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Uncategorized Published - 22 January, 2018    By - Dr Clemens
Small Improvements versus Care Redesign: Can Your Organization Juggle Both?

Authors: Onil Bhattacharyya, MD, PhD et al The Commonwealth Fund Women’s College Hospital The shift from volume- to value-based payment may constrain revenue, forcing organizations to consider dramatic changes to care delivery. Doing this may require increasing their capacity for innovation relative to incremental improvement. Innovation and improvement are sometimes used interchangeably, but the distinction […]

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Uncategorized Published - 19 January, 2018    By - Dr Clemens
Core Temperature Monitoring During Spinal Anesthesia for Cesarean Delivery

Anesthesia & Analgesia · August 9, 2017 AUTHOR: Carl J Dyer et al BACKGROUND: Perioperative hypothermia may affect maternal and neonatal outcomes after obstetric spinal anesthesia. Core temperature is often poorly monitored during spinal anesthesia, due to the lack of an accurate noninvasive core temperature monitor. The aim of this study was to describe core temperature changes and […]

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Uncategorized Published - 19 January, 2018    By - Dr Clemens
Little Evidence That Marijuana Helps Chronic Pain, PTSD

Annals of Internal Medicine · August 15, 2017 Background: Cannabis is increasingly available for the treatment of chronic pain, yet its efficacy remains uncertain. Purpose: To review the benefits of plant-based cannabis preparations for treating chronic pain in adults and the harms of cannabis use in chronic pain and general adult populations. Study Selection: Intervention trials and […]

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Uncategorized Published - 19 January, 2018    By - Dr Clemens
RCT of Postoperative Thoracic Epidural Analgesia vs Intravenous Patient-Controlled Analgesia After Major Hepatopancreatobiliary Surgery

Annals of Surgery · September 14, 2017 AUTHORS: Thomas A;Kim et al OBJECTIVES: The primary objective of this randomized trial was to compare thoracic epidural analgesia (TEA) to intravenous patient-controlled analgesia (IV-PCA) for pain control over the first 48 hours after hepatopancreatobiliary (HPB) surgery. Secondary endpoints were patient-reported outcomes, total narcotic utilization, and complications. BACKGROUND: Although adequate […]

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Uncategorized Published - 19 January, 2018    By - Dr Clemens
Effect of Adductor Canal Block on Knee Extensor Muscle Strength 6 Weeks After TKA

Anesthesia & Analgesia · August 9, 2017 AUTHORS: Stephan R Girard et al BACKGROUND: Total knee arthroplasty (TKA) reduces knee extensor muscle strength (KES) in the operated limb for several months after the surgery. Immediately after TKA, compared to either inguinal femoral nerve block or placebo, adductor canal block (ACB) better preserves KES. Whether this short-term increase in […]

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