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Uncategorized Published - 17 November, 2015    By - Dr Clemens
Legitimate Rx Opioid Use in Adolescence Tied to Later Opioid Misuse

Use of clinician-recommended prescription opioids before the end of high school is associated with later opioid misuse — particularly among those high-schoolers who seem least likely to misuse drugs — a Pediatrics study finds. Researchers studied a nationally representative sample of 6200 youth who, in grade 12, completed questionnaires about drug use and then were followed up […]

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Uncategorized Published - 16 November, 2015    By - Dr Clemens
Comparison of oral oxycodone and naproxen in soft tissue injury pain control: a double-blind randomized clinical trial.

Am J Emerg Med 2015 Sep;33(9):1205-8. Authors: Fathi M et al OBJECTIVES: This randomized clinical trial compares the efficacy and safety of oral oxycodone (an oral opioid) with naproxen (a nonsteroidal anti-inflammatory drug) in acute pain control in patients with soft tissue injury. It also evaluates the need for additional doses of analgesics in the first 24 […]

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Uncategorized Published - 16 November, 2015    By - Dr Clemens
Study Quantifies Risks for Adverse Events Associated With Peri-op 5-HT3 Receptor Antagonists

Two analyses of the safety and efficacy of serotonin (5-HT3) receptor antagonists suggest that the most effective therapies for perioperative vomiting are ondansetron plus droperidol IV and granisetron plus dexamethasone (BMC Med 2015;13:136 and 142). Granisetron plus dexamethasone was also found to be one of the most effective therapies for nausea and for postoperative nausea and […]

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Uncategorized Published - 16 November, 2015    By - Dr Clemens
Hypotension Duration and Post-op Acute Kidney Injury

Dose–Response Relationship in Cardiac Surgery: Ottawa, Ontario, Canada—Cardiac anesthesiologists can add acute kidney injury (AKI) to the many deleterious effects of intraoperative hypotension. A retrospective cohort study by a team of Canadian investigators found a relationship between kidney injury and mean arterial pressure (MAP) less than 65 mm Hg, but also uncovered evidence of a […]

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Uncategorized Published - 16 November, 2015    By - Dr Clemens
First Day After Surgery Indicates Chance for Chronic Pain Later

The longer a patient is in severe pain during the first 24 hours following surgery, the more likely he or she will still be experiencing some form of chronic postsurgical pain one year later, according to a study presented at Euroanaesthesia 2015. This prospective, observational study (abstract ESAPC1-2), designed to investigate the incidence, characteristics and […]

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