Author: Dr Clemens

Uncategorized Published - 27 April, 2015    By - Dr Clemens
Survey: Addiction and Drug Abuse Concerns Prompting PCPs to Prescribe Fewer Opioids

Concerns over addiction and drug abuse are causing some primary care physicians (PCPs) to prescribe fewer opioids for chronic pain, according to a recent national survey on prescription drug abuse. The clinical use of prescription opioids for treating chronic pain nearly doubled from 2000 to 2010, along with an increase in opioid abuse, addiction, injury […]

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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Hospira Receives FDA Approval for Injectable NSAID Dyloject

The FDA has approved Hospira, Inc.’s Dyloject (diclofenac sodium) Injection. The proprietary nonsteroidal anti-inflammatory drug (NSAID) is indicated for the treatment of adults with mild to moderate pain and for the management of moderate to severe pain alone or in combination with opioid analgesics. “While not a replacement for opioids, Dyloject is [an] injectable therapy […]

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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Success of Spinal Anesthesia Lower for Preterm Parturients

A review of more than 5,000 patient records has concluded that women undergoing preterm cesarean delivery have a significantly higher risk for failed spinal anesthesia than women undergoing the procedure at full term. These findings, reported by a Duke University research team suggest that an increased spinal dose—or combined spinal–epidural technique—may be necessary to reliably […]

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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Assessment of perianesthesic data in subjects undergoing endobronchial ultrasound-guided transbronchial needle aspiration

Published in Respir Care. 2015 Apr;60(4):567-76 Authors: Sazak H et al BACKGROUND: Transbronchial needle aspiration using endobronchial ultrasonography (EBUS-TBNA), a new minimally invasive diagnostic procedure, has been used to evaluate intrathoracic lymph nodes. It has been reported that EBUS-TBNA can be performed safely under sedation and provides a high level of patient satisfaction. We aimed […]

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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Severe Postherpetic Neuralgia and Other Neuropathic Pain Syndromes Alleviated by Topical Gabapentin

This is for our pain providers. Published in Br J Dermatol. 2014 Dec 18 Authors: Hiom S et al Herpes zoster reactivation, shingles, affects 0.2% of the population 1 and complications include: secondary bacterial infection, postherpetic neuralgia (PHN), ulceration and scarring, pneumonitis, hepatitis, Ramsey-Hunt syndrome, meningoencephalitis and paralysis. PHN occurs in 10 -15% of patients […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Transdermal buprenorphine controls central neuropathic pain

Published in J Opioid Manag. 2012 Nov-Dec:8(6):414-5 Authors: Weiner M et al A 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Anaphylaxis Requires Prompt Epinephrine Shot

Patients with signs of anaphylaxis should be given epinephrine in the anterolateral thigh as first-line treatment, according to new practice parameters published in the December issue of the Annals of Allergy, Asthma and Immunology. However, studies show that even when anaphylaxis is correctly diagnosed, clinicians in emergency departments fail to administer epinephrine up to 80% of the time. […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
General anesthesia combined with epidural anesthesia ameliorates the effect of fast-track surgery by mitigating immunosuppression and facilitating intestinal functional recovery in colon cancer patients

PUBLISHED: Int J Colorectal Dis. 2015 Apr;30(4):475-81 Authors: Chen WK et al PURPOSE: The purpose of this study is to investigate the influence of anesthetic methods on markers of anti-tumor immunity and intestinal functions in fast-track surgery in colon cancer (CC) patients during the perioperative period. PATIENTS AND METHODS: A total of 53 patients with American […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation.

PUBLISHED: J Clin Anesth. 2015 Mar;27(2):140-5 Authors: Chen YQ et al STUDY OBJECTIVE: To investigate the effects of stellate ganglion block (SGB) on cardiovascular response and heart rate (HR) variability in elderly patients during anesthesia induction and endotracheal intubation. DESIGN: A randomized, double-blinded, and placebo-controlled study. SETTING: University-affiliated teaching hospital. PARTICIPANTS: Eighty elderly patients (American Society […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Catecholamine release induces elevation in plasma lactate levels in patients undergoing adrenalectomy for pheochromocytoma

PUBLISHED: J Clin Anesth. 2014 Dec;26(8):616-22 AUTHORS: Suzuki K et STUDY OBJECTIVE: To determine the relationship between preoperative catecholamine levels and intraoperative peak plasma lactate levels in patients who underwent adrenalectomy for pheochromocytoma. DESIGN: Retrospective observational study. SETTING: Operating room in one university hospital. MEASUREMENTS: The records of 27 ASA physical status 1 and 2 patients […]

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