Author: Dr Clemens

Uncategorized Published - 26 August, 2015    By - Dr Clemens
Communication Lacking in Chronic Migraine Encounters

Neurologists frequently fail to ask patients with chronic migraine the right questions, new research suggests. Findings from an analysis of audio-recorded neurologist-patient encounters were presented at the recent American Headache Society (AHS) 57th Annual Scientific Meeting by Richard B. Lipton, MD, director of Montefiore Headache Center and vice chair of neurology, and the Edwin S. […]

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Uncategorized Published - 25 August, 2015    By - Dr Clemens
FDA Strengthens Warning That NSAIDs Can Cause MIs or Strokes

The US Food and Drug Administration (FDA) is strengthening an existing label warning that non-aspirin non-steroidal anti-inflammatory drugs (NSAIDs) increase the chance of a myocardial infarction (MI) or stroke. Based a comprehensive review of new safety information, the FDA is requiring updates to the drug labels of all prescription NSAIDs. As is the case with […]

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Uncategorized Published - 25 August, 2015    By - Dr Clemens
High-Pressure Oxygen Can Effectively Treat Fibromyalgia

A study published in PLoS ONE has found that women with fibromyalgia were able to drastically reduce, or even eliminate, their use of pain medication following hyperbaric oxygen treatment. The study authors believe they have also identified the primary factor causing fibromyalgia: the disruption of the brain mechanism for processing pain. “As a physician, the […]

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Uncategorized Published - 25 August, 2015    By - Dr Clemens
Video Distraction and Parental Presence for the Management of Preoperative Anxiety and Postoperative Behavioral Disturbance in Children: A Randomized Controlled Trial

Anesthesia & Analgesia: Sept 2015-Volume 121-Issue 3-p778-784 Authors: Kim, Hyuckgoo MD et al BACKGROUND: The anxiolytic efficacy of video watching, in the absence of parents, during the mask induction of anesthesia in young children with high separation anxiety has not been clearly established. We performed this study to determine whether the effect of video distraction […]

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Uncategorized Published - 25 August, 2015    By - Dr Clemens
Intraoperative Local Anesthetic Shows No Benefit for Chronic Postoperative Hernia Pain

Pain is one of the most common complaints after inguinal hernia repair, but the incidence of chronic pain can vary significantly from study to study. Estimates of chronic pain after open mesh and laparoscopic repairs tend to fall between 4% and 30% (Surg Endosc 2010;24:1707-1711; Ann Surg 2006;244:212-219), but some trials report values of greater than 50% (Br […]

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Uncategorized Published - 25 August, 2015    By - Dr Clemens
Heads Up: Higher Sniffing Position Best for View

Head elevation before direct laryngoscopy may substantially increase the likelihood of obtaining a better laryngeal view, making it the ideal starting point when difficult visualization is expected, research has shown. A research team led by Mohammad El-Orbany, MD, professor of anesthesiology at the Medical College of Wisconsin, in Milwaukee, studied the effects of head elevation […]

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Uncategorized Published - 24 August, 2015    By - Dr Clemens
Conventional Versus Video Laryngoscopy for Tracheal Tube Exchange: Glottic Visualization, Success Rates, Complications, and Rescue Alternatives in the High-Risk Difficult Airway Patient

Anesthesia & Analgesia: August 2015- Volume 121-Issue 2- p440-448 Authors: Mort, Thomas C. M.D. et al BACKGROUND: Tracheal tube exchange is a simple concept but not a simple procedure because hypoxemia, esophageal intubation, and loss of airway may occur with life-threatening ramifications. Combining laryngoscopy with an airway exchange catheter (AEC) may lessen the exchange risk. […]

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Uncategorized Published - 24 August, 2015    By - Dr Clemens
Perioperative Complications in Obstructive Sleep Apnea Patients Undergoing Surgery: A Review of the Legal Literature

Anesthesia & Analgesia: June 2015 Authors: Fouladpour, Nick MD et al BACKGROUND: Obstructive sleep apnea (OSA) is common in patients undergoing surgery. OSA, known or suspected, has been associated with significant perioperative adverse events, including severe neurologic injury and death. This study was undertaken to assess the legal consequences associated with poor outcomes related to […]

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Uncategorized Published - 24 August, 2015    By - Dr Clemens
Current and Emerging Technology In Anesthesia

Allan F. Simpao, MD 2015 Annual Meeting Program Chair, Society for Technology in Anesthesia Assistant Professor of Anesthesiology and Critical Care Perelman School of Medicine at the University of Pennsylvania and The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania Jorge A. Galvez, MD Assistant Professor of Anesthesiology and Critical Care Hospital of the University of Pennsylvania Perelman School […]

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Uncategorized Published - 24 August, 2015    By - Dr Clemens
Tonsillectomy Guidelines Improve Processes but Not Outcomes

In the 2 years after publication of national guidelines on tonsillectomy quality of care, there were favorable changes in medication use among children undergoing this operation, according to a retrospective cohort study published June 22 in Pediatrics. However, the proportion of children returning to the hospital because of complications increased. Investigators assessed the effect of the 2011 […]

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