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Uncategorized Published - 24 October, 2016    By - Dr Clemens
Duloxetine More Effective at Treating Neuropathic Pain

By Thomas G. Ciccone Serotonin-norepinephrine reuptake inhibitors (SNRIs) typically are considered first-line treatments for neuropathic pain.1 Duloxetine and venlafaxine are 2 selective SNRIs considered appropriate for neuropathic pain patients, although new data suggest duloxetine may be a superior option to venlafaxine. A new study conducted by researchers based out of the VA Tennessee Valley Healthcare System in Murfreesboro, […]

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Uncategorized Published - 24 October, 2016    By - Dr Clemens
Neural Correlates of Sevoflurane-induced Unconsciousness Identified by Simultaneous Functional Magnetic Resonance Imaging and Electroencephalography

Authors: Andreas Ranft, M.D. et al Anesthesiology 11 2016, Vol.125, 861-872. Background: The neural correlates of anesthetic-induced unconsciousness have yet to be fully elucidated. Sedative and anesthetic states induced by propofol have been studied extensively, consistently revealing a decrease of frontoparietal and thalamocortical connectivity. There is, however, less understanding of the effects of halogenated ethers on functional […]

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Uncategorized Published - 24 October, 2016    By - Dr Clemens
Rapid Occurrence of Chronic Kidney Disease in Patients Experiencing Reversible Acute Kidney Injury after Cardiac Surgery

Authors: David Legouis, M.D. et al Anesthesiology published on October 20, 2016 Background: There is recent evidence to show that patients suffering from acute kidney injury are at increased risk of developing chronic kidney disease despite the fact that surviving tubular epithelial cells have the capacity to fully regenerate renal tubules and restore renal function within days […]

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Uncategorized Published - 24 October, 2016    By - Dr Clemens
AORN: Evidence Supporting ACS Surgical Attire Guidelines is Lacking

A nursing association takes issue with the American College of Surgeons’ guidelines for clinician attire. A dress code for surgical teams intended to “support professionalism on behalf of patients,” has been met with questions from a nursing group, which says the code lacks rigor. The guidelines on operating room attire issued by the American College of […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
Differences in the Surgical Treatment of Lower Back Pain Among Spine Surgeons in the United States

Authors: Daniel Lubelski, MD et al Spine. 2016;41(11):978-986. Study Design. Electronic survey. Objective. To identify the surgical treatment patterns for low back pain (LBP), among U.S. spine surgeons. Specifically determine (1) differences in surgical treatment responses based on various demographic variables; (2) probability of disagreement based on surgeon subgroups. Summary of Background Data. Multiple surgical and nonsurgical treatments exist […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
Anesthesia Exposure and Risk of Dementia and Alzheimer’s Disease: A Prospective Study

Authors: Erin J. Aiello Bowles, MPH et al J Am Geriatr Soc. 2016;64(3):602-607. Objectives: To evaluate the associations between anesthesia and dementia or Alzheimer’s disease (AD) risk using prospectively collected data. Design: Cohort study. Participants: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). Measurements: Participants self-reported […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
Pilates for Low Back Pain

Complete Republication of a Cochrane Review Authors: Tiê P. Yamato, MSc et al Spine. 2016;41(12):1013-1021. Study Design. Systematic review. Objective. To determine the effects of the Pilates method for patients with nonspecific acute, subacute, or chronic low back pain. Summary of Background Data. The Pilates method is one of the most common forms of intervention based on exercise used […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
The Effect of Provision of Pain Management Advice on Patient Satisfaction With Their Pain Management

A Pilot, Randomised, Controlled Trial (Pain Advice Trial) Authors: David McD Taylor et al Emerg Med J. 2016;33(7):453-457. Objective We aimed to provide pain advice (‘The treatment of pain is very important and be sure to tell the staff when you have pain’) as an intervention and evaluate its effect upon patient satisfaction. The purpose of this […]

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Uncategorized Published - 21 October, 2016    By - Dr Clemens
A Prospective, Randomized, Multicenter, Open-label Clinical Trial Comparing Intradiscal Biacuplasty to Conventional Medical Management for Discogenic Lumbar Back Pain

Authors: Mehul J. Desai, MD, MPH et al Spine. 2016;41(13):1065-1074. Study Design. This study was a prospective, randomized, crossover, multicenter trial for the evaluation of comparative effectiveness of intradiscal biacuplasty (IDB) versus conventional medical management (CMM) in the treatment of lumbar discogenic pain. Objective. The objective was to demonstrate the superiority of IDB over CMM in the treatment of discogenic […]

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Uncategorized Published - 20 October, 2016    By - Dr Clemens
The Median Effective Concentration (EC50) of Propofol With Different Doses of Fentanyl During Colonoscopy in Elderly Patients

Authors: Shiyang Li et al BMC Anesthesiol. 2016;16(24) Background: Propofol and fentanyl are the most widely administered anesthesia maintaining drugs during colonoscopy. In this study, we determined the median effective concentration (EC50) of propofol required for colonoscopy in elderly patients, and the purpose of this study was to describe the pharmacodynamic interaction between fentanyl and propofol when […]

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