Author: Dr Clemens

Uncategorized Published - 18 August, 2015    By - Dr Clemens
Patient satisfaction between remifentanil patient-controlled analgesia and epidural analgesia for labor pain

Acta Obstet Gynecol Scand, 2015 Sep;94(9):1014-21. Authors: Frauenfelders S et al INTRODUCTION: The aim of this study was to compare patient satisfaction between remifentanil patient-controlled analgesia (RPCA) and epidural analgesia (EA) for labor pain. MATERIAL AND METHODS: This prospective cohort study was carried out on primiparous women requesting analgesia for labor at a Teaching Hospital, Amsterdam, the […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
Is pre-emptive administration of ketamine a significant adjunction to intravenous morphine analgesia for controlling postoperative pain?

 Cardiovac Thorac Surg  2015 Jun 13. pii: ivv154 Authors: Fiorelli A et al OBJECTIVES: To evaluate if the pre-emptive administration of ketamine would potentiate the effect of intravenous morphine analgesia in the management of post-thoracotomy pain. METHODS: This was a unicentre, double-blind, placebo-controlled, parallel-group, prospective study. Patients were randomly assigned to receive 1 mg/kg ketamine (ketamine group) […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
Required Propofol Dose for Anesthesia and Time to Emerge Are Affected by the Use of Antiepileptics Prospective Cohort Study

BMC Anesthesiol. 2015;15(34) Authors: Kentaro Ouchi; Kazuna Sugiyama Abstrate: We investigated the impact of the type of neurological disorder on the required propofol dose for anesthesia and the time to emerge from anesthesia during dental treatment in patients with autism (AU), cerebral palsy (CP), and intellectual disability (ID), some of whom also had epilepsy. Methods: We studied 224 […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
What’s Measured Matters: Measuring Performance in Anaesthesia

Br J Anaesth. 2015;114(6):869-871. Authors: F. Kiernan; D. J. Buggy Delivering value for money is an increasingly insistent demand in health policy, driven by financial constraint, increased patient expectations, an ageing population, and more expensive technologies. Health performance measurement is central to ensuring that the healthcare we provide is of value to both those who pay […]

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Uncategorized Published - 18 August, 2015    By - Dr Clemens
Migraine Patients Skip Triptans in 40% of Attacks

Patients with migraine do not take their prescribed triptan medications in more than two in every five attacks, a new study finds. Results from the largest-ever study to track real-time adherence to triptans during an extended period were presented here at the American Headache Society (AHS) 57th Annual Scientific Meeting by Robert A. Nicholson, PhD, […]

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Uncategorized Published - 17 August, 2015    By - Dr Clemens
Interview: Zeev Kain on Benefits of Perioperative Surgical Home

The Perioperative Surgical Home (PSH) is an effective clinical care delivery model that reduces medical costs, improves patient satisfaction and enhances clinical quality, according to Zeev Kain, MD, professor and chair, Associate Dean for Clinical Operations at the University of California, Irvine. There is currently a huge variability and lack of communication among surgical care […]

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Uncategorized Published - 17 August, 2015    By - Dr Clemens
Communicating and Managing the Difficult Airway

Joseph Loskove, MD, is the chief of anesthesia for Memorial Healthcare System Patients designated as “difficult to intubate” (DTI) are more at risk for losing their lives during both emergency and routine surgeries. Surprisingly, it is not the difficult airway itself that is most life-threatening; modern medical technology allows physicians to intubate even the most […]

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Uncategorized Published - 17 August, 2015    By - Dr Clemens
Analgesic efficacy of two interscalene blocks and one cervical epidural block in arthroscopic rotator cuff repair.

Knee Surg Sports Traumatol Arthrosc. 2015 Jun Authors: Kim JY et al PURPOSE: Despite its effectiveness in other surgeries, studies on continuous epidural block in upper-extremity surgery are rare because of technical difficulties and potential complications. This study compared postoperative analgesic efficacy and safety of ultrasound-guided continuous interscalene brachial plexus block (UCISB) and fluoroscopy-guided targeted continuous cervical […]

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Uncategorized Published - 17 August, 2015    By - Dr Clemens
Efficacy of Intravenous Lidocaine for Postoperative Analgesia Following Laparoscopic Surgery: A Meta-Analysis.

World J Surg. 2015 Jun 5 Authors: Ventham NT et al BACKGROUND: Intravenous (IV) lidocaine has analgesic and anti-inflammatory properties. This study aims to evaluate the efficacy of IV lidocaine in controlling postoperative pain following laparoscopic surgery. METHODS: A meta-analysis of randomised controlled trials (RCTs) comparing IV lidocaine versus placebo/routine treatment for postoperative analgesia following laparoscopic surgery. […]

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Uncategorized Published - 17 August, 2015    By - Dr Clemens
Pooled Analyses Indicate Pain Represents a Major Component of Restless Leg Syndrome

Patients who complain of restless leg syndrome (RLS) often have pain as one of the common symptoms of the disorder and they often seek medical treatment for relief of that pain, researchers reported here at SLEEP 2015, the 29th Annual Meeting of the Associated Professional Sleep Societies (APSS). About 58% of adult patients were responders […]

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