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Uncategorized Published - 30 August, 2018    By - Dr Clemens
Treatment Duration of XR Naltrexone for Opioid Dependence and Outcomes

A longer duration of extended-release naltrexone (XR-NTX) treatment in individuals with opioid dependence was associated with improved outcomes and reduced rates of relapse in a study published in Addiction. Monthly visits for XR-NTX treatment of 395 patients with opioid dependence were retrospectively assessed. Patients were divided into subgroups according to the number of XR-NTX injections they received: 6 […]

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Uncategorized Published - 30 August, 2018    By - Dr Clemens
Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial

Authors: Matthias Behrends, M.D. et al  Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to the […]

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Uncategorized Published - 29 August, 2018    By - Dr Clemens
Gabapentin and Opioids a Potentially Deadly Combination

Patients taking prescription opioids and gabapentin concomitantly have a 49% greater risk for opioid-related death than those treated with opioids only, according to a new Canadian study. A team of researchers led by Tara Gomes, PhD, MHSc, principal investigator of the Ontario Drug Policy Research Network (ODPRN), used administrative databases to compare opioid users who […]

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Uncategorized Published - 29 August, 2018    By - Dr Clemens
Traumatic Dissection of the Left Common Carotid Artery by a Seat Belt: Case Report

Authors: Cassandra Wasson, DO, Alice Tsao, MD, Zheng Wang, MD Case Description A 45-year-old man presented to the emergency department (ED) as a trauma patient after a motor vehicle collision. He was a restrained passenger of a single-vehicle accident. The Glasgow Coma Scale (GCS) score was assessed as 9 in the field. The emergency medical services […]

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Uncategorized Published - 29 August, 2018    By - Dr Clemens
Plasticity and Function of Spinal Oxytocin and Vasopressin Signaling during Recovery from Surgery with Nerve Injury

Authors: Amie L. Severino, Ph.D. et al  Anesthesiology 9 2018, Vol.129, 544-556. What We Already Know about This Topic: Pain resolves more quickly from cesarean delivery than other abdominal surgeries Pregnancy-related hormones such as oxytocin may reduce postoperative pain in women, although similar systems may function in men as well What This Article Tells Us That […]

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