⭐ Recognized by FeedSpot: #12 Best Anesthesiology Blog Worldwide

Uncategorized Published - 14 August, 2014    By - Dr. Clemens
Topical and peripheral ketamine as an analgesic

Published in Anesth Analg. 2014 Jul;119(1):170-8 Authors: Sawynok J. et al Abstract Ketamine, in subanesthetic doses, produces systemic analgesia in chronic pain settings, an action largely attributed to block of N-methyl-D-aspartate receptors in the spinal cord and inhibition of central sensitization processes. N-methyl-D-aspartate receptors also are located peripherally on sensory afferent nerve endings, and this […]

Read More
Uncategorized Published - 14 August, 2014    By - Dr. Clemens
Study Elucidates Spike in 1997-2009 Opioid Prescribing; Trend May Be Reversing

The multifaceted problem of sharply rising opioid prescribing and related overdose deaths, which peaked in 2009, has been further analyzed by a research group in a recently published paper PM R 2014 Jan 9. The Stanford University team used 1997-2009 data from the large National Ambulatory and National Health Ambulatory Medical Care Surveys from the […]

Read More
Uncategorized Published - 13 August, 2014    By - Dr. Clemens
Case discussion and root cause analysis: bupivacaine overdose in an infant leading to ventricular tachycardia

Published in Anesth Analg. 2014 Jul;119(1):137-40. Authors: Buck D et al Abstract An otherwise healthy 11-month-old, 8-kg infant presented for an elective circumcision. After a penile block with an excessive dose of 0.5% bupivacaine, the patient progressed to ventricular tachycardia. He was resuscitated with intralipid and had an uneventful recovery. The case was classified as […]

Read More
Uncategorized Published - 13 August, 2014    By - Dr. Clemens
Local Infiltration Analgesia Offers Pain Relief in Some Joint Surgeries

Local infiltration analgesia (LIA) provides effective analgesia early after total knee arthroplasty but has limited efficacy after total hip arthroplasty, according to results of a systematic review. “LIA should preferably be used in combination with evidence-based multimodal systemic analgesia,” Dr. Lasse O. Andersen from Bispebjerg Hospital in Copenhagen, Denmark told Reuters Health by email. “For […]

Read More
Uncategorized Published - 13 August, 2014    By - Dr. Clemens
Hospitals Tighten ESA Use To Reduce Costs

By implementing protocols that restrict the use of erythropoietin-stimulating agents (ESAs), hospitals can successfully cut costs while maintaining an equivalent level of patient care, according to two recent studies. At St. John Hospital and Medical Center in Detroit, a policy that delayed ESA administration to certain patients decreased ESA purchases by more than $16,000 per […]

Read More