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Uncategorized Published - 12 April, 2019    By - Dr Clemens
Fentanyl deaths skyrocketed more than 1,000% over six years in the US. Here’s who it’s killing

By Nadia Kounang CNN This is your brain on pain 01:39 Deaths from the synthetic opioid fentanyl skyrocketed more than 1,000% from 2011 to 2016, according to a report released Thursday. The number of fatalities related to the drug held fairly steady between 2011 and 2012, hovering around 1,600 deaths in both those years. In 2013, the number […]

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Uncategorized Published - 12 April, 2019    By - Dr Clemens
HOW GOVERNMENT DECISIONS ARE ACTUALLY MADE: EXPAREL

William Donovan As previously reported, in that massive July 31 proposed rule (“CMS to Pay Extra for Exparel in ASCs, Not Hospitals,” Orthopedics This Week, October 9, 2018), the Centers for Medicare and Medicaid Services (CMS) singled out one pain medication, the drug Exparel, for extra reimbursement under the bundled-payment system for outpatient surgeries such as […]

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Uncategorized Published - 12 April, 2019    By - Dr Clemens
NEW STUDY SUPPORTS EXPAREL COST EFFECTIVENESS

Author: Biloine W. Young In an article by Allison Inserro, published on AJMC.com, “Patients having total knee arthroplasty (TKA) who were treated with liposomal bupivacaine were discharged to their homes sooner and had a significantly shorter hospital stay compared with patients who did not receive that drug during surgery, according to a recently published study […]

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Uncategorized Published - 12 April, 2019    By - Dr Clemens
Large study ties PTSD, acute stress to cardiovascular disease

I thought this was interesting. By Catharine Paddock PhD A large Swedish population study has found strong links between psychiatric conditions that can follow extremely stressful experiences and the risk of several types of cardiovascular disease. The link between acute stress and cardiovascular symptoms may be bidirectional, suggests new research. In addition, the researchers found that […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
Effect of Total Intravenous Anesthesia vs Volatile Induction With Maintenance Anesthesia on Emergence Agitation After Nasal Surgery

Authors: Jun-Young Jo, MD, MS et al JAMA Otolaryngol Head Neck Surg. 2019;145(2):117-123. Question  Does the occurrence rate of emergence agitation differ between patients who underwent nasal surgery under volatile induction and maintenance of anesthesia or total intravenous anesthesia? Findings  In this randomized clinical trial of 80 patients undergoing nasal surgery, emergence agitation after nasal surgery under total […]

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