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Uncategorized Published - 27 July, 2015    By - Dr Clemens
Pain in the Frail or Elderly Patient: Does Tapentadol Have a Role?

Published in Drugs Aging. 2015 Jun;32(6):419-26. Authors: Veal FC et al Abstract Persistent pain affects the elderly disproportionally, occurring in 50 % of elderly community-dwelling patients and 80 % of aged care residents. The management of pain in the elderly and frail patient is complicated because of the risks posed by changes in pharmacokinetics and pharmacodynamics, polypharmacy, and drug-disease […]

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Uncategorized Published - 27 July, 2015    By - Dr Clemens
Liposomal-Encased Bupivacaine Offers Advantages in Breast Surgical Procedures

Liposomal-encased bupivacaine (LEB) is a good, cost-effective medical choice for pain control after breast surgery. Valerie Lemaine, MD, MPH, an assistant professor of plastic surgery and the vice chair for research at Mayo Clinic College of Medicine, Rochester, Minn., reviewed her experience at the 32nd Annual Miami Breast Cancer Conference. She noted that the drug […]

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Uncategorized Published - 27 July, 2015    By - Dr Clemens
Q: Can Mechanically Ventilated Patients Self-Administer Sedatives? A: Yes

Despite obvious challenges in identifying appropriate candidates, mechanically ventilated patients can safely self-administer sedative medications using widely available infusion pumps, a research team has concluded. Although the researchers’ primary focus was not the efficacy of the patient-controlled sedation (PCS) system, they hope to delve deeper into outcomes in future studies. “For many years, the paradigm […]

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Uncategorized Published - 27 July, 2015    By - Dr Clemens
Ultrasound-Guided Penile Nerve Block for Circumcision: A New, Modified Technique

M-Irfan Suleman, MD  All research for this report was undertaken while the author was: Assistant Professor of Anesthesiology Director of Pediatric Regional Anesthesia Department of Anesthesiology Arkansas Children’s Hospital and University of Arkansas for Medical Sciences Little Rock, Arkansas I describe here a new, modified, ultrasound-guided penile block for male pediatric patients undergoing circumcision. The […]

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Uncategorized Published - 24 July, 2015    By - Dr Clemens
Tension-Type Headaches Linked to Neck Weakness

It appears that patients with tension-type headache (TTH) have relatively weak neck extension muscles, a new study shows. Researchers found that these patients are 26% weaker than controls with respect to neck extension muscles, that they have a 12% smaller extension/flexion ratio, and that they have a borderline significant difference in the ability to generate […]

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