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Uncategorized Published - 15 August, 2014    By - Dr. Clemens
Efficacy and Safety of Remifentanil and Sulfentanyl in Painless Gastroscopic Examination: A Prospective Study

Published in Surg Laparosc Endosc Percutan Tech. 2014 Jun 6 Authors: Zhao YJ et al Abstract We aim to assess efficacy and safety of remifentanil or sulfentanyl combined with propofol during painless gastroscopic examination in patients. In this study, 270 patients were randomly divided into 3 groups: propofol was given only in group P; propofol […]

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Uncategorized Published - 15 August, 2014    By - Dr. Clemens
A randomized trial of epidural glucocorticoid injections for spinal stenosis

Published in N Engl J Med. 2014 Jul 3;371(1):11-21 Authors: Friedly JL1 et al BACKGROUND: Epidural glucocorticoid injections are widely used to treat symptoms of lumbar spinal stenosis, a common cause of pain and disability in older adults. However, rigorous data are lacking regarding the effectiveness and safety of these injections. METHODS: In a double-blind, […]

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Uncategorized Published - 14 August, 2014    By - Dr. Clemens
Early afferent activity from the facet joint after painful trauma to its capsule potentiates neuronal excitability and glutamate signaling in the spinal cord

Published in Pain. 2014 Jun 28. pii: S0304-3959(14)00308-X. doi: 10.1016/j.pain.2014.06.019 Authors: Crosby ND et al Abstract Cervical facet joint injury induces persistent pain and central sensitization. Preventing the peripheral neuronal signals that initiate sensitization attenuates neuropathic pain. Yet, there is no clear relationship among facet joint afferent activity, development of central sensitization, and pain, which […]

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Uncategorized Published - 14 August, 2014    By - Dr. Clemens
4 tips to make that ‘difficult chat’ easier

Talking to employees about performance problems, attendance issues or an upcoming layoff can be awkward and difficult. But there are steps you can take to make those types of conversations easier for you—and your employees. Leaders are often placed in situations that require difficult conversations.  It’s quite common to put off these painful encounters because […]

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Uncategorized Published - 14 August, 2014    By - Dr. Clemens
Aspiration induced by remifentanil: a double-blind, randomized, crossover study in healthy volunteers

Published in Anesthesiology. 2014 Jul;121(1):52-8 Authors: Savilampi J et al BACKGROUND: Remifentanil is widely used for monitored anesthesia care in spontaneously breathing patients. However, the authors’ previous studies have shown that remifentanil induces subjective swallowing difficulties, which may increase the risk of aspiration. METHODS: Twenty-five healthy volunteers participated in a double-blind, randomized, crossover trial at […]

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