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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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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Nocebo effects and negative suggestion in anesthesia

Published in Der Anaesthesist (Oct 2014) Authors: Zech N, et al Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the doctor and […]

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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Bundled Billing or Bungled Billing?

Bundled billing: the combination of multiple entities’ fees into a single price. What could be wrong with that? A lot, depending on who is doing the bundling. And, in some cases, depending on why they’re doing it. History The concept of bundled billing came out of the hospital world: In order to market for a […]

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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Most opioids prescribed in office settings, but habits changing

Policy efforts to address the risks of opioid prescribing should focus on office-based settings, as patients receive significantly more painkiller prescriptions for noncancer pain in ambulatory settings than in hospital emergency departments (EDs), according to an analysis of medical expenditures reported by Internal Medicine News. Specifically, the study found that one in 39 opioid prescriptions […]

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Uncategorized Published - 11 December, 2014    By - Dr. Clemens
Anesthesia Management: Preparing Patients Taking Sublingual Buprenorphine to Treat Addiction for Surgery

Here are certain measures that can be taken preoperatively to ensure proper pain management for patients being treated for opioid dependence. The use of buprenorphine products to help treat opioid dependence has increased over the last decade. This trend has been paralleled by an increase in the number of surgeries involving patients taking buprenorphine products. […]

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Uncategorized Published - 11 December, 2014    By - Dr. Clemens
Anesthesia Management: Difficult to Treat Chronic Migraine: The Bipolar Spectrum and Personality Disorders

Patients with refractory chronic migraine may also have a high prevalence of comorbidities, including anxiety, depression, bipolar spectrum, and personality disorders. Patients with refractory chronic migraine (RCM) experience a great deal of disability related to their chronic headaches. Significant abuse in childhood, whether sexual, physical, or emotional, may predispose a person to the development of […]

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Uncategorized Published - 11 December, 2014    By - Dr. Clemens
Anesthesia Management: Report Examines U.S.’s Addiction to Opioid Painkillers

Fewer patients are filling prescriptions for opioid painkillers — but those who are filling them are filling more prescriptions with more days of medication per prescription — according to a report by Express Scripts, a pharmacy benefits company. The company examined pharmacy claims for 6.8 million Americans who filled at least one opioid prescription for […]

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