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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Which level is responsible for gluteal pain in lumbar disc hernia?

BMC Musculoskelet Disord. 2016; 17(1): 356. Authors: Guofang Fang, et al There are many different reasons why patients could be experiencing pain in the gluteal area. Previous studies have shown an association between radicular low back pain (LBP) and gluteal pain (GP). Studies locating the specific level responsible for gluteal pain in lumbar disc hernias […]

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Uncategorized Published - 23 November, 2016    By - Dr Clemens
Near Miss for Wrong-Sided Block Illustrates Importance of Protocols

The Case of the Sweaty Patient: Despite a zero-tolerance policy at many institutions and organizations, wrong-sided blocks still occur, although many go unreported. Yet as a near miss at Duke University Medical Center helps illustrate, implementation of an anesthesiologist-led block protocol helps prevent such accidents from taking place. “We’ve always had an institutional guideline for […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
Device for Identifying Epidural Space Shows Promise

Preliminary analysis of data from an ongoing multicenter trial suggests that epidural analgesia may be about to take its most radical turn in more than a century. The analysis found that a novel computerized injection pump technology is as successful in identifying the epidural space as are fluoroscopy and loss of resistance, which one of […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
For TAVR, Lower Mortality Using Moderate Sedation Versus General Anesthesia

Is moderate sedation safer than general anesthesia for transcatheter aortic valve replacement (TAVR), or is it that lower-risk patients are more likely to receive moderate sedation? That is the question raised by a new 11,000-patient study that found 30-day mortality rates were 38% lower among TAVR patients who received moderate sedation than those who were […]

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Uncategorized Published - 22 November, 2016    By - Dr Clemens
Sedation and Analgesia in Pediatric Cardiac Critical Care

Authors: Viviane G. Nasr, MD et al Pediatr Crit Care Med. 2016;17(S1):S225-S231. Objectives: This review will focus on the pharmacokinetics (with an emphasis on the context-sensitive half-time), pharmacodynamics, and hemodynamic characteristics of the most commonly used sedative/hypnotic, analgesic, and IV anesthetics used in cardiac intensive care. In addition, the assessment of pain and agitation and withdrawal will […]

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