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Uncategorized Published - 27 April, 2015    By - Dr Clemens
Severe Postherpetic Neuralgia and Other Neuropathic Pain Syndromes Alleviated by Topical Gabapentin

This is for our pain providers. Published in Br J Dermatol. 2014 Dec 18 Authors: Hiom S et al Herpes zoster reactivation, shingles, affects 0.2% of the population 1 and complications include: secondary bacterial infection, postherpetic neuralgia (PHN), ulceration and scarring, pneumonitis, hepatitis, Ramsey-Hunt syndrome, meningoencephalitis and paralysis. PHN occurs in 10 -15% of patients […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Transdermal buprenorphine controls central neuropathic pain

Published in J Opioid Manag. 2012 Nov-Dec:8(6):414-5 Authors: Weiner M et al A 53-year-old male with peripheral sensorimotor neuropathy suffered an intracerebral hemorrhage resulting in right hemiparesis and hemisensory loss. Three months later, he developed constant and burning pain within the entire right side of his body. He was diagnosed with central pain syndrome and […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Anaphylaxis Requires Prompt Epinephrine Shot

Patients with signs of anaphylaxis should be given epinephrine in the anterolateral thigh as first-line treatment, according to new practice parameters published in the December issue of the Annals of Allergy, Asthma and Immunology. However, studies show that even when anaphylaxis is correctly diagnosed, clinicians in emergency departments fail to administer epinephrine up to 80% of the time. […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
General anesthesia combined with epidural anesthesia ameliorates the effect of fast-track surgery by mitigating immunosuppression and facilitating intestinal functional recovery in colon cancer patients

PUBLISHED: Int J Colorectal Dis. 2015 Apr;30(4):475-81 Authors: Chen WK et al PURPOSE: The purpose of this study is to investigate the influence of anesthetic methods on markers of anti-tumor immunity and intestinal functions in fast-track surgery in colon cancer (CC) patients during the perioperative period. PATIENTS AND METHODS: A total of 53 patients with American […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Effects of stellate ganglion block on cardiovascular reaction and heart rate variability in elderly patients during anesthesia induction and endotracheal intubation.

PUBLISHED: J Clin Anesth. 2015 Mar;27(2):140-5 Authors: Chen YQ et al STUDY OBJECTIVE: To investigate the effects of stellate ganglion block (SGB) on cardiovascular response and heart rate (HR) variability in elderly patients during anesthesia induction and endotracheal intubation. DESIGN: A randomized, double-blinded, and placebo-controlled study. SETTING: University-affiliated teaching hospital. PARTICIPANTS: Eighty elderly patients (American Society […]

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Uncategorized Published - 24 April, 2015    By - Dr Clemens
Catecholamine release induces elevation in plasma lactate levels in patients undergoing adrenalectomy for pheochromocytoma

PUBLISHED: J Clin Anesth. 2014 Dec;26(8):616-22 AUTHORS: Suzuki K et STUDY OBJECTIVE: To determine the relationship between preoperative catecholamine levels and intraoperative peak plasma lactate levels in patients who underwent adrenalectomy for pheochromocytoma. DESIGN: Retrospective observational study. SETTING: Operating room in one university hospital. MEASUREMENTS: The records of 27 ASA physical status 1 and 2 patients […]

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Uncategorized Published - 23 April, 2015    By - Dr Clemens
A comparison of fentanyl with pethidine for pain relief during childbirth: a randomised controlled trial

PUBLISHED: BJOG. 2015 Jan 5. doi: 10.1111/1471-0528.13249 AUTHORS: Fleet J el at OBJECTIVE: To compare the efficacy of fentanyl administered via the subcutaneous (s.c.) or intranasal (i.n.) route with intramuscular (i.m.) pethidine in labouring women requesting analgesia. DESIGN: A randomised controlled trial three-armed, parallel-design. SETTING: A regional hospital and the largest tertiary maternity centre in South […]

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Uncategorized Published - 23 April, 2015    By - Dr Clemens
Effect of acute arterial hypertension on morphine requirements and postsurgical pain

Published in J Clin Anesth. 2015 May;27(3):226-32 AUTHORS: Delfino AE et al STUDY OBJECTIVE: The study objective was to establish the impact of acute hypertension on morphine’s requirements after laparoscopic cholecystectomy. DESIGN: The design was a randomized, simple blinded study. SETTING: The settings were operating room, postoperative recovery area, and first postoperative day. PATIENTS: There were […]

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Uncategorized Published - 23 April, 2015    By - Dr Clemens
Effect of hydroxyethyl starch 130/0.4 on ischemia-reperfusion determinants in minor lower extremity surgery with tourniquet application

Published in J Clin Anesth. 2015 Mar;27(2):105-10 AUTHORS: Pinar HU et al STUDY OBJECTIVE: To investigate the effect of 6% hydroxyethyl starch (HES) (130/0.4) infusion on ischemia-reperfusion determinants in minor lower extremity operations with tourniquet application. DESIGN: Prospective, randomized, clinical trial. SETTING: University hospital operation room. PATIENTS: American Society of Anesthesiologists I and II 40 patients […]

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Uncategorized Published - 23 April, 2015    By - Dr Clemens
Overdose Death Risk Rises Dramatically as Opioid Users Age

This is another post for our pain providers to read. The study was published in Drug and Alcohol Dependence. As users of heroin and other opioids get older, their risk for overdose death increases dramatically, a new study of age trends in excess deaths shows. Although male users had almost double the rate of drug-related poisoning in early […]

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