Author: Dr Clemens

Uncategorized Published - 24 February, 2020    By - Dr Clemens
Steroid Injections of the Hip, Knee May Damage Joints

This is for our readers that treat chronic pain patients. Corticosteroid injections used to treat osteoarthritis (OA) pain in the hip and knee may be more dangerous than previously thought, according to a study published in Radiology. Researchers suggested that injection-associated risks like rapid progressive OA, which may eventually lead to joint collapse, should be integrated […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
Hypoxia During Upper Endoscopy: A Serious Problem and a New Solution

Authors: René Miguel Gonzalez, MD Anesthesiology News The Problem In 2017, Goudra and Singh wrote: “The growing popularity of deep sedation for UGI [upper gastrointestinal] endoscopy has created immense challenges to anesthesiologists. Gastroenterologists have clearly benefited from deep sedation. It allows performing complicated procedures with relative ease. However, research suggests that management of the airway […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
Regional Anesthesia Preferred After Major Lower Extremity Amputation

Author: Chase Doyle Anesthesiology News A study of three analgesic strategies for major lower extremity amputations reveals that regional anesthesia provides superior perioperative pain control within 72 hours of surgery. The retrospective review of lower limb amputations showed that peripheral nerve blockade with combined standard and liposomal bupivacaine (Exparel, Pacira) was associated with lower oral […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
Oliceridine Study Finds Reduced Risk for Opioid-Induced Respiratory Depression

Author: Bob Kronemyer Anesthesiology News The investigational IV opioid oliceridine (Trevena) provided adequate and rapid analgesia after colorectal surgery, according to a secondary analysis of a subgroup of patients that was part of a phase 3, multicenter, open-label study. The analysis, which was presented at the 2019 Annual Congress of the American Society for Enhanced […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
By 2060, a quarter of U.S. residents will be over age 65, census reports say

NBC News The growth in life expectancy in the U.S. over the next four decades is expected to be slower than it was in the four previous decades, according to census reports released Thursday. By 2060, almost a quarter of all U.S. residents will be over age 65, and life expectancy will reach an all-time […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
Methadone-Induced Torsades de Pointes Leading to Cardiac Arrest in a Patient With Chronic Pain

Authors: Taruna W. Penmetcha, MD et al  Anesthesiology News A Case Report and Review Methadone is a mu agonist used in detoxification treatment for patients who abuse opioids and to treat those in chronic pain.1 Methadone is also an N-methyl-D-aspartate (NMDA) receptor antagonist, which makes it a unique drug for management of neuropathic pain and opioid-induced hyperalgesia.2 It […]

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Uncategorized Published - 21 February, 2020    By - Dr Clemens
POLITICO-Harvard Poll: Health care costs are top priority heading into elections

Author: ADAM CANCRYN Politico Both parties agree the focus should be on pocketbook health issues, rather than a dramatic overhaul like “Medicare for All.” Americans have a clear message for President Donald Trump and the Democratic candidates vying to replace him: Lower health care costs. The vast majority of Americans rank cutting health care and […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
The Antipsychotic Amisulpride Proves Effective As Rescue Treatment for PONV

Author: Bob Kronemyer Anesthesiology News A single 10-mg dose of IV amisulpride (BARHEMSYS, Acacia) was statistically more effective than placebo as rescue treatment for postoperative nausea and vomiting (PONV) in high-risk patients who failed prophylactic agents, according to a multicenter phase 3 study. Amisulpride has been approved as an oral antipsychotic for over 30 years […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
iPACK Block Demonstrates Better Analgesia on Day of Total Knee Arthroplasty

Author: Chase Doyle Anesthesiology News Balancing the goals of analgesia with early ambulation after total knee arthroplasty has led to increasingly selective regional analgesia that can sometimes fail to provide optimal pain control. However, recent analysis suggests that adding the iPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) block may offer patients […]

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Uncategorized Published - 20 February, 2020    By - Dr Clemens
A Population-Based Analysis of Intraoperative Cardiac Arrest in the United States

AUTHORS: Fielding-Singh, Vikram MD, JD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 627-634 BACKGROUND:  A new billable code for intraoperative cardiac arrest was introduced with the International Classification of Diseases, Tenth Revision, classification system. Using a national administrative database, we performed a retrospective analysis of intraoperative cardiac arrest in […]

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