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Uncategorized Published - 7 August, 2018    By - Dr Clemens
Surgeons behaving badly and what that means for malpractice and patient care

By Janaka Lagoo MD, MPH For far too long, we’ve tolerated poor communication and lack of professionalism by surgeons toward fellow clinicians and even patients. At the extreme, surgeons have been known to yell, bully or intimidate their clinical peers. However, there are also more commonplace examples of surgeons failing to inform all members of […]

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Uncategorized Published - 7 August, 2018    By - Dr Clemens
Liposomal Bupivacaine Block at the Time of Cesarean Delivery to Decrease Postoperative Pain: A Randomized Controlled Trial

Authors: Prabhu, Malavika, MD et al Obstetrics & Gynecology: July 2018 – Volume 132 – Issue 1 – p 70–78 OBJECTIVE: To evaluate whether a liposomal bupivacaine incisional block decreases postoperative pain and represents an opioid-minimizing strategy after scheduled cesarean delivery. METHODS: In a single-blind, randomized controlled trial among opioid-naive women undergoing cesarean delivery, liposomal bupivacaine or placebo […]

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Uncategorized Published - 7 August, 2018    By - Dr Clemens
Ketamine venous versus arterial concentration

Authors: Thomas K. Henthorn, M.D. et al Anesthesiology 8 2018, Vol.129, 260-270. What We Already Know about This Topic: Recirculatory pharmacokinetic models describe intravascular mixing by incorporating cardiac output and its distribution to characterize the oscillations of arterial and venous drug concentrations in the minutes after rapid IV drug administration Arterial drug concentrations during a drug […]

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Uncategorized Published - 6 August, 2018    By - Dr Clemens
The Link Between Medical Malpractice and Defensive Medicine

It’s time for us all to face a hard truth: you can, in fact, compare apples and oranges. Really, they’re not all that dissimilar. The fundamental traits of each are pretty much the same: they’re both spherical fruits and they both can be made into delicious candy. By almost any measure, they’re much more similar […]

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Uncategorized Published - 6 August, 2018    By - Dr Clemens
Basivertebral Nerve Radiofrequency Ablation for Chronic Low Back Pain

Radiofrequency ablation of the basivertebral nerve may lead to significant short-term reduction in pain and functional disability in patients with chronic low back pain and type I or type II Modic changes of the vertebral bodies, according to findings from a randomized trial published in the European Spine Journal. The investigators targeted the basivertebral nerve in […]

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