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Uncategorized Published - 26 May, 2015    By - Dr Clemens
Anesthesia Comes With No Charge in Screening Colonoscopies, Feds Say

Earlier this week the federal government clarified that insurers can’t charge people for anesthesia administered during a free colonoscopy to screen for colorectal cancer. That’s good news for consumers, some of whom have been charged hundreds of dollars for anesthesia after undergoing what they thought would be a free test. But the government guidance leaves […]

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Uncategorized Published - 26 May, 2015    By - Dr Clemens
Nonsurgical and Surgical Treatments for Lumbar Spinal Stenosis

Published in BMJ 2015 Apr 1; 350:h1603 Authors: Nerland US et al. Physical therapy and minimally invasive surgery both fared well in randomized trials against open surgery. Two recent studies shed light on options for treating patients with lumbar spinal stenosis. In a randomized trial, investigators compared surgical decompression versus a formal physical therapy (PT) program in […]

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Uncategorized Published - 26 May, 2015    By - Dr Clemens
Oral Prednisone for Acute Sciatica? Small Improvement in Function, No Effect on Pain

Oral prednisone confers modest improvements in function — but no improvement in pain — among patients with sciatica due to a herniated disk, a JAMA study finds. Some 270 adults with radicular pain of no more than 3 months’ duration, disability scores of 30 or higher (on a 100-point scale), and a confirmed herniated disk were randomized […]

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Uncategorized Published - 22 May, 2015    By - Dr Clemens
Perioperative Surgical Home Promotes Perioperativists

What’s in a name? Everything to proponents of the American Society of Anesthesiologists’ (ASA) concept of the Perioperative Surgical Home (PSH), which sees the anesthesiologists’ role in the surgical suite morphing into that of a “perioperativist.” Alan E. Curle, MD, associate professor of clinical anesthesiology and director, Center for Perioperative Medicine, University of Rochester Medical […]

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Uncategorized Published - 22 May, 2015    By - Dr Clemens
Postoperative Benefits Seen With Preoperative IV Ibuprofen

To the well-documented analgesic benefits of IV ibuprofen add this: Preoperative administration of the nonsteroidal anti-inflammatory drug (NSAID) improves the overall quality of recovery. A recent study also revealed that IV ibuprofen might improve postoperative cognitive recovery. According to Vanny Le, MD, and a team of researchers from Rutgers New Jersey Medical School in Newark, […]

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