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Uncategorized Published - 24 March, 2015    By - Dr Clemens
Minimally Invasive Disc Surgery Does Not Improve Long-Term Function, Reduce Pain

This is for our pain providers. Researchers have found that current evidence does not support the routine use of minimally invasive surgery to remove herniated disc material pressing on the nerve root or spinal cord in the neck or lower back. In comparing it with open surgery, researchers found that while minimally invasive surgery for […]

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Uncategorized Published - 24 March, 2015    By - Dr Clemens
Blood Clotting for Liver Donors Worse Than Suspected

Healthy liver donors may be at increased risk for blood clots after hepatectomy, Japanese researchers have found. The retrospective study looked at 55 adult donors, all from the University of Tokyo Hospital, and found that hepatectomy influenced coagulation status, especially in the extrinsic pathway of coagulation. According to the study, one-third of the healthy liver […]

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Uncategorized Published - 24 March, 2015    By - Dr Clemens
Post-Op Nausea and Vomiting Reduced With IV Acetaminophen

But overall opioid use unchanged in this lap chole study Preliminary data indicate reduced postoperative/post-discharge nausea and vomiting (PONV/PDNV) and improved patient satisfaction after a single dose of IV acetaminophen in patients undergoing laparoscopic cholecystectomy, compared with traditional opioid-based anesthetics. Despite this, the overall amount of opioid administered intraoperatively and in the postanesthesia care unit […]

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Uncategorized Published - 23 March, 2015    By - Dr Clemens
Should Moderate MR Be Repaired During CABG?

Authors: Smith PK et al., N Engl J Med 2014 Nov 18; Although a combined procedure may improve mitral regurgitation, other measures were not as positive. The potential benefit of adding mitral valve repair (MVR) to coronary artery bypass grafting (CABG) in patients with moderate mitral regurgitation (MR) is uncertain. In this multicenter trial (NCT00806988), 301 patients […]

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Uncategorized Published - 23 March, 2015    By - Dr Clemens
Dexmedetomidine Promising for Deep Pediatric Sedation

When performing deep sedation in children undergoing magnetic resonance imaging (MRI) studies, anesthesiologists often are on the lookout for a drug that will not inhibit airway patency. A trial by a group of Buffalo researchers has concluded that dexmedetomidine may be one such alternative, as it causes no more airway collapses than propofol in these […]

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