Author: Dr Clemens

Uncategorized Published - 2 August, 2015    By - Dr Clemens
Weight Loss Linked to Improvement in Diabetic Neuropathy, Regardless of Haemoglobin A1C Levels

Weight loss in patients with types 1 and 2 diabetes is linked with an improvement in diabetic neuropathy, independent of blood glucose levels, according to results of a parallel-group study reported at the 75th Scientific Sessions of the American Diabetes Association meeting. “To our knowledge, weight loss has not been shown previously to improve diabetic […]

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Uncategorized Published - 31 July, 2015    By - Dr Clemens
Severe pain during local infiltration for spinal anaesthesia predicts post-caesarean pain

Eur J Pain, 2015 May 29. Authors: Orbach-Zinger et al BACKGROUND: Quantitative sensory testing (QST) measures response to painful stimuli and has been used to predict post-caesarean pain. Pain reported upon intravenous cannulation was shown to predict epidural analgesic use and pain intensity during labour. We hypothesized that pain intensity reported by women upon local anaesthesia injection […]

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Uncategorized Published - 31 July, 2015    By - Dr Clemens
FDA Okays Senza SCS System Without Tingling for Chronic Pain

The US Food and Drug Administration (FDA) has approved the Senza spinal cord stimulation (SCS) system (Senza System, Nevro) to aid in the management of chronic intractable pain of the trunk and/or limbs, including pain associated with failed back surgery syndrome, low back pain, and leg pain. The new system is able to reduce pain […]

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Uncategorized Published - 31 July, 2015    By - Dr Clemens
Dexmedetomidine Versus Remifentanil in Postoperative Pain Control After Spinal Surgery A Randomized Controlled Study

BMC Anesthesiol. 2015;15(21) Authors: Wonjung Hwang et al Background Total intravenous anesthesia (TIVA) is used widely in spinal surgery because inhalational anesthetics are known to decrease the amplitude of motor evoked potentials. Presently, dexmedetomidine is used as an adjuvant for propofol-based TIVA. We compared the effects of remifentanil and dexmedetomidine on pain intensity as well as the […]

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Uncategorized Published - 31 July, 2015    By - Dr Clemens
Impact of liposomal bupivacaine administration on postoperative pain in patients undergoing total knee replacement.

Pharmacotherapy. 2015 May;35(5):477-81 Authors: White S et al STUDY OBJECTIVE: To determine whether liposomal bupivacaine, a long-acting anesthetic indicated for single-dose wound infiltration to produce postoperative analgesia, has an impact on postoperative pain in patients undergoing total knee arthroplasties (TKAs). DESIGN: Single-center retrospective cohort study. SETTING: Large tertiary and quaternary care hospital. PATIENTS: A total of 120 […]

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Uncategorized Published - 31 July, 2015    By - Dr Clemens
Failure To Use Reversal Agent Ups Reintubation Risk Sixfold

Although many anesthesiologists do not routinely reverse neuromuscular blockade at the end of surgery, a study has found that patients who are left to spontaneously recover from such blockade are six times as likely to need reintubation within 48 hours of surgery as their counterparts who received a reversal agent. Of the modifiable risk factors […]

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Uncategorized Published - 30 July, 2015    By - Dr Clemens
Body Weight, Leg Strength, Other Pain Associated With New-Onset Foot Pain in the Elderly

Weight reduction, improving leg strength, and taking a global approach to the treatment of pain in general may reduce the prevalence and incidence of foot pain in older, community-dwelling adults, according to results of a large, longitudinal observation study presented at the 2015 Osteoarthritis Research Society International (OARSI) World Congress. “Weight, poorer leg strength, and […]

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Uncategorized Published - 30 July, 2015    By - Dr Clemens
Cryotherapy Ineffective for Reducing Pain After Vaginal Delivery

The use of cryotherapy after normal vaginal delivery has no effect on perineal pain or oedema, according to a study presented here at the 63rd Annual Meeting of the American College of Obstetricians and Gynecologists (ACOG). “It’s a little disappointing because we expected that the cryotherapy really could relieve pain and oedema, but it was […]

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Uncategorized Published - 30 July, 2015    By - Dr Clemens
Impaired postural stability after laparoscopic surgery.

Acta Anaesthesiol Scand. 2015 May 1 Authors: Eskildsen KZ et al BACKGROUND: Early postoperative mobilisation may reduce patient morbidity and improve hospital efficiency by accelerated discharge. The aim of this study was to measure postural stability early after laparoscopic surgery in order to assess how early it is safe to mobilise and discharge patients. METHODS: We included […]

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Uncategorized Published - 30 July, 2015    By - Dr Clemens
Neuromuscular Blockade Helps Intubation in ICU Patients

Despite the apparent risks, using a neuromuscular blocking agent (NMBA) before tracheal intubation improves the odds of first-attempt intubation success in critically ill ICU patients, a study has found. “The question of whether to paralyze or not to paralyze is clearly answered in the operating room and emergency department: Using a paralytic is the way […]

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