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Uncategorized Published - 24 January, 2018    By - Dr Clemens
Superior Visualization for US-Guided Proximal Intercostal Versus Paravertebral Block

The simple addition of ultrasound guidance to traditional thoracic paravertebral blockade does not necessarily add safety and technical ease. According to a recent comparative analysis, a modified ultrasound-guided proximal intercostal block in women undergoing breast surgery offers sonoanatomic and technical advantages over the traditional ultrasound-guided paravertebral block, without compromising pain-related outcomes. “Our findings demonstrate that […]

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Uncategorized Published - 24 January, 2018    By - Dr Clemens
2018 Payment Update: CMS Releases Two Final Rules

Author: Emil Engels, MD, MBA, CPC The Centers for Medicare & Medicaid Services (CMS; see acronyms sidebar) released two final rules in early November that will affect payment for physician services. On Nov. 2, CMS released the Medicare Physician Fee Schedule Final Rule, which governs payment for physician services beginning Jan. 1, 2018. In addition, […]

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Uncategorized Published - 24 January, 2018    By - Dr Clemens
Manual Ventilation Safe for Short Transport From Cardiac Surgery to ICU

Manual ventilation with a bag mask is a safe method to use while transporting patients from the cardiac surgery operating room (OR) to the ICU, a study has found. Manual ventilation caused a greater excursion in end-tidal carbon dioxide (EtCO2) than machine ventilation of intubated patients during a short transport from surgery to the ICU, […]

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Uncategorized Published - 24 January, 2018    By - Dr Clemens
For Better Customer Service, Offer Options, Not Apologies

I thought this was interesting even if it doesn’t involve anesthesia.   Jagdip Singh, a professor of marketing at the Weatherhead School of Management at Case Western Reserve University, explains his research team’s new findings about customer satisfaction. He says apologizing is often counterproductive and that offering customers different possible solutions is usually more effective. He […]

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Uncategorized Published - 23 January, 2018    By - Dr Clemens
Popular Pain Med Might Not Work for Low Back Problems

PLoS Medicine · August 15, 2017 Authors: Harsha Shanthana et al Background And Objective Chronic Low Back Pain (CLBP) is very common, with a lifetime prevalence between 51% and 80%. In majority, it is nonspecific in nature and multifactorial in etiology. Pregabalin (PG) and Gabapentin (GB) are gabapentinoids that have demonstrated benefit in neuropathic pain […]

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