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Uncategorized Published - 30 June, 2017    By - Dr Clemens
Opioids Before Surgery May Add Risks and Cost

Annals of Surgery · March 28, 2017 AUTHORS: Jennifer F;Cron et al  OBJECTIVE: To examine the extent to which preoperative opioid use is correlated with healthcare utilization and costs following elective surgical procedures. SUMMARY BACKGROUND DATA: Morbidity and mortality associated with prescription opioid use is escalating in the United States. The extent to which chronic opioid use […]

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Uncategorized Published - 30 June, 2017    By - Dr Clemens
Epidural Spinal Injection Safety, Coverage Guidelines by Multisociety Partnership

Between 1994 and 2001, the number of lumbar epidural spinal injections and facet joint interventions rose sharply among the Medicare population. At the 33rd annual meeting of the American Academy of Pain Medicine (AAPM), Virtaj Singh, MD, clinical faculty at the University of Washington, gave the opening lecture titled “Multisociety Pain Work Group: How Societies Work Together to […]

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Uncategorized Published - 30 June, 2017    By - Dr Clemens
Peri-op Anemia Is Risk for Post-op Acute Kidney Injury

Anemia either before or after surgery is associated with an incremental risk for postoperative acute kidney injury, and perhaps long-term mortality, a database analysis has concluded. Although prior research identified both preoperative and postoperative anemia as potential risk factors for complications after coronary artery bypass graft surgery, their relationship with AKI had not been defined […]

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Uncategorized Published - 30 June, 2017    By - Dr Clemens
Editors Retract Paper About Anesthesiology Procedure After Investigation Uncovers Data Issues

The editors of an anesthesiology journal have retracted a paper about predicting how patients will respond to an emergency procedure, after the results of an investigation cast doubt on the validity and originality of the work. According to the retraction notice, the editors became concerned about the validity of the data and conducted an investigation, […]

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Uncategorized Published - 29 June, 2017    By - Dr Clemens
Neural Targeting Spinal Cord Stimulation Superior in Treatment of Axial Low Back Pain

SCS due to the anatomy of the region. A new spinal cord stimulation (SCS) device incorporating anatomically guided (3D) neural targeting provides superior, consistent, and long-term chronic axial back pain relief compared with a traditional SCS device, according to the observational SCS-LUMINA study published in Pain Medicine.1 The findings are encouraging, as axial low back pain […]

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Uncategorized Published - 29 June, 2017    By - Dr Clemens
Mild Cognitive Impairment and Exposure to General Anesthesia for Surgeries and Procedures: A Population-Based Case–Control Study

AUTHORS: Sprung, Juraj MD, PhD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1277–1290 BACKGROUND: To examine whether exposure to general anesthesia for procedures at age ≥40 years is associated with prevalent mild cognitive impairment (MCI) in the elderly. METHODS: A case–control study nested within a population-based cohort. Olmsted […]

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Uncategorized Published - 29 June, 2017    By - Dr Clemens
Concurrent Piezoelectric and Photoplethysmographic Sensors Combined in One Oximeter

A proof-of-concept study has shown that mechano- and photoplethysmography (MPG and PPG) can be combined in conventional oximeter sensors. According to the research, the combination could offer a new approach to signal quality assessment and possibly even new physiologic information. What’s more, said Christian L. Petersen, PhD, piezoelectric elements are inexpensive, making this a viable […]

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Uncategorized Published - 29 June, 2017    By - Dr Clemens
Migraine Treatment With Acupuncture: Is It Effective?

Acupuncture is commonly used in Chinese medicine to relieve pain from migraines. Acupuncture is tied to a persistent reduction in headache frequency, but the placebo effect may still play a role in outcomes, according to results of a study published in JAMA Internal Medicine. According to the US National Center for Health Statistics, approximately 1 out […]

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Uncategorized Published - 29 June, 2017    By - Dr Clemens
Introduction of a novel ultrasound-guided extrathoracic sub-paraspinal block for control of perioperative pain in Nuss procedure patients

AUTHORS: Bryskin R et al     Journal of Pediatric Surgery 52 (3), 484-491 (Mar 2017) BACKGROUND A safe and effective method of multilevel thoracic pain control remains an elusive goal in patients undergoing the Nuss procedure. The aim of our study was to develop a nonopioid centered approach using a novel regional technique as part of a […]

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Uncategorized Published - 28 June, 2017    By - Dr Clemens
The Pathway of Injectate Spread With the Transmuscular Quadratus Lumborum Block: A Cadaver Study

AUTHORS: Dam, Mette MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 303–312 BACKGROUND: The spread of injectate resulting from a transmuscular quadratus lumborum (TQL) block and a transverse oblique paramedian (TOP) TQL block has never been examined. The aim of this cadaveric study was to investigate by which […]

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