Author: Dr Clemens

Uncategorized Published - 6 January, 2015    By - Dr Clemens
Top 5 Pain Interventions to Avoid

In the latest response to the call from the American Board of Internal Medicine (ABIM) Foundation for recommendations on the most overused interventions, the American Society of Anesthesiologists (ASA) has issued its list of top 5 tests and therapies that are of questionable usefulness in the field of pain medicine. Launched in 2012, the ABIM’s […]

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Uncategorized Published - 6 January, 2015    By - Dr Clemens
Nationwide Recall of Etomidate Underway

Agila Specialties Private Limited, a subsidiary of Mylan Inc, has initiated a voluntary nationwide recall to the hospital/user level of 10 lots of etomidate injection 2 mg/mL because of multiple potential problems. Etomidate is a short-acting intravenous anesthetic agent packaged in glass vials in 10- and 20-mL volumes. The recalled lots of etomidate were manufactured […]

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Uncategorized Published - 6 January, 2015    By - Dr Clemens
Error Modelling in Anaesthesia

Slices of Swiss Cheese or Shavings of Parmesan Published in Br J Anaesth. 2014;113(6):905-906. Accidents in complex systems occur through the concatenation of multiple factors; each may be necessary, but only when all are present are conditions sufficient to produce an accident. In 1990, James Reason then a professor of Psychology at the University of […]

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Uncategorized Published - 6 January, 2015    By - Dr Clemens
A Prospective, Randomized, Double-blind, and Multicenter Trial of Prophylactic Effects of Ramosetron on Postoperative Nausea and Vomiting (PONV) After Craniotomy Comparison With Ondansetron

Authors: Jung-Hee Ryu, Ji-Eun Lee, Young-Jin Lim, Deok-Man Hong, Hee-Pyoung Park, Jong-In Han, Hee-Jung Baik, Hyun-Zu Kim, Kyeong-Tae Min, Sang-Hwan Do Published in BMC Anesthesiol. 2014;14(63) Background Craniotomy patients have a high incidence of postoperative nausea and vomiting (PONV). This prospective, randomized, double-blind, multi-center study was performed to evaluate the efficacy of prophylactic ramosetron in […]

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Uncategorized Published - 5 January, 2015    By - Dr Clemens
Gabapentin on Top of Regional Anaesthesia Helps Patients Undergoing Mastectomy Postoperatively

Multimodal perioperative analgesia with paravertebral nerve block (PVB) and gabapentin decreases the length of hospitalisation and narcotic usage in patients undergoing mastectomy compared to conventional postoperative management with on-demand postoperative medications (CPM), according to a study presented here at the 37th Annual San Antonio Breast Cancer Symposium (SABCS). The researchers say that the multimodality approach […]

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Uncategorized Published - 5 January, 2015    By - Dr Clemens
Injecting Knee With Liposomal Bupivacaine During Replacement Surgery Improves Recovery

Injecting a newer long-acting numbing medicine called liposomal bupivacaine into the tissue surrounding the knee during knee replacement surgery may provide a faster recovery and higher patient satisfaction. While improvements in implantable devices and surgical technique has made knee replacement surgery highly effective, pain control after surgery remains a common but persistent side effect for […]

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Uncategorized Published - 5 January, 2015    By - Dr Clemens
Is Progesterone Useful in Traumatic Brain Injury?

Authors: Skolnick BE et al., N Engl J Med 2014 Dec 10; Two well-conducted studies show that it is not. Traumatic brain injury (TBI) is a major cause of mortality and morbidity with large indirect and direct costs to society. TBI was the first neurological disease for which progesterone administration was studied. Many animal models […]

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Uncategorized Published - 5 January, 2015    By - Dr Clemens
Liberal or Restricted Fluid Administration

Are We Ready for a Proposal of a Restricted Intraoperative Approach? Authors: Giorgio Della Rocca, Luigi Vetrugno, Gabriella Tripi, Cristian Deana, Federico Barbariol, Livia Pompei Publsihed in BMC Anesthesiol. 2014;14(62) Background Fluid management in the perioperative period has been extensively studied but, despite that, “the right amount” still remains uncertain. The purpose of this paper […]

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Uncategorized Published - 5 January, 2015    By - Dr Clemens
Pain Management Physician Agrees to Pay $1.2 Million to Settle False Claims Allegations

The Department of Justice was able to recover over $2 billion on behalf of taxpayers defrauded by healthcare providers engaging in misconduct against Medicare and Medicaid in fiscal year 2014. As part of this recovery, a Valencia, California-based doctor has agreed to pay $1.2 million to resolve allegations of unlawful billing procedures and the intentional […]

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Uncategorized Published - 2 January, 2015    By - Dr Clemens
Anesthesia Management: 50 things to know about Medicaid expansion

As one of the most contentious provisions of the Patient Protection and Affordable Care Act, Medicaid expansion has affected both for-profit and nonprofit hospitals and health systems and served as a point of contention in political campaigns. Here are 50 things to know about the controversial topic. Medicaid expansion under the PPACA 1. One of […]

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