Author: Dr Clemens

Uncategorized Published - 23 February, 2015    By - Dr Clemens
Aerobic Exercise ‘Most Effective Weapon’ for Fibromyalgia

For patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]

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Uncategorized Published - 23 February, 2015    By - Dr Clemens
Fibromyalgia: The Latest in Diagnosis and Care

Daniel J. Clauw, MD, Philip J. Mease, MD, Bret S. Stetka, MD Editor’s Note: In response to a number of recent advances in the understanding, diagnosis, and management of fibromyalgia (FM), Medscape recently spoke with Daniel J. Clauw, MD, Professor of Anesthesiology, Medicine (Rheumatology), and Psychiatry at the University of Michigan; and Philip J. Mease, […]

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Uncategorized Published - 20 February, 2015    By - Dr Clemens
Thoracic anesthesia in the elderly

Published in Current Opinion in Anaesthesiology: February 2015 – Volume 28 – Issue 1 – p 2–9 Authors: Kozian, Alf et al Purpose of review: The mean age of patients presenting for thoracic surgery is rising steadily, associated with an increased demand for thoracic surgical treatments by geriatric patients. With increasing age, physiologic changes and […]

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Uncategorized Published - 20 February, 2015    By - Dr Clemens
Anesthesia for Interventional Neuroradiology

Published in International Anesthesiology Clinics: Winter 2015 – Volume 53 – Issue 1 – p 87–106 Authors: Guercio, Jason R. MD, MBA et al Therapeutic interventions unique to the neuroradiology suite include the endovascular treatment of cerebral aneurysms, arteriovenous malformations (AVM), acute thromboembolic disease, cerebral vasospasm, and extracranial and intracranial cerebrovascular atherosclerotic disease. A recent […]

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Uncategorized Published - 20 February, 2015    By - Dr Clemens
Interaction Between Pain, Movement, and Physical Activity: Short-term Benefits, Long-term Consequences, and Targets for Treatment

Published in Clinical Journal of Pain:February 2015 – Volume 31 – Issue 2 – p 97–107 Authors: Hodges, Paul W. PhD et al Abstract Movement is changed in pain. This presents across a spectrum from subtle changes in the manner in which a task is completed to complete avoidance of a function and could be […]

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Uncategorized Published - 20 February, 2015    By - Dr Clemens
Airway reactions and emergence times in general laryngeal mask airway anaesthesia: A meta-analysis

Published in European Journal of Anaesthesiology:February 2015 – Volume 32 – Issue 2 – p 106–116 Authors: Stevanovic, Ana et al BACKGROUND: Desflurane’s short emergence time supports fast track anaesthesia. Data on the rate of upper airway complications and emergence time when desflurane is used with laryngeal mask airway (LMA) are controversial and limited. OBJECTIVES: […]

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Uncategorized Published - 20 February, 2015    By - Dr Clemens
Sufentanil Sublingual Tablet System for the Management of Postoperative Pain Following Open Abdominal Surgery: A Randomized, Placebo-Controlled Study

Published in Regional Anesthesia & Pain Medicine:January/February 2015 – Volume 40 – Issue 1 – p 22–30 Authors: Ringold, Forrest G. MD et al Background and Objectives: This study evaluates the efficacy and safety of a sufentanil sublingual tablet system (SSTS) for the management of postoperative pain following open abdominal surgery. Methods: At 13 hospital […]

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Uncategorized Published - 19 February, 2015    By - Dr Clemens
HHS Announces Goals for Medicare Payment Models

I got this from the ASA so I wanted to share it. Health & Human Services (HHS) Secretary Sylvia Burwell announced an initiative to shift the Medicare system more towards payment based upon alternative payments models. This marks the first time in Medicare’s history that HHS has set explicit goals for further establishing alternative payment […]

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Uncategorized Published - 19 February, 2015    By - Dr Clemens
No Easy Fix to Opioid Abuse-Related Problems

While death and abuse rates from prescription opioids are dropping, death rates from heroin use are going in the opposite direction. Behind every apparent bit of progress in healthcare lurks disaster. First the progress, which is indeed good news: drug diversion and abuse of prescription opioids, which saw a horrifying increase over the last decade, […]

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Uncategorized Published - 19 February, 2015    By - Dr Clemens
Is There Hope for an SGR Replacement Measure?

The clock is ticking toward April 1, when the latest sustainable growth rate (SGR) fix expires and physicians are due to get a 21% cut in Medicare payments. Some members of Congress are trying to eliminate the SGR payment methodology once again. In late January 2015, a House subcommittee held hearings on how to build […]

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