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Uncategorized Published - 2 April, 2018    By - Dr Clemens
Pain Protocol Reduces Post-Op 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 - 2 April, 2018    By - Dr Clemens
Use of Desmopressin During Cardiac Surgery Debated: Side Effects Minimal

Despite initial concerns about the drug’s effect on kidney function, a Georgia research team has concluded that desmopressin (DDAVP) can be used in cardiac surgery without special concerns for safety. The team’s pilot study concluded that although desmopressin causes statistically significant increases in creatinine, these are not associated with an increased incidence in relevant side […]

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Uncategorized Published - 30 March, 2018    By - Dr Clemens
A Clinical Decision Support System Powered by EHR Data Analysis Could Improve PONV Outcomes

Incorporating data analysis from their institution’s electronic health records (EHRs), researchers at the University of California, Los Angeles Medical Center developed a clinical decision support (CDS) system that helped improve perioperative outcomes for patients who experience postoperative nausea and vomiting (PONV), according to a poster presentation. John Shin, MD, an anesthesiologist at UCLA Medical Center, […]

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Uncategorized Published - 30 March, 2018    By - Dr Clemens
Anesthesiologists as Peripartum Physicians: New Paradigms to Improve Maternal Outcomes

Jennifer M. Banayan, MD Assistant Professor Department of Anesthesia and Critical Care University of Chicago Chicago, Illinois Dr Banayan reported no relevant financial disclosures. Maternal mortality in the United States has lately been increasing.1 Anesthesiologists need to act as peripartum physicians and work with others to improve maternal safety. Introduction Pregnancy and childbirth are the leading […]

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Uncategorized Published - 30 March, 2018    By - Dr Clemens
Regional Anesthesia Roundtable: An International Expert Panel

Anesthesiology News asked Kamen V. Vlassakov, MD, director of the Division of Regional and Orthopedic Anesthesia at Brigham and Women’s Hospital, in Boston, Massachusetts, to ask an international group of leading regionalists a series of questions of his own choosing. What follows are 11 questions for our panel of 8 experts. Rafael Blanco, MB BS, […]

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Uncategorized Published - 30 March, 2018    By - Dr Clemens
U.S. Health Spending Compares (Very) Unfavorably with 10 Other Rich Countries

Interesting article An 11-country comparison concludes that the cost of goods (including medications), labor (clinicians’ salaries), and administration drives U.S. healthcare spending above all others’. Researchers examined healthcare data from 10 other wealthy countries, mostly from 2013–2016. Among the myriad findings reported in JAMA: U.S. annual health spending per capita ($9400) was nearly double that of […]

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Uncategorized Published - 30 March, 2018    By - Dr Clemens
Should Doctors Recommend Acupuncture for Pain?

BMJ • March 12, 2018 It’s a safe alternative to drugs that is under-researched because it lacks commercial interest, writes Mike Cummings, but Asbjørn Hróbjartsson and Edzard Ernst argue there is no convincing evidence of clinical benefit and that the potential risks and health service costs are unjustified Yes—Mike Cummings Guidelines in most developed countries […]

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Uncategorized Published - 29 March, 2018    By - Dr Clemens
Low Back Pain: Contributing Factors, Prophylactic Strategies, and Effective Treatments

This is for our readers who treat chronic pain patients. The worldwide prevalence of low back pain was estimated at 7.3% in 2015. A series of two articles and a viewpoint piece published in the Lancet by teams of international experts outlined the array of factors that contribute to low back pain (LBP),1 presented prophylactic strategies and treatment […]

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Uncategorized Published - 29 March, 2018    By - Dr Clemens
Suprascapular Block May Be an Effective and Safe Interscalene Block Alternative for Shoulder Surgery

Anesthesiology · October, 2017 Authors: Nasir Hussain, MD et al   Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect and safety of […]

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Uncategorized Published - 29 March, 2018    By - Dr Clemens
Migraine Is Associated with Excess Stroke and Venous Thromboembolism Risk

Authors: Adelborg K et al. BMJ 2018 Jan 31. In a cohort study, several other adverse cardiovascular outcomes also were more common. Prior research has suggested an association between migraine and myocardial infarction and stroke (NEJM JW Gen Med Sep 15 2006 and JAMA 2006; 296:283; NEJM JW Gen Med Jun 1 2007 and JAMA […]

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