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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Success of Spinal Anesthesia Lower for Preterm Parturients

A review of more than 5,000 patient records has concluded that women undergoing preterm cesarean delivery have a significantly higher risk for failed spinal anesthesia than women undergoing the procedure at full term. These findings, reported by a Duke University research team suggest that an increased spinal dose—or combined spinal–epidural technique—may be necessary to reliably […]

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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Assessment of perianesthesic data in subjects undergoing endobronchial ultrasound-guided transbronchial needle aspiration

Published in Respir Care. 2015 Apr;60(4):567-76 Authors: Sazak H et al BACKGROUND: Transbronchial needle aspiration using endobronchial ultrasonography (EBUS-TBNA), a new minimally invasive diagnostic procedure, has been used to evaluate intrathoracic lymph nodes. It has been reported that EBUS-TBNA can be performed safely under sedation and provides a high level of patient satisfaction. We aimed […]

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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Severe Postherpetic Neuralgia and Other Neuropathic Pain Syndromes Alleviated by Topical Gabapentin

This is for our pain providers. Published in Br J Dermatol. 2014 Dec 18 Authors: Hiom S et al Herpes zoster reactivation, shingles, affects 0.2% of the population 1 and complications include: secondary bacterial infection, postherpetic neuralgia (PHN), ulceration and scarring, pneumonitis, hepatitis, Ramsey-Hunt syndrome, meningoencephalitis and paralysis. PHN occurs in 10 -15% of patients […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Transdermal buprenorphine controls central neuropathic pain

Published in J Opioid Manag. 2012 Nov-Dec:8(6):414-5 Authors: Weiner M et al A 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Anaphylaxis Requires Prompt Epinephrine Shot

Patients with signs of anaphylaxis should be given epinephrine in the anterolateral thigh as first-line treatment, according to new practice parameters published in the December issue of the Annals of Allergy, Asthma and Immunology. However, studies show that even when anaphylaxis is correctly diagnosed, clinicians in emergency departments fail to administer epinephrine up to 80% of the time. […]

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