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Uncategorized Published - 27 March, 2015    By - Dr Clemens
The importance of pleural integrity for effective and safe thoracic paravertebral block: a retrospective comparative study on postoperative pain control by paravertebral block

Published in CardioVasc Thoracic Surgery Volume 20, Issue 3 Pp. 296-299 Authors: Teruya Komatsua et al OBJECTIVES Recently, paravertebral block (PVB) has been reported to be an effective analgesic modality for post-thoracotomy pain, but there is no consensus on how thoracic PVB can be more effective. Our hypothesis that intact pleura has a significant impact on the analgesic […]

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Uncategorized Published - 27 March, 2015    By - Dr Clemens
Postoperative Delirium Guideline for Older Adults Issued

The American Geriatrics Society (AGS) has released a new practice guideline for preventing and treating postoperative delirium in patients aged 65 years or older. The guideline was published onlineNovember 4 on the AGS website. An additional best practices document containing almost all guideline recommendations plus additional clinical recommendations was published in the Journal of the American College of Surgeons. The […]

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Uncategorized Published - 27 March, 2015    By - Dr Clemens
Low-Pressure Epidural Gravity Saline Technique May Reduce Cesarean Complications

In patients undergoing cesarean delivery who are receiving a combined spinal epidural (CSE), a study has found that delivering epidural saline using a low-pressure gravity technique leads to fewer complications than relying solely on an epidural catheter. The investigators Shaul Cohen, MD, Antonio Chiricolo, MD, and their colleagues from the Rutgers-Robert Wood Johnson University Hospital, […]

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Uncategorized Published - 26 March, 2015    By - Dr Clemens
FDA Declines Approval for Intranasal Migraine Treatment

The US Food and Drug Administration (FDA) has declined approval for a drug-device product combining low-dose sumatriptan powder delivered intranasally using a novel delivery technology for the treatment of migraine (AVP-825, Avanir Pharmaceuticals Inc), the company reports. “In the Complete Response letter (CRL), and consistent with the preliminary feedback announced on November 7, 2014, the […]

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Uncategorized Published - 26 March, 2015    By - Dr Clemens
Persistent Postmastectomy Pain and Pain-Related Physical and Emotional Functioning With and Without a Continuous Paravertebral Nerve Block: A Prospective 1-Year Follow-Up Assessment of a Randomized, Triple-Masked, Placebo-Controlled Study

Published in Ann Surg Oncol. 2014 Nov 21. Authors: Ilfeld BM et al BACKGROUND: In a previous randomized, triple-masked, placebo-controlled study, the authors demonstrated that extending a single-injection paravertebral nerve block with a multiple-day perineural local anesthetic infusion improves analgesia and decreases pain-related dysfunction during the 3-day infusion but not subsequent to catheter removal within 1 month […]

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