Author: Dr Clemens

Uncategorized Published - 28 January, 2015    By - Dr Clemens
Patients Want More Information About Anaesthesia Options, But Want Doctors to Choose

Patients appear to want information about different options for regional anaesthesia for post-operative pain, yet it seems that they wish to be relatively passive when it comes to making a choice, according to results of a survey presented at the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA). Shared decision-making (SDM), a patient-centred […]

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Uncategorized Published - 28 January, 2015    By - Dr Clemens
Analgesics, Anti-Inflammatory Drugs May Have an Impact on Depression

Ordinary over the counter painkillers and anti-inflammatory drugs may also be effective in the treatment of people suffering of depression, according to a study published in JAMA Psychiatry. In recent years research has demonstrated a correlation between depression and physical illnesses, such as painful conditions or infections in the individual patient. “The meta-analysis supports this […]

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Uncategorized Published - 28 January, 2015    By - Dr Clemens
Outpatient anesthesia in elderly patients: What to watch for

Authors: NINA SINGH-RADCLIFF, MD A guest column by the American Society of Anesthesiologists More than 75 percent of operations in the U.S. occur in an outpatient setting. Outpatient, or ambulatory care, can take place in a number of different settings, including physician offices, outpatient surgery centers, or hospital or non-hospital-based outpatient clinics. With more and […]

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Uncategorized Published - 28 January, 2015    By - Dr Clemens
Why are so many people opposed to epidurals?

To put this post in perspective the pain of childbirth is said to be equivalent of amputating a finger. The joint statement of the American Congress of OB/GYN and the American Society of Anesthesiologists sums pain control during labor and delivery quite nicely: “There is no other circumstance where it is considered acceptable for an […]

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Uncategorized Published - 27 January, 2015    By - Dr Clemens
Better Outcomes With Local Anesthesia for Stroke Treatments

9th World Stroke Congress (WSC). Abstract 032. Presented October 23, 2014. Authors: Daniel M. Keller, PhD For patients undergoing an endovascular procedure to treat acute stroke, local anesthesia (LA) was associated with better clinical outcomes and no higher rate of complications compared with general anesthesia (GA), a retrospective analysis of a pretrial cohort of the […]

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Uncategorized Published - 27 January, 2015    By - Dr Clemens
Four Phases of Intravenous Fluid Therapy: A Conceptual Model

Published in Br J Anaesth. 2014;113(5):740-747. Authors: E. A. Hoste et Abstract I.V. fluid therapy plays a fundamental role in the management of hospitalized patients. While the correct use of i.v. fluids can be lifesaving, recent literature demonstrates that fluid therapy is not without risks. Indeed, the use of certain types and volumes of fluid […]

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Uncategorized Published - 27 January, 2015    By - Dr Clemens
CDC Urges Caution on Opioid Prescribing in Young Women

Opioid pain medications are widely prescribed among women of childbearing age, which is a “significant public health concern,” federal health officials with the Centers for Disease Control and Prevention said today. A new report published in the January 23 issue of Morbidity and Mortality Weekly Report (MMWR) shows that roughly one fourth of privately insured […]

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Uncategorized Published - 27 January, 2015    By - Dr Clemens
Tapentadol Toxicity in Children

Published in Pediatrics. 2015;135:391-396. Authors: Dr Borys and Dr Schor Tapentadol is ‘Third-Tier’ Drug for Diabetic Neuropathic Pain Unintentional ingestion of the novel analgesic tapentadol (Nucynta, Janssen Pharmaceuticals) by children generally has a good outcome, according to a recent study of reports to poison centers collected by the National Poison Data System (NPDS). But while […]

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Uncategorized Published - 27 January, 2015    By - Dr Clemens
Never Events: An Anaesthetic Perspective

Published in Anaesth Crit Care and Pain. 2014;14(5):197-201. Authors: Siddharth S Adyanthaya MBBS FRCA, Vishal Patil MD FFARCSI Introduction Always and never are two words you should always remember never to use. Dr Wendell Johnson, American psychologist (1906–65) ‘Never events’ are defined as ‘serious, largely preventable patient safety incidents that should not occur if relevant […]

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Uncategorized Published - 26 January, 2015    By - Dr Clemens
3 keys to unlock the patient satisfaction puzzle

The effort to improve the patient experience is one of the paramount issues in the modern healthcare industry–in part because patient satisfaction is tied to financial incentives. To make a real difference, hospitals must create an “overall experience of caring,” Forbes contributor Micah Solomon writes in a recentarticle. In regard to the Hospital Consumer Assessment […]

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