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Uncategorized Published - 26 September, 2017    By - Dr Clemens
Trigeminal Neuralgia: Assessing Treatment Patterns to Improve Outcomes

Patients with trigeminal neuralgia face a significant burden of illness. Patients with trigeminal neuralgia face a significant burden of illness and have needs currently unmet by available therapies, according to data presented at the American Pain Society’s 36th Annual Scientific Meeting in Pittsburgh, Pennsylvania.1 There is currently only 1 drug — carbamazepine— approved by the US Food and […]

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Uncategorized Published - 26 September, 2017    By - Dr Clemens
Red Blood Cell Transfusion and Surgical Site Infection After Colon Resection Surgery: A Cohort Study

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1316–1321 BACKGROUND: Surgical site infections (SSIs) after colon surgery remain a critical safety issue. Patients with an SSI have an increased risk of death, prolonged hospitalization, and increased costs of care. Red blood cell (RBC) transfusion […]

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Uncategorized Published - 26 September, 2017    By - Dr Clemens
Labor Analgesia Requirements in Nulliparous Women Randomized to Epidural Catheter Placement in a High or Low Intervertebral Space.

AUTHORS: Moore, Albert MD et al Anesthesia & Analgesia: May 11, 2017 BACKGROUND: We hypothesized that an epidural catheter placed in a lower vertebral interspace will require less medication for labor analgesia. METHODS: Nulliparous women requesting neuraxial labor analgesia were randomized to epidural catheter placement at the ultrasound-confirmed L1-2 or L4-5 interspace. Patient-controlled epidural analgesia and […]

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Uncategorized Published - 26 September, 2017    By - Dr Clemens
Obese Have Less Respiratory Insufficiency Than Nonobese During Endoscopy

Obese patients showed less respiratory insufficiency (RI) than their nonobese counterparts during endoscopic surgery, according to a new study. The result was counterintuitive. Because of their higher rates of obstructive sleep apnea, pulmonary hypertension and other cardiopulmonary disorders, obese patients generally are thought to be at increased risk for sedation-related complications, such as RI. Consequently, […]

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Uncategorized Published - 26 September, 2017    By - Dr Clemens
Nerve Block vs. Sedation for Reduction of Anterior Shoulder Dislocation

  Raeyat Doost E et al., Am J Emerg Med 2017 Apr 14; Nerve block was faster but sedation was somewhat more effective in this small randomized trial. For reduction of anterior shoulder dislocations, options include procedural sedation, intraarticular lidocaine injection, nerve block, and manipulation without sedation. Investigators in Iran randomized 60 adults undergoing anterior shoulder dislocation […]

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