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Uncategorized Published - 29 May, 2018    By - Dr Clemens
Neuroinflammation seen in spinal cord, nerve roots of patients with chronic sciatica

Location of inflammation may determine which patients are successfully treated with steroid injections Authors: Daniel Albrecht, PhD et al Pain May 2018 A study by Massachusetts General Hospital (MGH) investigators has found, for the first time in humans, that patients with chronic sciatica — back pain that shoots down the leg — have evidence of inflammation […]

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Uncategorized Published - 29 May, 2018    By - Dr Clemens
Nitrous Oxide and Decreased White Matter Integrity and Volume during Childhood

AUTHORS: Kirk Hogan, M.D., J.D. Anesthesiology 6 2018, Vol.128, 1260-1261. The article by Block et al. reports that 94% of teenagers with broadly distributed, decreased white matter integrity and volume on magnetic resonance imaging of their brains inhaled nitrous oxide for over an hour during surgery and anesthesia in their first year of life. A manuscript cited by […]

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Uncategorized Published - 28 May, 2018    By - Dr Clemens
HAPPY MEMORIAL DAY

We would like to thank all of the heroes that make today possible for those of us who live in the greatest nation in the world.  All of our readers please enjoy your family and be safe.

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Uncategorized Published - 25 May, 2018    By - Dr Clemens
FDA Approves Aimovig for Migraine Prevention

The U.S. Food and Drug Administration has approved erenumab (Aimovig™, Amgen and Novartis), a first-in-class calcitonin gene-related peptide (CGRP) antagonist, for the prevention of migraine in adults. Erenumab consistently demonstrated an ability to reduce monthly migraine days in patients with episodic and chronic migraine in 3 major clinical trials, ARISE, STRIVE, and LIBERTY. The drug, which is […]

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Uncategorized Published - 25 May, 2018    By - Dr Clemens
Revisiting Blood Safety Practices Given Emerging Data about Zika Virus

authors: Evan M. Bloch, M.B., Ch.B., et al N Engl J Med May 2018; 378:1837-1841   The rapid, pandemic spread of Zika virus (ZIKV) spurred an international public health emergency in 2015. Cases of ZIKV infection have now been reported in 85 countries or territories1; in 72 of those locations, no such cases had been […]

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Uncategorized Published - 25 May, 2018    By - Dr Clemens
Most Doctors Have Little or No Management Training, and That’s a Problem

Harvard Business Review Dec 15, 2017 Authors: Jennifer Perry et al Rising pressure to achieve better medical outcomes with increasingly limited financial resources has created an acute need for more physician leaders. Several studies (including this one) have shown that doctors want to be led by other doctors; they trust physician leaders to make the right […]

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Uncategorized Published - 25 May, 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 single […]

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Uncategorized Published - 25 May, 2018    By - Dr Clemens
Intraneural Ultrasound-guided Sciatic Nerve Block: Minimum Effective Volume and Electrophysiologic Effects

AUTHORS: Gianluca Cappelleri, M.D. et al        Anesthesiology published on May 14, 2018. Background: Both extra- and intraneural sciatic injection resulted in significant axonal nerve damage. This study aimed to establish the minimum effective volume of intraneural ropivacaine 1% for complete sensory-motor sciatic nerve block in 90% of patients, and related electrophysiologic variations. Methods: Forty-seven consecutive […]

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Uncategorized Published - 24 May, 2018    By - Dr Clemens
Man donates blood weekly for 60 years, saves lives of 2.4 million babies

I thought this was interesting so I wanted to share with our readers. SYDNEY – An Australian man who has spent most of his life donating blood is retiring. James Harrison has donated blood nearly every week for 60 years. He’s made 1,100 donations, saving the lives of more than 2.4 million Australian babies, according to the Australian Red Cross Blood […]

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Uncategorized Published - 24 May, 2018    By - Dr Clemens
Does Surgery Contribute to Prescription Opioid Misuse in Adolescents?

Authors: Harbaugh CM et al.  Pediatrics 2017 Dec 4. Persistent postsurgical opioid use in adolescents was 5%, similar to the estimated rate in adults. Prescription opioids, though an important tool for pain management, are contributing to significant morbidity and mortality from opioid overuse and misuse in the U.S. Opioid prescribing practices vary widely, and opioids are […]

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