Author: Dr. Clemens

Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Continuous ultrasound-guided adductor canal block for total knee arthroplasty: a randomized, double-blind trial

Published in Anesth Analg. 2014 Jun;118(6):1370-7 Authors: Hanson NA et al BACKGROUND: Adductor canal blocks have shown promise in reducing postoperative pain in total knee arthroplasty patients. No randomized, controlled studies, however, evaluate the opioid-sparing benefits of a continuous 0.2% ropivacaine infusion at the adductor canal. We hypothesized that a continuous adductor canal block would […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Long-term survival after resection of hepatocelluar carcinoma: a potential risk associated with the choice of postoperative analgesia

Published in Anesth Analg. 2014 Jun;118(6):1309-16 Authors: Cao L et al BACKGROUND: Associations between anesthetic management and cancer recurrence or long-time survival remain uncertain. In this study, we compared the effects of postoperative epidural morphine analgesia with that of postoperative IV fentanyl analgesia on cancer recurrence and long-term survival in patients undergoing resection of hepatocellular […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Intraoperative systemic lidocaine for pre-emptive analgesics in subtotal gastrectomy: a prospective, randomized, double-blind, placebo-controlled study

Published in Can J Surg. 2014 Jun;57(3):175-82. Authors: Yon JH et al BACKGROUND: Pre-emptive intravenous lidocaine infusion is known to improve postoperative pain in abdominal surgery. We assessed the effect of intravenous lidocaine infusion in patients who underwent subtotal gastrectomy. METHODS: We conducted a double-blind, placebo-controlled study with patients undergoing subtotal gastrectomy for early gastric […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
A randomized comparison between double-injection and targeted intracluster-injection ultrasound-guided supraclavicular brachial plexus block

Published in Anesth Analg. 2014 Jun;118(6):1363-9 Authors: Techasuk W et al BACKGROUND: In this prospective, randomized, observer-blinded study, we compared double-injection (DI) ultrasound-guided supraclavicular block to a novel targeted intracluster-injection (TII) technique, whereby local anesthetic is injected inside the main and satellite neural clusters (confluences of trunks and divisions of the brachial plexus). METHODS: Ninety […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Abdominal Girth, Vertebral Column Length, and Spread of Spinal Anesthesia in 30 Minutes after Plain Bupivacaine 5 mg/mL

Published in Anesth Analg. 2014 Jul;119(1):203-6 Authors: Zhou QHt et al BACKGROUND: The spread of spinal anesthesia is highly unpredictable. In patients with increased abdominal girth and short stature, a greater cephalad spread after a fixed amount of subarachnoidally administered plain bupivacaine is often observed. We hypothesized that there is a strong correlation between abdominal […]

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Uncategorized Published - 19 July, 2014    By - Dr. Clemens
Botulinum toxin type a injections for cervical and shoulder girdle myofascial pain using an enriched protocol design

Published in Anesth Analg. 2014 Jun;118(6):1326-35 Authors: Nicol AL et al BACKGROUND: Myofascial pain syndrome is a regional condition of muscle pain and stiffness and is classically characterized by the presence of trigger points in affected musculature. Botulinum toxin type A (BoNT-A) has been shown to have antinociceptive properties and elicit sustained muscle relaxation, thereby […]

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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
OIG: Fight fraud to increase savings

The U.S. Department of Health and Human Services’ use of the Fraud Prevention System (FPS) led to $54.2 million in actual and projected savings for the Medicare fee-for-service program. However, the Office of Inspector General called for modifications to the FPS to increase savings over time, according to a report it released. Under the Small […]

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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
Utilization of spinal cord stimulation in patients with failed back surgery syndrome

Authors: Lad S et al Published in Spine 39 (12), E719-27 (May 2014) STUDY DESIGN Retrospective analysis of a population-based insurance claims data set. OBJECTIVE To evaluate the use of spinal cord stimulation (SCS) and lumbar reoperation for the treatment of failed back surgery syndrome (FBSS), and examine their associated complications and health care costs. […]

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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
A New Target for Neuropathic Pain?

Authors: Rice ASC et al., Lancet 2014 May 10; 383:1637 A phase 2 trial demonstrates the potential of angiotensin II type 2 antagonists, a new treatment target, to relieve the chronic neuropathic pain of postherpetic neuralgia. Because existing treatments for postherpetic neuralgia are often insufficient or ineffective, researchers have been investigating EMA401, an oral angiotensin […]

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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
Beware the Reimbursement Gap

If a patient doesn’t pay his health insurance premiums, the insurer doesn’t have to pay the provider for care rendered during the grace period. That means that up to two months of provider services may not be reimbursed. A little-known provision in the Patient Protection and Affordable Care Act could leave physicians holding the bag […]

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