Author: Dr Clemens

Uncategorized Published - 26 January, 2015    By - Dr Clemens
How to address drug-seeking patients

Although physician practices seem to have made some progress in the fight against prescription painkiller abuse, drug-seeking and drug-addicted patients remain part of many medical offices’ daily reality, according to an article from Physicians Practice. The best approach, according to Shawn Williams, acting medical director at Willingway, a Georgia-based addiction treatment center, is a direct […]

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Uncategorized Published - 26 January, 2015    By - Dr Clemens
42 ASC financial facility statistics

What is the average ambulatory surgery center rent? How many square feet are ASCs today? What is the gross PP&E? How many operating rooms to most surgery centers have? VMG Health’s Intellimarker 2012 Survey answers these questions by region. Here are 42 statistics based on the report: All facilities Gross PP&E per OR: $899 Gross […]

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Uncategorized Published - 26 January, 2015    By - Dr Clemens
Ultrasound-Guided Peripheral Nerve Blocks for Ventricular Shunt Revision in Children

Published in A&A Case Reports 15 December 2014 – Volume 3 – Issue 12 – p 157–159 Authors: King, Michael R. MD; Anderson, T. Anthony PhD, MD From the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts. We describe using ultrasound-guided peripheral nerve blocks for postoperative pain control in 2 […]

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Uncategorized Published - 26 January, 2015    By - Dr Clemens
Missouri Used Midazolam In Its Most Recent Execution

Missouri used a considerable amount of sedatives on the last inmate it executed before it injected its lethal drug, records obtained by St. Louis Public Radio show. Chemical logs show the state used the controversial drug midazolam for the first time since its use was revealed months ago. Midazolam is a drug widely used in […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
FDA: Not Enough Data to Make New Recommendations on Pain Meds During Pregnancy

Pregnant women should carefully consider whether or not to take pain medication, the FDA advises. However, the agency says that it cannot make any new recommendations on pain medication during pregnancy because available data are too limited. The agency reviewed available data in response to concerns about the safety of using either over-the-counter (e.g., acetaminophen, […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
Persistent paralysis after spinal anesthesia for cesarean delivery

Published in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V et al Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old parturient presented at 41(2/7) […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
Calibrated versus uncalibrated arterial pressure waveform analysis in monitoring cardiac output with transpulmonary thermodilution in patients with severe sepsis and septic shock: An observational study

Published in European Journal of Anaesthesiology January 2015 – Volume 32 – Issue 1 – p 5–12 Authors: Slagt et al BACKGROUND: Cardiac output (CO) measurement is often required in critically ill patients. The performances of newer, less invasive techniques require evaluation in patients with severe sepsis and septic shock. OBJECTIVES: To compare calibrated arterial […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
How Many Cycles of OnabotulinumtoxinA for Chronic Migraine?

Authors: Silberstein SD et al., J Neurol Neurosurg Psychiatry 2014 Dec 12; Most chronic migraineurs who ultimately respond to onabotulinumtoxinA do so with the first cycle, but a proportion of initial nonresponders may respond to a second or third cycle. In this manufacturer-funded study, researchers examined how many chronic migraineurs who do not respond to the first […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
Little Evidence to Guide Opioid Use for Chronic Pain Management

There is little evidence that patients with chronic pain who receive long-term opioid treatment have improved function, enhanced quality of life, or diminished pain, according to a position paper in the Annals of Internal Medicine. Based on a National Institutes of Health workshop on the role of opioids for pain management, a panel recommends that “in […]

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Uncategorized Published - 22 January, 2015    By - Dr Clemens
Pediatric airway anatomy may not be what we thought: implications for clinical practice and the use of cuffed endotracheal tubes

Published in Paediatric Anaesthesia (Sep 2014) Authors: Tobias J et al One of the long held tenets of pediatric anesthesia has been the notion that the pediatric airway is conical shape with the narrowest area being the cricoid region. However, recent studies using radiologic imaging techniques (magnetic resonance imaging and computed tomography) or direct bronchoscopic […]

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