Author: Dr. Clemens

Uncategorized Published - 23 October, 2014    By - Dr. Clemens
Anesthesia Management: Severinghaus Lecture: Methadone Labeling, Clinical Guidelines Wrong

This was a presentation at the ASA national meeting. According to this year’s Severinghaus Lecturer, the labeling approved by the Food and Drug Administration for methadone is wrong. So are the published clinical guidelines for the use of methadone to treat pain and drug addiction in both adult and pediatric patients. The short explanation is […]

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Uncategorized Published - 22 October, 2014    By - Dr. Clemens
Anesthesia Management: Prospective, 10-year evaluation of the impact of Hispanic ethnicity on pain management practices in the ED

I realize this is written about the ER however I thought our readers who practice pain management would like to read it. Published in Am J Emerg Med. 2014 Sep;32(9):1055-9 Authors: Craven P et al INTRODUCTION: Hispanic ethnicity has been reported as an independent risk factor for oligoanalgesia in the emergency department (ED). OBJECTIVES: The […]

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Uncategorized Published - 22 October, 2014    By - Dr. Clemens
Anesthesia Management: Chronic Opioid Therapy Urine Drug Testing in Primary Care: Prevalence and Predictors of Aberrant Results

Published in J Gen Intern Med. 2014 Sep 13 Authors: Turner JA et al BACKGROUND: Urine drug tests (UDTs) are recommended for patients on chronic opioid therapy (COT). Knowledge of the risk factors for aberrant UDT results could help optimize their use. OBJECTIVE: To identify primary care COT patient and opioid regimen characteristics associated with […]

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Uncategorized Published - 22 October, 2014    By - Dr. Clemens
Anesthesia Management: Anticonvulsant therapy for status epilepticus

Published in Cochrane Database Syst Rev. 2014 Sep 10;9 Authors: Prasad M BACKGROUND: Status epilepticus is a medical emergency associated with significant mortality and morbidity that requires immediate and effective treatment. OBJECTIVES: (1) To determine whether a particular anticonvulsant is more effective or safer to use in status epilepticus compared to another and compared to […]

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Uncategorized Published - 22 October, 2014    By - Dr. Clemens
Anesthesia Management: Nebulized fentanyl vs intravenous morphine for ED patients with acute limb pain: a randomized clinical trial

Published in Am J Emerg Med. 2014 Sep;32(9):1011-5 Authors: Farahmand S et al OBJECTIVE: Intravenous morphine has been used as a common method of pain control in emergency care. Nebulized fentanyl is also an effective temporary substitute. This study was designed to compare the effectiveness of nebulized fentanyl with intravenous (IV) morphine on management of acute […]

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Uncategorized Published - 22 October, 2014    By - Dr. Clemens
Anesthesia Management: Joan Rivers’ death renews scrutiny of office-based surgeries

The recent high-profile death of Joan Rivers after an outpatient endoscopy procedure has brought more attention to safety concerns at surgical centers and other ambulatory settings, though it’s an issue that has been on regulators’ radar for some time, according to an article from Crain’s New York Business. Although data on adverse events occurring outside […]

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Uncategorized Published - 22 October, 2014    By - Dr. Clemens
Anesthesia Management: Let’s make a deal: The art of effective negotiation

For managers, negotiation comes with the territory. You may have to negotiate with employees to improve performance, with clients about contracts, or with senior management on department goals. Here are four principles for successful negotiations. We all negotiate every day – over everything from million-dollar contracts to where to go for dinner. Some deals involve […]

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Uncategorized Published - 21 October, 2014    By - Dr. Clemens
Anesthesia Management: Drug shortages drain hospital dollars

This is important because most of us work in a hospital and while our department might not be experiencing drug shortages overall if the hospital decreases it’s profits it will affect us. It costs U.S. hospitals $230 million annually just to purchase more expensive generic drugs for shortage drugs Hospitals and health systems try their […]

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Uncategorized Published - 21 October, 2014    By - Dr. Clemens
Anesthesia Management: Hospital-Employed Physicians Drive Up Costs, Say 16 States

I thought this was interesting so I wanted to share it with our readers. The attorneys general (AGs) of 16 states warn that hospital employment of physicians, which is considered in many quarters to be the inevitable fate of medical practice, is driving up healthcare costs without necessarily improving the quality of care. The AGs […]

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Uncategorized Published - 21 October, 2014    By - Dr. Clemens
Anesthesia Management: Top 5 mistakes employers make and how to avoid them

Failing to effectively communicate with your employees isn’t just bad for business. It also can create a work environment that’s ripe for legal trouble. If you take time to communicate, explain your actions, stay involved and make the workplace seem rational to employees, you will increase your chances of staying out of the courtroom. Below […]

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