Author: Dr Clemens

Uncategorized Published - 14 January, 2015    By - Dr Clemens
Pain Specialists Show Increasing Rates of Burnout

Prevention, mitigation programs needed The high rate of burnout among pain specialists found in a recent study may be a wake-up call to the specialty, as it places these physicians at risk for substance abuse, interpersonal difficulties and suicidal tendencies, and also increases the risk for medical errors. The investigators called for preemptive measures to […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
ICD-10, Meaningful Use among AMA’s top issues of 2015

Implementation of ICD-10 ranks among the top 10 issues for physicians to watch in 2015, according to a list published by the American Medical Association. The list notes that myriad regulatory requirements, which take time away from patient care, are among physicians’ greatest frustrations. Relief from the multiple government mandates was among the three “Congressional […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Intranasal Nicotine Increases Postoperative Nausea and is Ineffective in Reducing Pain Following Laparoscopic Bariatric Surgery in Tobacco-Naïve Females: A Randomized, Double Blind Trial

Published in Obes Surg. 2014 Sep Authors: Weingarten TN et al BACKGROUND: Nicotine is a known analgesic. Our primary aim was to test the hypothesis that intranasal nicotine administered intraoperatively reduces the need for postoperative opioids. The secondary outcomes included evaluation of both postoperative pain and nausea and vomiting (PONV). MATERIAL AND METHODS: Nonsmoking female […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Postoperative Opioid-induced Respiratory Depression: A Closed Claims Analysis

Published in Journal of the American Society of Anesthesiologists 2/2015. Authors: Lorri A. Lee, M.D. et al Background: Postoperative opioid-induced respiratory depression (RD) is a significant cause of death and brain damage in the perioperative period. The authors examined anesthesia closed malpractice claims associated with RD to determine whether patterns of injuries could guide preventative […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Role of Spinal CXCL1 (GROα) in Opioid Tolerance: A Human-to-rodent Translational Study

Published in Journal of the American Society of Anesthesiologists 11/2014. Authors: Chih-Peng Lin, M.D. et al Background: The pivotal role of glial activation and up-regulated inflammatory mediators in the opioid tolerance has been confirmed in rodents but not yet in humans. Here, the authors investigated the intraspinal cytokine and chemokine profiles of opioid-tolerant cancer patients; […]

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Uncategorized Published - 13 January, 2015    By - Dr Clemens
Intubation and Obesity

Published in Br J Anaesth 2014 Nov 27 Authors: De Jong A et al. Obesity and critical illness are dangerous in combination. Obesity affects all components of airway management, including oxygenation, bag-valve-mask ventilation, and choice of pharmacologic agents, intubation surgical airway, and rescue devices. In a prospective, multicenter, observational study, researchers in France assessed the […]

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Uncategorized Published - 13 January, 2015    By - Dr Clemens
Healthcare spending may reach $10K per person this year

The year 2015 may be the time when healthcare spending in the United States reaches a specific milestone: $10,000 per person. The National Healthcare Expenditure may reach $3.2 trillion this year, according to Forbes magazine. Based on a population of 320 million Americans, that would mean spending $10,000 per person. That number may be reached […]

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Uncategorized Published - 13 January, 2015    By - Dr Clemens
Invasive Treatments for Complex Regional Pain Syndrome in Children and Adolescents: A Scoping Review

Published in Journal of the American Society of Anesthesiologists 12 2014. Authors: Boris Zernikow, M.D., Ph.D et al This review aimed to synthesize the current evidence on the effectiveness of invasive treatments for complex regional pain syndrome in children and adolescents. Studies on children and adolescents with complex regional pain syndrome that evaluated the effects […]

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Uncategorized Published - 13 January, 2015    By - Dr Clemens
Up-regulation of MicroRNA-21 Mediates Isoflurane-induced Protection of Cardiomyocytes

Published in Journal of the American Society of Anesthesiologists in 2/2015. Authors: Jessica M. Olson, M.S. et al Background: Anesthetic cardioprotection reduces myocardial infarct size after ischemia–reperfusion injury. Currently, the role of microRNA in this process remains unknown. MicroRNAs are short, noncoding nucleotide sequences that negatively regulate gene expression through degradation or suppression of messenger […]

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Uncategorized Published - 13 January, 2015    By - Dr Clemens
Feasibility of Closed-loop Titration of Propofol and Remifentanil Guided by the Bispectral Monitor in Pediatric and Adolescent Patients: A Prospective Randomized Study

Published in Journal of the American Society of Anesthesiologists 12 2014 Authors: Gilles A. Orliaguet, M.D., Ph.D. et al Background: This study was designed to assess the feasibility of dual closed-loop titration of propofol and remifentanil guided solely by the Bispectral Index (BIS) monitor in pediatric and adolescent patients during anesthesia. Methods: Children undergoing elective […]

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