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Uncategorized Published - 16 December, 2014    By - Dr. Clemens
Anesthesia Management: ‘Medical Food’ Bests Ibuprofen in Chronic Low Back Pain

This is for our readers who practice pain management. Theramine, a “medical food” containing an amino acid blend (AAB), significantly improves chronic low back pain and reduces inflammation compared with low-dose ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), or a combination of these 2 treatments, results of a new study show. This is the second study […]

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Uncategorized Published - 16 December, 2014    By - Dr. Clemens
Anesthesia Management: New Measure Provides More Data on Oxygen Levels During Sedation

The area under the curve of oxygen desaturation (AUCDesat) may provide a more sophisticated approach to monitoring blood oxygen levels during procedures using sedation, according to a study published in the journal Anesthesia & Analgesia. The AUCDesat provides information not only whether blood oxygenation has dropped too low, but also on the depth, duration, and […]

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Uncategorized Published - 16 December, 2014    By - Dr. Clemens
Anesthesia Management:  SGR repeal left out of federal $1.1 trillion spending bill

Medical professionals blasted last week’s federal budget deal for failing to address the controversial sustainable growth rate (SGR) payment formula. The bill, which passed the Senate Saturday night after last week’s approval from the House of Representatives, does not repeal the broadly unpopular formula, nor does it extend the current pay increase for primary care physicians who treat […]

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Uncategorized Published - 15 December, 2014    By - Dr. Clemens
Anesthesia Management: 6 Ways Docs Go Wrong With Informed Consent

Informed Consent Misinterpretations Are Common “If only the doctor had warned me of this terrible complication, I never would have agreed to his treatment.” When a patient has a poor outcome, that statement is typically the basis for a malpractice lawsuit claiming that the physician didn’t provide adequate informed consent before a procedure or treatment. […]

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Uncategorized Published - 15 December, 2014    By - Dr. Clemens
Anesthesia Management: 10 ways to boost patient satisfaction

Setting standards for customer service is essential to improving patient satisfaction. There are at least 30 ways to grow patient satisfaction at your healthcare facility, but 10 key service standards should do the trick. Increasing patient satisfaction was challenging, but necessary to the success of a medical practice in an increasingly competitive healthcare marketplace. Identify […]

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Uncategorized Published - 15 December, 2014    By - Dr. Clemens
Anesthesia Management: Guerrilla warfare over ICD-10

Any piece of healthcare legislation going up before Congress might become a battle for ICD-10 survival. In some quarters, vigorous opposition to ICD-10 implementation is turning into guerrilla warfare. The Texas Medical Association (TMA) is encouraging physicians to lobby Congress for a two-year ICD-10 delay. They even provide the text that physicians should cut and […]

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Uncategorized Published - 15 December, 2014    By - Dr. Clemens
Anesthesia Management: Is Bracing Helpful in Patients with Vertebral Compression Fractures?

Authors: Kim H-J et al., J Bone Joint Surg Am 2014 Dec 3; 96:1959 In a randomized trial, bracing did not improve pain and function, compared with no bracing. Patients with osteoporotic vertebral compression fractures sometimes are advised to wear back braces to relieve pain and improve early mobility. In this trial, researchers in Korea […]

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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Physician Groups’ ICD-10 Delay Push Stalls

There is no mention of postponing the implementation of the ICD-10 diagnostic coding set in spending bills released by Congress this week. ICD-10 implementation remains on track for October 1, 2015, after a series of Congressional spending bills unveiled late Tuesday contained no new delay provisions, despite the efforts of at least two state medical […]

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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Aerobic Exercise ‘Most Effective Weapon’ for Fibromyalgia

For patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]

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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Comparative Effects of Morning vs Evening Dosing of Extended-Release Hydromorphone on Sleep Physiology in Patients with Low Back Pain

Published in Pain Medicine (Oct 2014) Authors: Webster L et al OBJECTIVE To investigate effects of extended-release (ER) hydromorphone dosing time (morning, QAM; evening, QPM) on sleep physiology in patients with chronic low back pain. DESIGN Randomized, double-blind, placebo-controlled, crossover trial. SETTING Clinical research site. PATIENTS Fifteen patients with moderate-to-severe chronic low back pain requiring […]

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