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Uncategorized Published - 24 January, 2017    By - Dr Clemens
2016 Practical Clinical Advances: Ketamine and Metformin

Editor’s Memo December 2016 By Forest Tennant, MD, DrPH Last December, I wrote about 2 scientific clinical advances relevant to pain management: the recognition that circulating catecholamines control descending pain, and centralization of pain and neuroinflammation as the fundamental causes of persistent or intractable pain. This year’s Practical Clinical Advances of 2016 recognition goes to the […]

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Uncategorized Published - 24 January, 2017    By - Dr Clemens
Gabapentin Dosing for Neuropathic Pain

Ask the Expert December 2016 By Kelly Korza and McKenzie C Ferguson, PharmD, BCPS First, we must consider the different neuropathic pain types. Neuropathic pain can be diverse in nature, encompassing a wide range of pain types, including post-herpetic neuralgia (PHN), painful diabetic peripheral neuropathy (DPN), and painful cancer-related neuropathies. Gabapentin has been shown to be beneficial in […]

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Uncategorized Published - 24 January, 2017    By - Dr Clemens
Pediatric dental anesthesia: The Dental Board gets it wrong

By Karen at A Penned Point Six-year-old Caleb Sears:  His death was preventable I’m not a pediatric anesthesiologist. Most of us in anesthesiology – even those who take care of children in the operating room or the ICU every day – probably will never give anesthesia to a child in a dentist’s or oral surgeon’s office. […]

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Uncategorized Published - 24 January, 2017    By - Dr Clemens
Preoperative Heart Rate and Myocardial Injury After Non-cardiac Surgery

Results of a Predefined Secondary Analysis of the VISION Study Authors: T. E. F. Abbott et al Br J Anaesth. 2016;117(2):172-181. Background: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). […]

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Uncategorized Published - 24 January, 2017    By - Dr Clemens
A Preliminary Examination of the Comparative Efficacy of Intravenous vs Oral Acetaminophen in the Treatment of Perioperative Pain

Authors: Anthony Plunkett MD et al Journal of American Academy of Pain Medicine 29 December 2016 Objective.The management of postoperative pain is a major health care issue. While the cost of intravenous acetaminophen (IVA) is significantly greater than its oral acetaminophen (OA) counterpart, less is known regarding comparative effectiveness of these routes. The purpose of this study […]

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