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Uncategorized Published - 23 January, 2015    By - Dr Clemens
FDA: Not Enough Data to Make New Recommendations on Pain Meds During Pregnancy

Pregnant women should carefully consider whether or not to take pain medication, the FDA advises. However, the agency says that it cannot make any new recommendations on pain medication during pregnancy because available data are too limited. The agency reviewed available data in response to concerns about the safety of using either over-the-counter (e.g., acetaminophen, […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
Persistent paralysis after spinal anesthesia for cesarean delivery

Published in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V et al Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old parturient presented at 41(2/7) […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
Calibrated versus uncalibrated arterial pressure waveform analysis in monitoring cardiac output with transpulmonary thermodilution in patients with severe sepsis and septic shock: An observational study

Published in European Journal of Anaesthesiology January 2015 – Volume 32 – Issue 1 – p 5–12 Authors: Slagt et al BACKGROUND: Cardiac output (CO) measurement is often required in critically ill patients. The performances of newer, less invasive techniques require evaluation in patients with severe sepsis and septic shock. OBJECTIVES: To compare calibrated arterial […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
How Many Cycles of OnabotulinumtoxinA for Chronic Migraine?

Authors: Silberstein SD et al., J Neurol Neurosurg Psychiatry 2014 Dec 12; Most chronic migraineurs who ultimately respond to onabotulinumtoxinA do so with the first cycle, but a proportion of initial nonresponders may respond to a second or third cycle. In this manufacturer-funded study, researchers examined how many chronic migraineurs who do not respond to the first […]

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Uncategorized Published - 23 January, 2015    By - Dr Clemens
Little Evidence to Guide Opioid Use for Chronic Pain Management

There is little evidence that patients with chronic pain who receive long-term opioid treatment have improved function, enhanced quality of life, or diminished pain, according to a position paper in the Annals of Internal Medicine. Based on a National Institutes of Health workshop on the role of opioids for pain management, a panel recommends that “in […]

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