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Uncategorized Published - 21 July, 2015    By - Dr Clemens
Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study

BMJ 2015 Apr 16;350:h1748. Authors: Cohen SP et al OBJECTIVE: To evaluate whether an epidural steroid injection or gabapentin is a better treatment for lumbosacral radiculopathy. DESIGN: A multicenter randomized study conducted between 2011 and 2014. Computer generated randomization was stratified by site. Patients and evaluating physicians were blinded to treatment outcomes. SETTINGS: Eight military, Veterans Administration, […]

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Uncategorized Published - 20 July, 2015    By - Dr Clemens
Perceived Barriers to Computerised Quality Documentation During Anaesthesia

A Survey of Anaesthesia Staff BMC Anesthesiol. 2015;15(13) Authors: Johannes Wacker et al Background Underreporting of intraoperative events in anaesthesia is well-known and compromises quality documentation. The reasons for such omissions remain unclear. We conducted a questionnaire-based survey of anaesthesia staff to explore perceived barriers to reliable documentation during anaesthesia. Methods Participants anonymously completed a paper-based questionnaire. Predefined […]

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Uncategorized Published - 20 July, 2015    By - Dr Clemens
National Drop in Opioid Prescriptions, Overdose

A sudden and substantial drop in prescription opioid dispensing matched by a similar decrease in opioid overdose has been noted within 2 years of the introduction of abuse-deterrent extended- release formulations of oxycodone (multiple brands) along with the removal of propoxyphene (multiple brands), a weak opioid, from the prescription market, new research shows. Introduction of […]

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Uncategorized Published - 20 July, 2015    By - Dr Clemens
A randomized trial of 1% vs. 2% lignocaine by the spray-as-you-go technique for topical anesthesia during flexible bronchoscopy

Chest 2015 Mar 26 Authors: Kaur, H et al BACKGROUND: The optimal concentration of lignocaine to be used during flexible bronchoscopy (FB) remains unknown. This randomized controlled trial compared the efficacy and safety of 1% and 2% lignocaine solution for topical anesthesia during FB. METHODS: Consecutive patients were randomized to receive either 1% or 2% lignocaine […]

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Uncategorized Published - 20 July, 2015    By - Dr Clemens
Evolving Role of Local Anesthetics in Managing Postsurgical Analgesia

Clin Ther 2015 Jun 1;37(6):1354-71 Authors: Golembiewski J et al PURPOSE: Opioid analgesics, the cornerstone of effective postsurgical pain management, may be associated with risk of opioid-related adverse drug events (ADEs) that may complicate the postsurgical experience. Perioperative multimodal analgesic regimens have the potential to improve postsurgical pain control and may permit use of lower analgesic doses […]

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