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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Prolonging Sympathetic Blockade for Complex Regional Pain Syndrome: Is Botulinum Toxin the Answer?

AUTHOR: Vinita Singh, M.D. and Steven P. Cohen, M.D. Anesthesiology February 2022, Vol. 136, 261–264.   There are more than a dozen terms denoting “complex regional pain syndrome,” a condition previously known as “reflex sympathetic dystrophy.” The numerous “synonyms” reflect not only its importance in pain medicine (not unlike the linguistic lore that within Eskimo-Aleut languages, there […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Trends in Routine Opioid Dispensing After Common Pediatric Surgeries in the United States: 2014–2019

Authors: Tori N. Sutherland, MD, MPH et al  Pediatrics  April 2022 BACKGROUND: Children who undergo common outpatient surgeries are routinely prescribed opioids, although available evidence suggests opioids should be used with discretion for procedures associated with mild to moderate pain. The study assessed trends in postoperative opioid prescribing over time to determine if prescribing declined. […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Efficacy of liposomal bupivacaine for pain control in shoulder surgeries

AUTHORS: Yujia Li et al J Shoulder Elbow Surg. 2022 Apr 14 BACKGROUND Total shoulder arthroplasties and rotator-cuff repair surgeries result in considerable postoperative pain. Optimal postoperative pain management based on a multidisciplinary approach are necessary to promote early postoperative rehabilitation. The purpose of this study was to compare liposomal bupivacaine (LB) to traditional, non-liposomal […]

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Uncategorized Published - 4 April, 2022    By - Dr Clemens
Carbon Dioxide Changes during High-flow Nasal Oxygenation in Apneic Patients

Authors: Thomas Riva, M.D. et al  Anesthesiology January 2022, Vol. 136, 82–92. Background Anesthesia studies using high-flow, humidified, heated oxygen delivered via nasal cannulas at flow rates of more than 50 l · min–1 postulated a ventilatory effect because carbon dioxide increased at lower levels as reported earlier. This study investigated the increase of arterial partial pressure of […]

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Uncategorized Published - 1 April, 2022    By - Dr Clemens
Addressing Pain: Anesthesia Considers Best Practices

Author: Tony Mira F1rstNews Summary The prevalence of opioid usage among America’s patients has generated the need for a set of protocols to be used by those providing acute pain care.  A consortium of 15 medical societies has recently provided best-practice recommendations. The second law of thermodynamics, which is an axiom of accepted science, says […]

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