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Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: Opioid titration with sustained-release oxycodone and immediate-release morphine for moderate/severe cancer pain: a pilot assessment of the CoDem protocol

Authors: Samolsky Dekel BG et al Published in Journal of Opioid Management 10 (1), 29-38 (Jan-Feb 2014) OBJECTIVES: Opioid titration is the first challenging stage for rapid control of moderate/severe cancer pain. Evidence shows that sustained-release formulations may be used for opioid titration. We set a pilot assessment of the efficacy and tolerability of our […]

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Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: Paraplegia following lumbosacral steroid epidural injections

Published in Journal of Clinical Anesthesia (JCA) (Sep 2014) Authors: AbdeleRahman K, Rakocevic G; Spinal cord ischemia is a rare but possible neurological complication following routine conservative treatment of lumbosacral radiculopathy. A case of a 46 year old woman with chronic L5 radiculopathy, who developed spinal cord ischemia following epidural steroid injection, is reported. Two […]

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Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: Opioid Prescription Should Include Risk Assessment

When Steven Passik, PhD, slipped on the ice earlier this year and tore his supraspinatus tendon, he needed rotary cuff surgery and was given a prescription for opioids to deal with the pain — no questions asked. “They didn’t ask me who I am or what I do; they didn’t ask me a single question […]

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Uncategorized Published - 17 October, 2014    By - Dr. Clemens
Anesthesia Management: How to Be Way More Productive

Wake Up With More Energy Many people feel tired in the morning not because they didn’t sleep enough but because they have low blood sugar. You can minimize this by consuming a tablespoon or two of unsweetened almond butter before you go to sleep. It’s a very simple way to stabilize your blood sugar. (I’ve […]

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Uncategorized Published - 16 October, 2014    By - Dr. Clemens
Anesthesia Management: DEA Rules Tramadol A Schedule IV Drug

The Drug Enforcement Administration (DEA) has officially changed tramadol from a non-classified drug to a Schedule IV substance under the Controlled Substances Act, effective Aug. 18, 2014. This change was published in the Federal Register (2014;79:37624). Ever since the FDA approved tramadol for the management of chronic pain in 1995, there has been an ongoing […]

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