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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Mild Sedation Exacerbates or Unmasks Focal Neurologic Dysfunction in Neurosurgical Patients with Supratentorial Brain Mass Lesions in a Drug-specific Manner

Anesthesiology. 2016 Mar;124(3):598-607 AUTHORS: Lin N et al BACKGROUND: Sedation is commonly used in neurosurgical patients but has been reported to produce transient focal neurologic dysfunction. The authors hypothesized that in patients with frontal-parietal-temporal brain tumors, focal neurologic deficits are unmasked or exacerbated by nonspecific sedation independent of the drug used. METHODS: This was a prospective, […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Postoperative pain control with paravertebral catheters after pediatric total pancreatectomy and islet autotransplantation: a retrospective cohort study

Paediatr Anaesth. 2016 Mar;26(3):315-20 AUTHORS: Hutchins J et al     . BACKGROUND: Total pancreatectomy and islet autotransplantation (TPIAT) has been used to treat pediatric patients with chronic pancreatitis. The primary symptom of this disease is extreme poorly controlled pain. This results in significant alterations in the quality of life of the patient. We sought to determine if […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
Fentanyl and Midazolam Are Ineffective in Reducing Episodic Intracranial Hypertension in Severe Pediatric Traumatic Brain Injury

Crit Care Med. 2016 Jan AUTHORS: Welch TP et al OBJECTIVE: To evaluate the clinical effectiveness of bolus-dose fentanyl and midazolam to treat episodic intracranial hypertension in children with severe traumatic brain injury. DESIGN: Retrospective cohort. SETTING: PICU in a university-affiliated children’s hospital level I trauma center. PATIENTS: Thirty-one children aged 0-18 years with severe traumatic […]

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Uncategorized Published - 2 March, 2016    By - Dr Clemens
A comparison between fentanyl plus celecoxib therapy and epidural anesthesia for postoperative pain management following laparoscopic gastrectomy

Surg Today. 2015 Dec 23 AUTHORS: Shibasaki S et al PURPOSE: To clarify the efficacy of postoperative pain management following laparoscopic gastrectomy (LG), we retrospectively compared pain assessments in patients who received fentanyl plus celecoxib with those who received epidural anesthesia. METHODS: From 2011 to 2012, 55 consecutive LG patients at our institution received 48 h of […]

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Uncategorized Published - 1 March, 2016    By - Dr Clemens
New Approach to Diagnosing Low Back Pain

Serum levels of the pro-inflammatory cytokine interleukin-6 (IL-6) vary in individuals with lumbar intervertebral disc disease and biochemical profiling of circulating cytokines may assist in refining personalised diagnoses of disc diseases, according to a study published in the journal Arthritis Research and Therapy. Low back pain is caused by multiple triggers that present in similar ways. […]

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