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Authors: Melilli G et al Published in Journal of Opioid Management 10 (2), 85-93 (Mar-Apr 2014) OBJECTIVES: As guidelines for opioid use in renal-impaired patients with cancer are limited, the authors sought to assess the efficacy, safety, and tolerability, of transdermal buprenorphine for moderate/severe cancer pain in renal-impaired outpatients. METHODS: In a prospective parallel-group active-controlled […]
Read MoreAuthors: Samolsky Dekel BG et al Published in Journal of Opioid Management 10 (1), 29-38 (Jan-Feb 2014) OBJECTIVES: Opioid titration is the first challenging stage for rapid control of moderate/severe cancer pain. Evidence shows that sustained-release formulations may be used for opioid titration. We set a pilot assessment of the efficacy and tolerability of our […]
Read MorePublished in Journal of Clinical Anesthesia (JCA) (Sep 2014) Authors: AbdeleRahman K, Rakocevic G; Spinal cord ischemia is a rare but possible neurological complication following routine conservative treatment of lumbosacral radiculopathy. A case of a 46 year old woman with chronic L5 radiculopathy, who developed spinal cord ischemia following epidural steroid injection, is reported. Two […]
Read MoreWhen Steven Passik, PhD, slipped on the ice earlier this year and tore his supraspinatus tendon, he needed rotary cuff surgery and was given a prescription for opioids to deal with the pain — no questions asked. “They didn’t ask me who I am or what I do; they didn’t ask me a single question […]
Read MoreWake Up With More Energy Many people feel tired in the morning not because they didn’t sleep enough but because they have low blood sugar. You can minimize this by consuming a tablespoon or two of unsweetened almond butter before you go to sleep. It’s a very simple way to stabilize your blood sugar. (I’ve […]
Read MoreThe Drug Enforcement Administration (DEA) has officially changed tramadol from a non-classified drug to a Schedule IV substance under the Controlled Substances Act, effective Aug. 18, 2014. This change was published in the Federal Register (2014;79:37624). Ever since the FDA approved tramadol for the management of chronic pain in 1995, there has been an ongoing […]
Read MoreA postoperative pneumonia prevention program for patients in the surgical ward nearly halved the incidence of the condition, California researchers have found. The program, at the VA Palo Alto Health Care System, emphasized ongoing education for nurses, pneumonia prevention, coughing and deep-breathing exercises with an incentive spirometer, twice-daily oral hygiene with chlorhexidine, walking and sitting […]
Read MoreThe worst moments in the operating room, according to surgeon David Earle, MD, are the quiet ones that settle in during intraoperative emergencies, when seconds drag on for minutes and minutes for hours. “Anyone involved in a surgical procedure knows those times, particularly when the patient is bleeding, the room is quiet, and the team […]
Read MoreThis is for our readers who treat cancer patients. Expanding the evidence that palliative care has measurable clinical benefits in cancer patients, a new randomized study has found that patients who receive palliative care starting soon after the cancer diagnosis have a reduced risk for death at one year compared with patients whose palliative care […]
Read MoreI wanted to share this with our readers so they can all be success in life not just their medical practice. There are all sorts of skills that can contribute to success. But these 4 are critical. Without them, you’ll never make it. Want to be successful? You have to start with you. So much […]
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