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The Neuromodulation Appropriateness Consensus Committee (NACC) has released the first comprehensive guidance on best practices for neurostimulation for chronic pain. The guidelines, four peer-reviewed articles totaling 101 pages that were authored by about 60 international experts, were published in the journal Neuromodulation (2014;17:515-615) and cover the following general areas: appropriate use of neurostimulation of the spinal cord […]
Read MoreElderly patients undergoing ambulatory gastrointestinal procedures often receive inappropriately high doses of anesthesia at induction, researchers have found. The study, a review of the anesthetic management of patients undergoing upper endoscopy and colonoscopy at Yale School of Medicine, in New Haven, Conn., found that even with age-adjusted dosing, significant drops in mean arterial pressure occur. […]
Read MoreWho controls certification? Author: Robert E. Johnstone, MD Four decades ago, board certification was a mark of excellence, a goal for achievers and not a practice requirement. Certification designated an anesthesiologist with consultant-level knowledge and extraordinary capabilities. But times have changed. Many institutions and groups now require certification for clinician credentialing. No certification increasingly means […]
Read MorePublished in Interventions in Aging 10 1-11 (2015) Authors: Guerriero F et al PURPOSE Chronic pain is highly prevalent in older adults. Increasing evidence indicates strong opioids as a valid option for chronic pain management in geriatrics. The aim of this study was to evaluate efficacy and safety of low-dose oral prolonged-release oxycodone-naloxone (OXN-PR) in […]
Read MoreAuthors: Kristi T. Lopez, MD et al Published in South Med J. 2014;107(12):764-767. Abstract Objectives In advance of endoscopic procedures, an evaluation to assess the risk of sedation is performed by the gastroenterologist. Based on regulations, gastroenterologists are required to perform an airway assessment. At this time, data supporting this regulation are limited; therefore, we evaluated airway […]
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