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Uncategorized Published - 27 August, 2018    By - Dr Clemens
Just the FACTS: The Role of Diagnostic Blocks in Lumbar Facet Interventions

Authors: Chad M. Brummett, M.D. et al  Anesthesiology 9 2018, Vol.129, 396-398. Low back pain is one of the most common causes of chronic pain, disability, lost productivity, and cost, affecting more than 66 million Americans in 2012.1–3  A large number of treatments are available, including behavioral therapies, chiropractic care, exercise, injections, massage, medications, surgery, and others, […]

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Uncategorized Published - 27 August, 2018    By - Dr Clemens
Postoperative Delirium and Postoperative Cognitive Dysfunction: Two Sides of the Same Coin?

Authors: Michael J. Devinney, M.D., Ph.D. et al   Anesthesiology 9 2018, Vol.129, 389-391. “…[is] delirium…simply a marker for other factors that may contribute to postoperative cognitive dysfunction risk…[or does] delirium itself actually contribute to longer-term postoperative cognitive dysfunction[?]” Are postoperative delirium and postoperative cognitive dysfunction entirely separate disorders, or are they two manifestations of the same […]

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Uncategorized Published - 25 August, 2018    By - Dr Clemens
Physically Fit Women Nearly 90 Percent Less Likely to Develop Dementia

Not about anesthesia but I wanted to share this with our readers. American Academy of Neurology           Summary: Women with high physical fitness at middle age were nearly 90 percent less likely to develop dementia decades later, compared to women who were moderately fit, according to a new study. The study […]

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Uncategorized Published - 25 August, 2018    By - Dr Clemens
Surgical Outcomes and Social Media Reviews: When a 5-Star Rating Isn’t All It Seems

You arrive at high quality surgical outcomes the same way you arrive at Carnegie Hall: practice, practice, practice. It may not be the only — or even the most important — driver of superlative operative results, but it’s fairly well established that people (and places) who do a lot of operations tend to have better […]

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Uncategorized Published - 25 August, 2018    By - Dr Clemens
Pre-Op Chronic Opioid Use Ups Poor Outcomes Post Spinal Fusion

Preoperative chronic opioid use is associated with poor outcomes and continued dependence after posterior lumbar fusion, according to a study published online in Spine. Nikhil Jain, M.D., from The Ohio State University in Columbus, and colleagues used commercial insurance data (from 2007 to Q3-2015) to evaluate preoperative opioid use in 24,610 patients undergoing primary one- and two-level posterior […]

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