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Uncategorized Published - 21 November, 2016    By - Dr Clemens
Predicting pain outcomes after traumatic musculoskeletal injury

Pain: August 2016 – Volume 157 – Issue 8 – p 1733–1743 Authors: Rosenbloom, Brittany N et al Abstract: Traumatic musculoskeletal injury results in a high incidence of chronic pain; however, there is little evidence about the nature, quality, and severity of the pain. This study uses a prospective, observational, longitudinal design to (1) examine […]

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Uncategorized Published - 21 November, 2016    By - Dr Clemens
The dark side of opioids in pain management: basic science explains clinical observation

PAIN Reports: August 2016 – Volume 1 – Issue 2 – p 570 Authors: Rivat, Cyril et al Introduction: In the past 2 decades, opioids have been used increasingly for the treatment of persistent pain, and doses have tended to creep up. As basic science elucidates mechanisms of pain and analgesia, the cross talk between […]

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Uncategorized Published - 21 November, 2016    By - Dr Clemens
Bilateral Continuous Suprascapular Nerve Blocks for Bilateral Shoulder Hemiarthroplasty

A&A Case Reports: 15 September 2016 – Volume 7 – Issue 6 – p 125–128 Authors: Flaherty, James M. MD et al We report a novel case of a patient undergoing a bilateral shoulder hemiarthroplasty for chronic bilateral shoulder dislocations with proximal humeral fractures. Bilateral selective suprascapular nerve catheters were placed preoperatively with the intent […]

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Uncategorized Published - 18 November, 2016    By - Dr Clemens
Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock After Cardiac Surgery: The VANCS Randomized Controlled Trial

Authors: Ludhmila Abrahao Hajjar, M.D., Ph.D. et al Anesthesiology published on November 17, 2016. Background: Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes. The objective of this study was to evaluate whether vasopressin is superior to norepinephrine in reducing postoperative complications in patients with vasoplegic syndrome. Methods: This prospective, randomized, […]

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Uncategorized Published - 18 November, 2016    By - Dr Clemens
A New Score for Predicting Failure of Noninvasive Ventilation

Authors: Duan J et al., Intensive Care Med 2016 Nov 3; Five clinical criteria strongly predicted need for intubation in patients with respiratory failure. Use of noninvasive ventilation (NIV) can avoid intubation in some patients with respiratory failure by temporarily supporting ventilation during initial treatment, but many patients fail NIV and ultimately need intubation. Patients at risk […]

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