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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Twin Study Lends New Insights Into Link Between Back Pain, Depression

Genetic factors help to explain the commonly found association between low back pain and depression, according to a large study of twins published in the journal Pain. Genetic factors affecting both conditions may be involved in the association between back pain and depression. For the study, Marina B. Pinheiro, MD, University of Sydney, Sydney, Australia, […]

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Uncategorized Published - 3 June, 2015    By - Dr Clemens
Study Questions Benefit of Administering Sedatives Before Surgery

Although sedatives are often administered before surgery, a randomised trial finds that among patients undergoing elective surgery under general anaesthesia, receiving lorazepam before surgery, compared with placebo or no premedication, did not improve the self-reported patient experience the day after surgery, but was associated with longer time till extubation and a lower rate of early […]

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Uncategorized Published - 2 June, 2015    By - Dr Clemens
Patient controlled analgesia with remifentanil versus epidural analgesia in labour: randomised multicentre equivalence trial.

Published in BMJ 2015 Feb 23;350:h846. AUTHORS: Freeman LM et al         OBJECTIVE: To determine women’s satisfaction with pain relief using patient controlled analgesia with remifentanil compared with epidural analgesia during labour. DESIGN: Multicentre randomised controlled equivalence trial. SETTING: 15 hospitals in the Netherlands. PARTICIPANTS: Women with an intermediate to high obstetric risk with an intention to deliver […]

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Uncategorized Published - 2 June, 2015    By - Dr Clemens
Evaluation of the PaO2/FiO2 Ratio After Cardiac Surgery as a Predictor of Outcome During Hospital Stay

Published in BMC Anesthesiol. 2014;14(83) Authors: Francisco Esteve et al Background The arterial partial pressure of O2 and the fraction of inspired oxygen (PaO2/FiO2) ratio is widely used in ICUs as an indicator of oxygenation status. Although cardiac surgery and ICU scores can predict mortality, during the first hours after cardiac surgery few instruments are available to […]

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Uncategorized Published - 2 June, 2015    By - Dr Clemens
Doctors Delivering Bad News Perceived as Less Compassionate

This is included on our blog because patient satisfaction is now 30% of the hospital’s payments from the government. The findings were published in JAMA Oncology. Many dread having to deliver such catastrophic news and fear that their patients might think of them in a negative way as a result. Now, a study shows that such fear […]

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Uncategorized Published - 2 June, 2015    By - Dr Clemens
Central venous pressure: we need to bring clinical use into physiological context

Published in Acta Anaesthesiologica Scandinavica (Feb 2015) Authors: Sondergaard S et al BACKGROUND The place of central venous pressure (CVP) measurement in acute care has been questioned during the past decade. We reviewed its physiological importance, utility and clinical use among anaesthetists and intensivists. METHODS A literature search using the PubMed, Cochrane, Scopus and Web of […]

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Uncategorized Published - 2 June, 2015    By - Dr Clemens
The Effect of Simulation-based Training on Initial Performance of Ultrasound-guided Axillary Brachial Plexus Blockade in a Clinical Setting

Published in BMC Anesthesiol. 2014;14(110) Authors: Owen O’Sullivan et al Background In preparing novice anesthesiologists to perform their first ultrasound-guided axillary brachial plexus blockade, we hypothesized that virtual reality simulation-based training offers an additional learning benefit over standard training. We carried out pilot testing of this hypothesis using a prospective, single blind, randomized controlled trial. Methods We planned […]

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Uncategorized Published - 1 June, 2015    By - Dr Clemens
Biofeedback Detailing Fetal Decent Reduces Duration of Second Stage Labour With Epidural

Women receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]

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Uncategorized Published - 1 June, 2015    By - Dr Clemens
Fixed-Time Analgesia Superior to On-Demand Regimen for Pain Following C-Section

Analgesia provided following caesarean section delivery at fixed time intervals shows improved efficacy in pain and other outcomes, compared with on-demand analgesia, according to a study presented here at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The study involved 187 patients who underwent regional anaesthesia for caesarean section. […]

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Uncategorized Published - 1 June, 2015    By - Dr Clemens
Awkward Positions, Distractions and Fatigue May Trigger Low Back Pain

New research reveals the physical and psychosocial factors that significantly increase the risk of low back pain onset. In fact, results published in the journal Arthritis Care & Research show that being engaged in manual tasks involving awkward positions will increase the risk of low back pain by 8 times. Those who are distracted during […]

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