Author: Dr Clemens

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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Uncategorized Published - 19 February, 2015    By - Dr Clemens
Fibromyalgia Prevalence Varies Widely by Diagnostic Criteria

The prevalence of fibromyalgia varied by as much as fourfold, depending on which of three different American College of Rheumatology diagnostic criteria sets was used, a new study reveals. The findings were published online January 28 in Arthritis & Rheumatology by Gareth T. Jones, PhD, from the University of Aberdeen, United Kingdom, and colleagues. The […]

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Uncategorized Published - 19 February, 2015    By - Dr Clemens
Pharmacokinetics of Tranexamic Acid in Neonates, Infants, and Children Undergoing Cardiac Surgery with Cardiopulmonary Bypass

Published in The Journal of the American Society of Anesthesiologists on 1 2015. Authors: Mark C. Wesley, M.D. et al Background: Tranexamic acid (TXA) is one of the most commonly used antifibrinolytic medications in children undergoing repair of congenital heart defects. However, a pharmacokinetics analysis of TXA has never been performed in neonates or young […]

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Uncategorized Published - 18 February, 2015    By - Dr Clemens
Barriers to Referral for Epilepsy Surgery Evaluation

Published in Neurology 2015 Jan 13; 84:159 Authors: Roberts JI et al. A large national survey in Canada reveals insights into neurologist-related barriers to referral for possible surgical treatment of drug-resistant seizure disorders. Marked underuse of resective surgery for drug-resistant focal epilepsy has not changed in recent decades. Although substantial accumulated evidence has demonstrated safety […]

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Uncategorized Published - 18 February, 2015    By - Dr Clemens
Transfuse Plasma, Platelets, and Red Blood Cells in a 1:1:1 Ratio in Trauma Patients

Published in JAMA 2015 Feb 3; 313:471 Authors: Holcomb JB et al. Compared with a 1:1:2 ratio, the 1:1:1 ratio improved hemostasis without causing more adverse effects, although mortality did not differ. In recent years, the dogma regarding large-volume crystalloid resuscitation in trauma patients has changed, with increased emphasis on including plasma and platelets in […]

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