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Uncategorized Published - 15 October, 2015    By - Dr Clemens
Psychiatric Comorbidity Is Associated Prospectively with Diminished Opioid Analgesia and Increased Opioid Misuse in Patients with Chronic Low Back Pain

Authors: Ajay D. Wasan, M.D., M.Sc. et al Anesthesiology 10 2015, Vol.123, 861-872. Background: Opioids are frequently prescribed for chronic low back pain (CLBP), but there are little prospective data on which patient subgroups may benefit. Psychiatric comorbidity, such as high levels of depression and anxiety symptoms (termed comorbid negative affect [NA]), is a common presentation and […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
Association between Initial Fluid Choice and Subsequent In-hospital Mortality during the Resuscitation of Adults with Septic Shock

Authors: Karthik Raghunathan, M.D., M.P.H. et al Anesthesiology 9 2015 Background: Currently, guidelines recommend initial resuscitation with intravenous (IV) crystalloids during severe sepsis/septic shock. Albumin is suggested as an alternative. However, fluid mixtures are often used in practice, and it is unclear whether the specific mixture of IV fluids used impacts outcomes. The objective of this study […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
he i-gel vs. the PRO-Breathe Laryngeal Mask Airway in Children

Authors: Drake-Brockman TF et al., Anaesthesia 2015 Sep 10; In anesthetized spontaneously breathing children, leakage volume was greater, device dislodgement was more common, and first-attempt insertion success was lower with the i-gel. The i-gel is an extraglottic device with a noninflatable cuff made of a flexible gelatinous material. The PRO-Breathe is a silicone-based standard laryngeal mask airway […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
An Expedited Care Pathway with Ambulatory Brachial Plexus Analgesia Is a Cost-effective Alternative to Standard Inpatient Care after Complex Arthroscopic Elbow Surgery: A Randomized, Single-blinded Study

Authors: Hillenn Cruz Eng, M.D. et al Anesthesiology 9 2015 Background: Common standard practice after complex arthroscopic elbow surgery includes hospital admission for 72 h. The authors hypothesized that an expedited care pathway, with 24 h of hospital admission and ambulatory brachial plexus analgesia and continuous passive motion at home, results in equivalent elbow range of motion […]

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Uncategorized Published - 15 October, 2015    By - Dr Clemens
Trends in Pain Medicine Liability

Authors: Kelly A. Pollak, M.D. Anesthesiology 9 2015 Background: The authors examined changes in the frequency of pain medicine malpractice claims and associated treatment modalities and outcomes over time. Methods: The authors analyzed trends in pain medicine claims from 1980 to 2012 in the Anesthesia Closed Claims Project database by binary logistic regression on year of event. Pain […]

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