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Uncategorized Published - 11 June, 2018    By - Dr Clemens
The NFL’s Pain Drug of Choice

This is another article I found interesting so I wanted to share it with our pain practitioners along with our readers. Injections and pain-relieving pills on game day. Potential lasting damage. B/R Mag’s survey of 50 current players sheds light on pro football’s dirty secret: Toradol They didn’t ask questions. If something hurt, NFL players […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
IARS Consensus Statement Addresses Neuromuscular Monitoring

In an effort to improve the use and safety of neuromuscular monitoring, the International Anesthesia Research Society recently published a consensus statement on its use in the perioperative setting (Anesth Analg 2017 Nov 30. [Epub ahead of print]). The statement includes several recommendations laid out by a team of physician experts on the proper use […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Pain Control Protocol Reduces Opioid Use

A North Carolina hospital’s trauma service created a multidisciplinary team that substantially reduced opioid prescriptions for patients by standardizing the approach to pain control, according to a new study. The Wake Forest Baptist Medical Center’s multidisciplinary team implemented a pain management protocol (PMP) for trauma patients that improved pain management and patient satisfaction while reducing […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Physicians Balk at FDA Warning on Anesthesia in Pregnant Women

Repeated or lengthy use of general anesthetic and sedation drugs in infants, toddlers and pregnant women in their third trimester might damage children’s developing brains, the U.S. Food and Drug Administration warned this month. Upset that the warning about pregnant women was based solely on animal studies, the American College of Obstetricians and Gynecologists, or […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Inhalational versus Intravenous Induction of Anesthesia in Children with a High Risk of Perioperative Respiratory Adverse Events: A Randomized Controlled Trial

Authors: Anoop Ramgolam, Ph.D. et al     Anesthesiology 6 2018, Vol.128, 1065-1074. Background: Limited evidence suggests that children have a lower incidence of perioperative respiratory adverse events when intravenous propofol is used compared with inhalational sevoflurane for the anesthesia induction. Limiting these events can improve recovery time as well as decreasing surgery waitlists and healthcare costs. This […]

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Uncategorized Published - 8 June, 2018    By - Dr Clemens
Effect of Low Dose Ketamine on Cognitive Function

ASA ANNUAL MEETING Oct 2017 Introduction Ketamine is associated with improvement of depression and neuropathic pain when sub-anesthetic doses are used. The NMDA receptor is involved in learning and memory, and antagonists such as ketamine may be associated with cognitive impairment. The objective of this study is to investigate whether repeat outpatient ketamine infusion is […]

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Uncategorized Published - 7 June, 2018    By - Dr Clemens
Peri-op Interventions Needed to Improve Outcomes in Frail Surgical Patients

Although frailty is an important perioperative risk factor, interventions specific to frail surgical patients remain rare. According to a systematic review of the literature, development and evaluation of frailty-specific interventions in trials containing a low risk for bias is urgently needed. “We know that frailty adversely affects outcomes in the elderly. Now it’s time to […]

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Uncategorized Published - 7 June, 2018    By - Dr Clemens
Acupuncture Relieves Joint Pain Associated With Aromatase Inhibitor Therapy in Patients With Breast Cancer

Women diagnosed with breast cancer who are taking aromatase inhibitors to prevent disease recurrence may get relief from joint pain associated with the drugs through acupuncture procedures, according to a study presented here at the 2017 Annual San Antonio Breast Cancer Symposium (SABCS). In a clinical trial that included a sham acupuncture treatment and a […]

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Uncategorized Published - 7 June, 2018    By - Dr Clemens
Alternative Induction Techniques Can Reduce Redistribution Hypothermia

Cold hands, warm heart, as the saying goes. But when it comes to anesthesia, the inverse may be true. Standard induction techniques cause vasodilation, which transfers heat energy away from the core to the periphery in a process known as redistribution hypothermia. According to a new study, however, changing how anesthetic inductions are performed can […]

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Uncategorized Published - 7 June, 2018    By - Dr Clemens
Predictors Identified for Anesthetic Duration in Common Pediatric Surgeries

In a study that has relevance for the ongoing debate about anesthetic neurotoxicity in children, researchers have identified predictors of increased anesthetic duration for some of the most common pediatric general surgeries. Given the possible association between duration of anesthetic exposure and long-term cognitive deficits, understanding predictors of variability may be useful in identifying patients […]

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