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Uncategorized Published - 23 April, 2015    By - Dr Clemens
Overdose Death Risk Rises Dramatically as Opioid Users Age

This is another post for our pain providers to read. The study was published in Drug and Alcohol Dependence. As users of heroin and other opioids get older, their risk for overdose death increases dramatically, a new study of age trends in excess deaths shows. Although male users had almost double the rate of drug-related poisoning in early […]

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Uncategorized Published - 23 April, 2015    By - Dr Clemens
Morphine Unsafe for Some Children After Tonsillectomy

After tonsillectomy, ibuprofen in combination with acetaminophen provides safe, effective analgesia for children. In contrast, morphine can cause life-threatening oxygen desaturation in certain children, and therefore its use should be avoided when possible. Lauren E. Kelly, PhD, from Western University, London, Ontario, Canada, and colleagues published the results of their prospective clinical trial in Pediatrics. Their study […]

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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Dose-dependency of dexamethasone on the analgesic effect of interscalene block for arthroscopic shoulder surgery using ropivacaine 0.5%: A randomised controlled trial.

Published in Eur J Anaesthesiol. 2015 Jan 17 Authors: Woo JH et al BACKGROUND: Dexamethasone prolongs the duration of single-shot interscalene brachial plexus block (SISB). However, dose-dependency of dexamethasone as an adjuvant for SISB remains insufficiently understood. OBJECTIVE: The objective of this study is to evaluate the effect of different doses of dexamethasone on the duration […]

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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Noncardiac Perioperative Risk Factors in Elderly Mapped

Patients older than 80 years have been found to do well after noncardiac surgery, with surprisingly few complications, according to a study from Japan. However, there are several factors that predict postoperative adverse events, including preoperative hypoalbuminemia, intraoperative blood transfusion, longer operative time and male gender. “The average life span has been rapidly increasing around […]

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Uncategorized Published - 22 April, 2015    By - Dr Clemens
Study Clears Gum Chewing Before Endoscopy

The findings appeared in the journal Digestive Diseases and Sciences. Patients who are fasting before upper endoscopy can safely chew gum up until the time of the procedure, researchers have found. Guidelines on preoperative fasting from the American Society of Anesthesiologists do not explicitly address gum chewing. However, many anesthesia departments prohibit sedation in such patients […]

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