Author: Dr Clemens

Uncategorized Published - 7 July, 2021    By - Dr Clemens
Pharmacotherapy for the Prevention of Chronic Pain after Surgery in Adults

Authors: Meg E. Carley, B.Sc. et al  Anesthesiology June 2021. Background Chronic postsurgical pain can severely impair patient health and quality of life. This systematic review update evaluated the effectiveness of systemic drugs to prevent chronic postsurgical pain. Methods The authors included double-blind, placebo-controlled, randomized controlled trials including adults that evaluated perioperative systemic drugs. Studies […]

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Uncategorized Published - 7 July, 2021    By - Dr Clemens
Automated Nerve Monitoring in Shoulder Arthroplasty: A Prospective Randomized Controlled Study

Authors: Jason Chui, M.B.Ch.B., M.Sc., F.A.N.Z.C.A., F.H.K.C.A., F.H.K.A.M. et al  Anesthesiology July 2021, Vol. 135, 83–94. Background Evoked potential monitoring is believed to prevent neurologic injury in various surgical settings; however, its clinical effect has not been scrutinized. It was hypothesized that an automated nerve monitor can minimize intraoperative nerve injury and thereby improve clinical […]

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Uncategorized Published - 7 July, 2021    By - Dr Clemens
Chronic Pain in Patients with Hemophilia: A Clinical Assessment and Treatment Primer

Author: Amanda Gerberich, PharmD, BCPS Practical Pain Management Volume 21 Issue 3 Hemophilia is a chromosomal disorder affecting coagulation that is characterized by spontaneous bleeding.1 The disorder affects approximately 1 in every 5,000 males. Hemophilia can be classified as a deficiency in clotting factor VIII (ie, hemophilia A), which is more common, or as a deficiency in […]

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Uncategorized Published - 7 July, 2021    By - Dr Clemens
Functional Profile of Systemic and Intrathecal Cebranopadol in Nonhuman Primates

Authors: Huiping Ding, Ph.D. et al  Anesthesiology June 2021. doi: Background Cebranopadol, a mixed nociceptin/opioid receptor full agonist, can effectively relieve pain in rodents and humans. However, it is unclear to what degree different opioid receptor subtypes contribute to its antinociception and whether cebranopadol lacks acute opioid-associated side effects in primates. The authors hypothesized that […]

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Uncategorized Published - 7 July, 2021    By - Dr Clemens
Data Builds the Case for Acupuncture in Pain Management

Author: Christine Rhodes, MS Practical Pain Management Volu 21 Issue 3 Acupuncture has been used for more than 2,000 years throughout Asia and is an important component of Traditional Chinese Medicine (TCM). Based on the concept of qi – the vital energy in the body that flows along well-defined meridians, acupuncture is thought to restore […]

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Uncategorized Published - 6 July, 2021    By - Dr Clemens
Reduce, Reuse, Recycle: Navigating Mask Shortages in a Pandemic

Author: Corinna J. Yu, MD, FASA ASA Monitor January 2021, Vol. 85, 26. Back in March, when the CDC suggested that health care workers could use a bandana as a makeshift mask for protection against SARS-CoV2, many scoured the shelves of home maintenance stores for personal protective equipment (PPE). “Those who cannot remember the past are condemned […]

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Uncategorized Published - 6 July, 2021    By - Dr Clemens
Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients

Authors: Jashvant Poeran, M.D., Ph.D. et al  Anesthesiology July 2021, Vol. 135, 57–68. Background With increasing use of tranexamic acid in total hip and knee arthroplasties, safety concerns remain. Using national claims data, this study examined tranexamic acid use in patients with preexisting comorbidities. The hypothesis was that tranexamic acid use is not associated with increased […]

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Uncategorized Published - 6 July, 2021    By - Dr Clemens
An Anti-Anxiety Initiative – The ‘COVID Cart’

AUTHORS: Joseph Abro, MD et al  ASA Monitor January 2021, Vol. 85, 1–19. The COVID-19 pandemic is a once-in-a-lifetime event that has greatly disrupted every aspect of our lives. When the volume of COVID-19 patients initially spiked in spring 2020 in the United States, many hospitals and clinics had to shut down elective surgeries and […]

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Uncategorized Published - 6 July, 2021    By - Dr Clemens
HOW TO PROMOTE EFFECTIVE CLINICIAN CONFLICT RESOLUTION

SCP Health As a hospital leader, it’s your responsibility to create a culture that cultivates healthy collaboration and constructive conversations—but conflict at points is inevitable. Use this checklist to handle disagreements smoothly when they do arise. Establish a culture that approaches conflict with action, not avoidance Take conflict discussions into a private location at an […]

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Uncategorized Published - 6 July, 2021    By - Dr Clemens
Case Chat: Evolving Treatments for Chronic Headache and Migraine

Authors: Charles Argoff, MD, and Ben Portal, MD, use a recent chronic headache case to discuss how headache and migraine care are evolving, including primary care assessment tools, imaging, and multitherapy use. Practical Pain Management Volume 21 Issue 3 In PPM’s new Case Chat series, a recent chronic headache case is used to discuss how treatment approaches […]

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