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Uncategorized Published - 16 June, 2015    By - Dr Clemens
Effect of high-volume systematic local infiltration analgesia in Caesarean section: a randomised, placebo-controlled trial.

Published in Acta Anesthesiol Scand 2015 May;59(5):632-9. doi: 10.1111/aas.12509. Epub 2015 Mar 18. Authors: Larsen KR et al BACKGROUND: Pain after Caesarean section is often treated with opioids with a risk of side effects. Wound infiltration with local anaesthetics is effective and has few side effects, but volume vs. dose concentration has not been examined. METHODS: […]

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Uncategorized Published - 16 June, 2015    By - Dr Clemens
What Influences Onset and Persistence of Post–Lumbar Puncture Headache?

Authors: Monserrate AE et al., JAMA Neurol 2015 Mar 72:325 Factors that acutely lower cerebrospinal fluid pressure may produce early post–lumbar puncture headache, but other factors affect headache persistence. Diagnostic lumbar punctures aid in the diagnosis of infections and diseases of the central nervous system. Life-threatening events from lumbar punctures are rare, but post–lumbar (dural) puncture headaches […]

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Uncategorized Published - 15 June, 2015    By - Dr Clemens
High-Frequency SCS Raises Bar on Chronic Pain Relief

Patients with severe chronic pain who undergo implantation with an investigational high-frequency spinal cord stimulation (SCS) device show twice the magnitude of pain relief and remission compared with those receiving a conventional, lower-frequency SCS device, according to results from the first randomized clinical study of the technology. “Spinal cord stimulation has been used for approximately […]

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Uncategorized Published - 15 June, 2015    By - Dr Clemens
Continuous Spinal Anaesthesia Versus Ultrasound-guided Combined Psoas Compartment-sciatic Nerve Block for Hip Replacement Surgery in Elderly High-risk Patients A Prospective Randomised Study

Authors: Mehmet Aksoy et al Published in BMC Anesthesiol. 2014;14(99) Background Our aim is to compare the hemodynamic effects of combined psoas compartment-sciatic nerve block (PCSNB) with continuous spinal anaesthesia (CSA) in elderly high-risk patients undergoing hip replacement surgery. Methods Seventy patients over the age of 60 with ASA III or IV physical status were randomly allocated to […]

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Uncategorized Published - 15 June, 2015    By - Dr Clemens
Perioperative Delirium Common in Hip Fracture Patients

Forty-eight percent of hip fracture patients, aged 65 years and older, experienced delirium before, during and after surgery, resulting in significantly longer hospital stays and higher costs for care (Paper 308), Michael G. Zywiel, MD, reported at the 2015 annual meeting of the American Academy of Orthopaedic Surgeons (AAOS). “As reimbursement schemes evolve toward greater […]

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