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Uncategorized Published - 29 November, 2016    By - Dr Clemens
High-Frequency Spinal Cord Stimulation Provides Better Results in Chronic Back, Leg Pain

For patients with severe, chronic back and leg pain, a new high-frequency spinal cord stimulation (SCS) technique provides superior clinical outcomes, compared to conventional low-frequency SCS, reports a clinical trial in the November issue of Neurosurgery. The new ‘HF10′ technique offers lasting reductions in back and leg pain after other treatments have failed, according to […]

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Uncategorized Published - 29 November, 2016    By - Dr Clemens
Quality Improvement Initiative Helps Change Neostigmine Dosing Practice

Implementation of a quality improvement initiative substantially reduced excessive use of neostigmine while improving train-of-four–guided neostigmine administration. Over a six-month period, the initiative led to a decrease in the mean dose of intraoperative neostigmine from 2.9 to 2.5 mg, researchers reported. “Preliminary data have shown that these interventions led to a statistically significant reduction in […]

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Uncategorized Published - 28 November, 2016    By - Dr Clemens
Increasing body mass index and the incidence of intraoperative hypoxemia

Authors: Kendale S, Blitz J Journal of Clinical Anesthesia (JCA) 33 97-104 (Sep 2016) STUDY OBJECTIVE Obese patients regularly present for surgery and have greater hypoxemia risk. This study aimed to identify the risk and incidence of intraoperative hypoxemia with increasing body mass index (BMI). DESIGN This was a retrospective cohort study. SETTING Operating room. […]

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Uncategorized Published - 28 November, 2016    By - Dr Clemens
Perinatal Assessment Disappoints for Spotting Sepsis

Using the quick Sequential Organ Failure Assessment (qSOFA) score to assess sepsis in women during birth can lead to an unacceptably high rate of false negatives, according to a study presented at the 2016 annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP; abstract 01-03). “SIRS (systemic inflammatory response syndrome) criteria and Maternal […]

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Uncategorized Published - 28 November, 2016    By - Dr Clemens
Ask Your PTs Their Opinion of Your Blocks

Eye-Opener: Physical therapists may hold vastly different opinions than anesthesiologists of the utility of peripheral nerve blocks after total knee and hip replacement surgeries. “For a long time, we placed peripheral nerve catheters in every total knee replacement patient and every total hip replacement patient,” said Steven Porter, MD, assistant professor of anesthesiology at Mayo […]

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