Author: Dr Clemens

Uncategorized Published - 24 December, 2015    By - Dr Clemens
Broader Strategies Urged To Counter Painkiller Over-Prescribing

There’s a prescription drug abuse problem sweeping the U.S., but fixing it will require a systematic change focused on how most health professionals prescribe drugs, rather than changing the practices of a few bad apples. At least, that’s the recommendation put forth in a research letter published in JAMA Internal Medicine. Researchers examined Medicare claims from […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
IBD: Postoperative Mortality High After Emergent Resection

Some 3.6% of patients with Crohn disease (CD) and 5.3% of patients with ulcerative colitis (UC) died after emergent intestinal resection, but for patients with either disease, postoperative mortality risk decreased significantly with elective surgery, according to a meta-analysis published in the October issue of Gastroenterology. “The setting in which the surgery was performed had the […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Questionnaire Accurately Spots Surgical, Clinic Apnea Patients

OA study has confirmed that in both sleep clinic patients and surgical patients, the higher the score on the STOP-Bang questionnaire, the greater the probability that patients will suffer from moderate-to-severe or severe obstructive sleep apnea (OSA). Frances Chung, MBBS, professor of anesthesiology at the University Health Network, University of Toronto, Ontario, and the developer […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Increased Use of Hydromorphone Over Morphine Ups Adverse Events, Study Finds

Hospitals across the country are increasingly turning to hydromorphone over morphine to treat pain, triggering an increase in opioid-related adverse events and higher readmission rates, new research has found. At a time when there is growing concern about opioid abuse, hospitals are increasingly embracing a much more powerful painkiller without clear benefits, explained Padma Gulur, […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Achondroplasia: Implications and Management Strategies in Anesthesia

Joan E. Spiegel, MD Assistant Professor Beth Israel Deaconess Medical Center Harvard Medical School Boston, Massachusetts Editorial Advisory Board Member, Anesthesiology News Matthew Hellman, MD Clinical Fellow in Anesthesiology Beth Israel Deaconess Medical Center Boston, Massachusetts Achondroplasia is the most common cause of dwarfism. As a genetic disorder of skeletal dysplasia, it literally translates to “without […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Very Low Frequency Deep-Brain Stimulation Improves Neuropathic Pain After Spinal-Cord Injury

Very low frequency (<2 Hz) stimulation may be more effective at controlling neuropathic pain in patients with spinal-cord injury than higher frequencies (>10 Hz), according to a small, 2-subject study presented on September 28 at the 140th Annual Meeting of the American Neurological Association (ANA). Corneliu Luca MD, PhD, University of Miami Health System, Miami, […]

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Uncategorized Published - 23 December, 2015    By - Dr Clemens
Inhalation of Isopropyl Alcohol Alleviates Nausea in ED Patients

This might be worth trying in RR if it works in ER. Authors: Beadle KL et al., Ann Emerg Med 2015 Dec 8; Breathing with an alcohol wipe in front of the nose was more effective than breathing with a saline wipe. Prior research has found antiemetics to be no more effective than placebo in emergency department […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
High Opioid Use in Older People With COPD Raises Safety Concerns

Researchers are raising safety concerns about high rates of new opioid use among older adults with chronic obstructive pulmonary disease (COPD), according to a study published today in the British Journal of Clinical Pharmacology. “The new use of opioids was remarkably high among adults with COPD living in the community,” said Nicholas Vozoris, MD, St. Michael’s […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
Nefopam for the Prevention of Perioperative Shivering

Authors: Meng Lv et al BMC Anesthesiol. 2015;15(87) A Meta-analysis of Randomized Controlled Trials Background: Shivering is a frequent complication following surgery and anaesthesia. A large variety of studies have been reported that nefopam may be efficacious for the prevention and treatment of perioperative shivering. Regrettably, there is still no conclusion of the efficacy and safety of […]

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Uncategorized Published - 22 December, 2015    By - Dr Clemens
Perioperative Stroke: A Question of Timing?

Authors: R. D. Sanders; M. E. Jørgensen; G. A. Mashour Br J Anaesth. 2015;115(1):11-13. Introduction Perioperative stroke is a potentially devastating complication with an incidence of 0.1–0.6% in non-cardiac surgery. Although rare, stroke in the perioperative setting is associated with an adjusted 8-fold increase in mortality, thus developing preventive strategies is of paramount importance. The recent […]

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