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Uncategorized Published - 1 September, 2017    By - Dr Clemens
Gabapentinoids Seem to Offer Little Benefit, Substantial Risks in Low Back Pain

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Gabapentinoids, increasingly used for chronic low back pain, offer little benefit and carry substantial risks in this setting, finds a systematic review in PLOS Medicine. Researchers examined eight randomized trials in which gabapentin or pregabalin was compared with active or inactive treatments in adults […]

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Uncategorized Published - 31 August, 2017    By - Dr Clemens
Evidence Lacking on Benefits of Cannabis for Treating Chronic Pain, PTSD

Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Evidence is limited on the benefits of cannabis use for treating chronic pain and post-traumatic stress disorder, according to two reviews in the Annals of Internal Medicine. The review on chronic pain included 75 studies that examined the potential benefits and harms of cannabis use. There […]

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Uncategorized Published - 31 August, 2017    By - Dr Clemens
No Need to Wait 3 Minutes After Standing to Assess Orthostatic Hypotension

Thomas L. Schwenk, MD and Allan S. Brett, MD Reviewing Juraschek SP et al., JAMA Intern Med 2017 Jul 24; Blood pressure readings within 1 minute might be more useful in predicting fractures, falls, and other adverse events. According to a 2011 consensus statement, blood pressure (BP) measurement to assess orthostatic hypotension should be done “within 3 minutes […]

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Uncategorized Published - 31 August, 2017    By - Dr Clemens
Occipital Headaches and Neuroimaging in Children

Christopher B. Oakley, MD Reviewing Bear JJ et al., Neurology 2017 Aug 1; 89:469 A retrospective case analysis finds no association between occipital headache location and intracranial pathology. The International Classification of Headache Disorders (ICHD-3 beta) suggests that headaches localizing to the occipital region in children may be indicative of an intracranial process. This sentiment, however, is not […]

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Uncategorized Published - 31 August, 2017    By - Dr Clemens
Pupillometry-guided Intraoperative Remifentanil Administration versus Standard Practice Influences Opioid Use: A Randomized Study

Authors: Nada Sabourdin, M.D. et al Anesthesiology 8 2017, Vol.127, 284-292. Background: Pupillometry has shown promising results for assessing nociception in anesthetized patients. However, its benefits in clinical practice are not demonstrated. The aim of this prospective randomized study was to evaluate the impact of intraoperative pupillometry monitoring on perioperative opioid consumption in major gynecologic surgery. Methods: After […]

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