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Uncategorized Published - 30 March, 2017    By - Dr Clemens
Low dose intravenous dexamethasone (4 mg and 10 mg) significantly prolongs the analgesic duration of single-shot interscalene block after arthroscopic shoulder surgery: a prospective randomized placebo-controlled study

Authors: Chalifoux, F., Colin, F., St-Pierre, P. et al. Can J Anesth/J Can Anesth (2017) 64: 280 Background Although intravenous dexamethasone prolongs the analgesic duration of interscalene brachial plexus block, it is uncertain whether this effect can be observed using lower doses of dexamethasone. This study evaluated the impact of intravenous dexamethasone (4 mg and […]

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Uncategorized Published - 30 March, 2017    By - Dr Clemens
Low-Dose Ketamine for Pain: IV Push or Slow Infusion?

Authors: Motov S et al., Am J Emerg Med 2017 Mar 3; Neuropsychiatric side effects were more common with intravenous push administration, but does it matter? At intravenous (IV) doses of 0.1–0.3 mg/kg, ketamine is a safe and effective analgesic. Adverse effects are minimal and include sedation and a feeling of disconnection from reality. Investigators compared the effectiveness […]

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Uncategorized Published - 29 March, 2017    By - Dr Clemens
Heart Groups Update Guidelines for Treating Heart Valve Disease

By Kelly Young Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM The American Heart Association and the American College of Cardiology have updated their guidelines for managing valvular heart disease. The new guidance appears in Circulation. Here are a few of the changes since the 2014 guidelines: Antibiotic prophylaxis for certain dental work is […]

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Uncategorized Published - 29 March, 2017    By - Dr Clemens
Concurrent Opioid-Benzodiazepine Used Linked to Rise in Opioid Overdoses

By Amy Orciari Herman Edited by Lorenzo Di Francesco, MD, FACP, FHM Concurrent use of opioids and benzodiazepines nearly doubled from 2001 through 2013, leading to an increase in opioid overdoses, suggests a retrospective study in The BMJ. Using a large U.S. health claims database, researchers studied some 315,000 adults who filled at least one prescription for […]

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Uncategorized Published - 29 March, 2017    By - Dr Clemens
Exercises Lessen Pain After Cancer Surgery

By Christine Rhodes Interview with Jennifer Baima, MD Studies show there is no one-size-fits-all approach to rehabilitation from cancer surgery. Each type of cancer requires a different approach to achieve adherence, and lessen pain while working to restore physical function and other post-treatment challenges. Physical and occupational therapy are important components of recovery for many cancer […]

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