Author: Dr Clemens

Uncategorized Published - 1 April, 2016    By - Dr Clemens
Lessons from the Murder Conviction of Dr. Hsiu-Ying “Lisa” Tseng

Editor’s Memo from March, 2016 By Forest Tennant, MD, DrPH For many years, I’ve had my two local papers, The Los Angeles Times and San Gabriel Valley Tribune, delivered to my door early each morning. The San Gabriel Valley is just east of downtown Los Angeles and consists of two-dozen bedroom communities. Both newspapers delivered a shock on the […]

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Uncategorized Published - 1 April, 2016    By - Dr Clemens
Sex and Gender Differences In the Pain Experience

New insights from Roger B. Fillingim, PhD, into why the sexes experience pain differently By Kristin Della Volpe Q Why is research into sex and gender differences in the assessment and treatment of pain so important? Dr. Fillingim: This area of research may help us understand why men and women seem to have different pain experiences. If […]

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Uncategorized Published - 31 March, 2016    By - Dr Clemens
Comorbid Substance Use Disorders: Primer for Pain Management

Patients who misuse opioids may be recreational users, patients with the disease of addiction, patients who suffer from pain seeking more relief, and/or patients escaping emotional pain. By David Cosio, PhD and Erica H. Lin, PharmD, BCACP The topic of opioid misuse and abuse (and the rising heroin epidemic) has dominated headlines lately, but what does this really […]

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Uncategorized Published - 31 March, 2016    By - Dr Clemens
Gender and the Pain Experience

“Equality consists in the same treatment of similar persons.” —Aristotle By Kern A. Olson, PhD Do men and women perceive and react to pain differently? Do men and women use different coping strategies when they experience recurrent or chronic pain? These questions are relevant to pain management providers when they assess and develop treatment plans for […]

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Uncategorized Published - 31 March, 2016    By - Dr Clemens
Control of Respiratory Drive and Effort in Extracorporeal Membrane Oxygenation Patients Recovering from Severe Acute Respiratory Distress Syndrome

Authors: Tommaso Mauri, M.D. et Anesthesiology published on 03 2016. Background: The amount of extracorporeal carbon dioxide removal may influence respiratory drive in acute respiratory distress syndrome (ARDS) patients undergoing extracorporeal membrane oxygenation (ECMO). The authors evaluated the effects of different levels of extracorporeal carbon dioxide removal in patients recovering from severe ARDS undergoing pressure support ventilation […]

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Uncategorized Published - 31 March, 2016    By - Dr Clemens
Management of One-lung Ventilation: Impact of Tidal Volume on Complications after Thoracic Surgery

Authors: Randal S. Blank, M.D., Ph.D. et al Anesthesiology Published on 3 2016. Background: The use of lung-protective ventilation (LPV) strategies may minimize iatrogenic lung injury in surgical patients. However, the identification of an ideal LPV strategy, particularly during one-lung ventilation (OLV), remains elusive. This study examines the role of ventilator management during OLV and its […]

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Uncategorized Published - 31 March, 2016    By - Dr Clemens
Effect of Inhalational Anesthetics and Positive-pressure Ventilation on Ultrasound Assessment of the Great Vessels: A Prospective Study at a Children’s Hospital

Anesthesiology 4 2016, Vol.124, 870-877 Authors: Elaina E. Lin, M.D. et al    Background: Bedside ultrasound has emerged as a rapid, noninvasive tool for assessment and monitoring of fluid status in children. The inferior vena cava (IVC) varies in size with changes in blood volume and intrathoracic pressure, but the magnitude of change to the IVC with […]

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Uncategorized Published - 30 March, 2016    By - Dr Clemens
Two Mind-Body Interventions Tied to Improvements in Low Back Pain

Edited by David G. Fairchild, MD, MPH Mindfulness-based stress reduction (MBSR) and cognitive behavioral therapy (CBT) are associated with reduced pain and disability in patients with chronic low back pain, suggests a JAMA study. Researchers randomized over 300 adults with moderate low back pain lasting at least 3 months to one of three 8-week options: MBSR, CBT, or […]

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Uncategorized Published - 30 March, 2016    By - Dr Clemens
Immediate-Release Opioids Get Label Changes, Boxed Warning

Edited by David G. Fairchild, MD, MPH All immediate-release prescription opioids must now carry a boxed warning about the risks for abuse, addiction, and misuse associated with the painkillers, the FDA announced on Tuesday. The updates include the following: A warning that immediate-release opioids are intended to be taken every 4–6 hours and should only be […]

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Uncategorized Published - 30 March, 2016    By - Dr Clemens
A Human Factors Engineering Study of the Medication Delivery Process during an Anesthetic: Self-filled Syringes versus Prefilled Syringes

Authors: Yushi Yang, Ph.D. et al Anesthesiology 4 2016, Vol.124, 795-803. Background: Prefilled syringes (PFS) have been recommended by the Anesthesia Patient Safety Foundation. However, aspects in PFS systems compared with self-filled syringes (SFS) systems have never been explored. The aim of this study is to compare system vulnerabilities (SVs) in the two systems and understand the […]

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