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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Can the Modified LEMON Score Predict Difficult Intubation?

Authors: Hagiwara Y et al., Am J Emerg Med 2015 Jun 19; A Japanese registry study suggests the score has fair sensitivity and specificity. The LEMON score is a mnemonic for predicting difficult intubation. It stands for Look, Evaluate the 3-3-2 rule, Mallampati score, Obstruction, and Neck mobility (NEJM JW Emerg Med Mar 2005 and Emerg Med J 2005; 22:99). […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Prophylactic Administration of Ondansetron in Prevention of Intrathecal Morphine-induced Pruritus and Post-operative Nausea and Vomiting in Patients Undergoing Caesarean Section

BMC Anesthesiol. 2015;15(18) Authors: Ram Bhakta Koju et al Background Intrathecal morphine is commonly used for post caesarean analgesia. However, their use is frequently associated with the incidence of troublesome side effects such as nausea, vomiting and pruritus. Various mechanisms have been postulated for the opioid-induced pruritus, with a variety of medications with different mechanisms […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Pregabalin in Subjects With Painful Diabetic Peripheral Neuropathy Using an NSAID for Other Pain Conditions: A Double-Blind Crossover Study

Clin J Pain. 2015 May 8 Authors: Raskin P1 et al OBJECTIVES: To evaluate pregabalin’s efficacy and safety versus placebo to reduce pain in subjects with diabetic peripheral neuropathy (DPN) using a concomitant nonsteroidal anti-inflammatory drug (NSAID). METHODS: In a randomized, double-masked, 14-week, 2-period, crossover study, subjects with painful DPN using an NSAID for non-DPN-related […]

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Uncategorized Published - 7 August, 2015    By - Dr Clemens
Benzodiazepines May be Worse than Opioids: Negative Medication Effects in Severe Chronic Pain

Clin J Pain. 2015 May 8. Authors: Gauntlett-Gilbert J1 et al OBJECTIVES: Opioid prescription for non-malignant pain is increasing in Europe and the US. Research and guidance have focused on the potential for dependency and medical side effects with high doses. In contrast, benzodiazepines have received little attention in the chronic pain literature, despite evidence […]

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Uncategorized Published - 6 August, 2015    By - Dr Clemens
Medicare Favors Generic Opioids Over Abuse-Deterrent Formulations

The abuse of prescription painkillers is a growing problem for seniors, as it is for other age groups. But Medicare drug plans are cutting back on coverage for a specially designated type of painkiller that deters abuse in favor of cheaper generics that don’t have the same deterrent qualities, a new study found. Overall, Medicare […]

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