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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Dyspnea, relative youth and low daily doses of opioids predict increased opioid dosage in the last week of a terminal cancer patient’s life

Published in Jpn J Clin Oncol. 2014 Nov; 44(11):1082-7 Authors: Miura T et al OBJECTIVE: Most cancer patients become increasingly anxious toward the end of their life. The objective of this study was to identify predictors of increased opioid dosage in the last week of a terminal cancer patient’s life. METHODS: We retrospectively reviewed charts […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Pain Specialists Show Increasing Rates of Burnout

Prevention, mitigation programs needed The high rate of burnout among pain specialists found in a recent study may be a wake-up call to the specialty, as it places these physicians at risk for substance abuse, interpersonal difficulties and suicidal tendencies, and also increases the risk for medical errors. The investigators called for preemptive measures to […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
ICD-10, Meaningful Use among AMA’s top issues of 2015

Implementation of ICD-10 ranks among the top 10 issues for physicians to watch in 2015, according to a list published by the American Medical Association. The list notes that myriad regulatory requirements, which take time away from patient care, are among physicians’ greatest frustrations. Relief from the multiple government mandates was among the three “Congressional […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Intranasal Nicotine Increases Postoperative Nausea and is Ineffective in Reducing Pain Following Laparoscopic Bariatric Surgery in Tobacco-Naïve Females: A Randomized, Double Blind Trial

Published in Obes Surg. 2014 Sep Authors: Weingarten TN et al BACKGROUND: Nicotine is a known analgesic. Our primary aim was to test the hypothesis that intranasal nicotine administered intraoperatively reduces the need for postoperative opioids. The secondary outcomes included evaluation of both postoperative pain and nausea and vomiting (PONV). MATERIAL AND METHODS: Nonsmoking female […]

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Uncategorized Published - 14 January, 2015    By - Dr Clemens
Postoperative Opioid-induced Respiratory Depression: A Closed Claims Analysis

Published in Journal of the American Society of Anesthesiologists 2/2015. Authors: Lorri A. Lee, M.D. et al Background: Postoperative opioid-induced respiratory depression (RD) is a significant cause of death and brain damage in the perioperative period. The authors examined anesthesia closed malpractice claims associated with RD to determine whether patterns of injuries could guide preventative […]

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