Author: Dr Clemens

Uncategorized Published - 24 May, 2016    By - Dr Clemens
Patient-Controlled Analgesia Plus Background Opioid Infusion for Postoperative Pain in Children: A Systematic Review and Meta-Analysis of Randomized Trials.

Anesthesia & Analgesia: April 2016 AUTHORS: Hayes, Jason MD et al BACKGROUND: Bolus administration of opioids via a patient-controlled analgesia (PCA) device is widely used in the postoperative pediatric population. PCA devices have been shown to provide superior analgesia and greater patient satisfaction compared with intermittent administration. Studies comparing the efficacy of PCA with and […]

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Uncategorized Published - 24 May, 2016    By - Dr Clemens
Hydromorphone Shows Benefit for Severe Opioid Dependence

Therapy with supervised hydromorphone (multiple brands) injections shows noninferiority to therapy with diacetylmorphine hydrochloride (the active ingredient in heroin) in the treatment of severe opioid dependence, suggesting a potentially effective alternative treatment for severe, treatment-refractory patients, new research shows. “Our study shows that a licensed medication, hydromorphone, is as good as diacetylmorphine at reducing the […]

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Uncategorized Published - 24 May, 2016    By - Dr Clemens
New APS Guideline on Postoperative Pain

A new evidence-based clinical practice guideline that includes 32 recommendations related to postoperative pain management in children and adults has been released by the American Pain Society (APS). The guideline is based on the findings of an interdisciplinary expert panel. The APS commissioned the panel with input from the American Society of Anesthesiologists, and the […]

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Uncategorized Published - 23 May, 2016    By - Dr Clemens
FDA Proposes Ban of Powdered Medical Gloves

After signaling its intentions for years, the US Food and Drug Administration (FDA) today unveiled a proposal to ban most powdered medical gloves to guard against multiple health threats to clinicians and patients alike. The proposed ban applies to powdered surgeons’ gloves and the absorbable powder for lubricating them, as well as powdered gloves for […]

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Uncategorized Published - 23 May, 2016    By - Dr Clemens
In US, Death Rates Down for All Common Cancers, Except One

I thought this was interesting so I wanted to share it with our readers. In the Annual Report to the Nation on the Status of Cancer, 1975-2012, published online by the National Cancer Institute (NCI), the overall cancer death rates for men and women of all major racial and ethnic populations decreased by 1.5% per […]

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Uncategorized Published - 23 May, 2016    By - Dr Clemens
The Effect of Early Goal-Directed Therapy on Outcome in Adult Severe Sepsis and Septic Shock Patients: A Meta-Analysis of Randomized Clinical Trials.

Anesthesia & Analgesia: April 2016 AUTHORS: Xu, Jing-Yuan MD et al BACKGROUND: Whether early goal-directed therapy (EGDT) improves outcome in severe sepsis and septic shock remains unclear. We performed a meta-analysis of existing clinical trials to examine whether EGDT improved outcome in the resuscitation of adult sepsis patients compared with control care. METHODS: We searched […]

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Uncategorized Published - 23 May, 2016    By - Dr Clemens
The Current Landscape of US Pediatric Anesthesiologists: Demographic Characteristics and Geographic Distribution.

Anesthesia & Analgesia: April 2016 AUTHORS: Muffly, Matthew K. MD et al BACKGROUND: There is no comprehensive database of pediatric anesthesiologists, their demographic characteristics, or geographic location in the United States. METHODS: We endeavored to create a comprehensive database of pediatric anesthesiologists by merging individuals identified as US pediatric anesthesiologists by the American Board of […]

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Uncategorized Published - 23 May, 2016    By - Dr Clemens
For Young Adults, Sleep Problems Predict Later Pain Problems

For at least some groups of young adults, sleep problems are a predictor of chronic pain and worsening pain severity over time, according to a study published in the journal Pain. In contrast, the presence of pain generally doesn’t predict worsening sleep problems during the transition between adolescence and young adulthood, according to Irma J. […]

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Uncategorized Published - 20 May, 2016    By - Dr Clemens
Investigative Drug Provides Pain Relief for Patients With Knee Osteoarthritis

In patients with knee osteoarthritis, a single injection of the investigation drug FX006 led to greater pain relief than placebo, and persisted for about 2 months for the 20-mg dose and about 3 months for the 40-mg dose, according to results from a phase 2b trial presented at the 2016 Osteoarthritis Research Society International (OARSI) […]

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Uncategorized Published - 20 May, 2016    By - Dr Clemens
Pain and Physical Function Improve After Weight-Loss Surgery

Among a group of patients with severe obesity who underwent bariatric surgery, a large percentage experienced improvement in pain, physical function, and walking capacity over 3 years, according to a study published in the April 5 issue of JAMA. Severe obesity is associated with significant joint pain and impaired physical function. Excess weight can lead […]

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