty patients, who underwent a laparoscopic cholecystectomy under standardised general […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Femoral Nerve Block-sciatic Nerve Block vs. Femoral Nerve Block-local Infiltration Analgesia for Total Knee Arthroplasty

BMC Anesthesiol. 2015;15(182) Authors: Mari Nagafuchi et al A Randomized Controlled Trial Background: The use of femoral nerve block (FNB) combined with sciatic nerve block (SNB) after total knee arthroplasty (TKA) has recently become controversial. Local infiltration analgesia (LIA) has been reported to be effective for postoperative TKA pain control. We aimed to assess whether […]

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Uncategorized Published - 27 May, 2016    By - Dr Clemens
Palliative Patients Under Anaesthesiological Care

BMC Anesthesiol. 2015;15(164) Authors: Christoph L. Lassen et al A Single-Centre Retrospective Study on Incidence, Demographics and Outcome Background: While anesthesiologist’s involvement in palliative care has been widely researched, extensive data on palliative patients under anesthesiological care in the operating room is missing. This study was performed to assess the incidence, demographics, and outcome of […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Most Physicians Lean Toward Adopting CDC Opioid Guidelines

Roughly 3 in 4 physicians said in a Medscape Medical News poll that they lean toward adopting the stricter guidelines on prescribing opioids for chronic pain that the Centers for Disease Control and Prevention (CDC) issued in March to combat an epidemic of addiction and overdose deaths. The guidelines, aimed at primary care prescribers, state […]

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Uncategorized Published - 26 May, 2016    By - Dr Clemens
Neuraxial vs General Anaesthesia for Total Hip and Total Knee Arthroplasty

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

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