Author: Dr Clemens

Uncategorized Published - 20 January, 2023    By - Dr Clemens
Cluster headaches may be more common in men, but more severe in women

Author:  Hannah Flynn MedicalNewsToday Cluster headaches affect about one in 1,000 people and typically, the condition impacts more men than women. The pain associated with this condition is so severe that it can be seriously limiting and disabling. A recent study has shown that while the majority of people with the condition are male, females are more […]

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Uncategorized Published - 20 January, 2023    By - Dr Clemens
Local anesthetic drug supply: 132 in shortage, 13 available

Author: Paige Twenter Becker’s Hospital Review Between two types of local anesthetics, there are 132 in short supply and 13 available, according to the American Society of Health-System Pharmacists. Here’s how the shortages of bupivacaine and lidocaine break down: Twenty bupivacaine injections from Pfizer are back-ordered because of manufacturing delays, and resupply dates fall between January and June. The […]

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Uncategorized Published - 20 January, 2023    By - Dr Clemens
ASA’s COTEP Addressing Opioid Epidemic with New Naloxone Awareness Project

Author: Lalitha Sundararaman, MBBS, MD ASA Monitor January 2023, Vol. 87, 29. OPIOID CRISIS I have had the privilege of being part of the ASA Monitor Editorial Board for a few years, and one article that has touched my heart is the wrenching story of Dr. Bonnie Milas and her efforts in collaboration with the ASA Committee on […]

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Uncategorized Published - 20 January, 2023    By - Dr Clemens
Chronic Pelvic Pain: Is Neuromodulation the Solution?

Author: Avery Hurt Piratical Pain Management Jan/Feb 2023 Chronic pelvic pain can be a challenge to treat for many reasons, not least because it manifests in myriad ways, making it difficult even to nail down a definition of the term. The pathology behind chronic pelvic pain (CPP) is equally complex. Even the American College of […]

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Uncategorized Published - 20 January, 2023    By - Dr Clemens
Bypass surgery the best way to limit amputations, death among CLTI patients

Author: Michael Walter  Cardiovascular Business Bypass surgery is associated with fewer repeat procedures and amputations than endovascular treatment options such as angioplasty and stenting when treating patients with chronic limb-threatening ischemia (CLTI), according to new research presented Monday, Nov. 7, during the American Heart Association’s Scientific Sessions 2022 conference in Chicago. The study was simultaneously published in […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
Remimazolam versus propofol for deep sedation/anaesthesia in upper gastrointestinal endoscopy in elderly patients

DG Journal Club AUTHORS: Kejian Lu, Shanshan Wei, Wenwen Ling, Yanxia Wei J Clin Pharm Ther. 2022 Nov 5 [Epub ahead of print] BACKGROUND AND OBJECTIVE Propofol is the most commonly used sedative in gastrointestinal endoscopic procedures, but is associated with cardiorespiratory suppression, particularly in elderly patients. Remimazolam is a new short-acting GABA(A) receptor agonist […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
Mystery solved? How shingles can increase stroke risk

This is important for our readers that treat chronic pain patients. Author: Robby Berman MedicalNewsToday When a person recovers from chickenpox, typically in childhood, the virus that causes it, varicella zosterTrusted Source (VZV), remains in the body. For one in three people, the virus reactivates later in life as shingles. The other name for shingles is herpes zoster, as VZV is […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
Distribution of ventilation and oxygenation in surgical obese patients ventilated with high versus low positive end-expiratory pressure

AUTHORS: Ellenberger, Christoph et al  European Journal of Anaesthesiology 39(11):p 875-884, November 2022. BACKGROUND Intra-operative ventilation using low/physiological tidal volume and positive end-expiratory pressure (PEEP) with periodic alveolar recruitment manoeuvres (ARMs) is recommended in obese surgery patients. OBJECTIVES To investigate the effects of PEEP levels and ARMs on ventilation distribution, oxygenation, haemodynamic parameters and cerebral oximetry. […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
The Effect of Night Float Rotation on Resident Sleep, Activity, and Well-Being

Authors: Ruan, Alexandra MD et al Anesthesia & Analgesia November 07, 2022. Background:  Night float call systems are becoming increasingly common at training programs with the goal of reducing fatigue related to sleep deprivation and sleep disturbance. Previous studies have shown that trainees obtain less sleep during the night float rotation and have decreased sleep efficiency […]

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Uncategorized Published - 19 January, 2023    By - Dr Clemens
Chemotherapy-Induced Peripheral Neuropathy Treatments

Authors: Aranke M, Kolcun G, Huh B, Javed S. Pract Pain Manag. 2023 January/February;23(1). Introduction Chemotherapy-induced peripheral neuropathy (CIPN) affects between 40% and 70% of individuals undergoing chemotherapy and may significantly affect quality of life by worsening symptomatic clusters, such as psychological distress, fatigue-related pain, and abdominal discomfort.¹˒² There are several proposed mechanisms for CIPN. […]

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