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Uncategorized Published - 1 June, 2023    By - Dr Clemens
Health Care Wastage: An Affliction On Our Nation’s Health and Our Planet!

Author: Lalitha Sundararaman, MBBS, MD ASA Monitor June 2023, Vol. 87, 18–19. Health care expenditure (HCE) in the United States stands at around $4.3 trillion annually – about 18% of its gross domestic product (GDP) (JAMA 2019;322:1501-9). A study in JAMA revealed a startling fact about this remarkable number – that nearly 20%-30% of it is wasteful (JAMA […]

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Uncategorized Published - 1 June, 2023    By - Dr Clemens
First-Time Opioid Therapy: An Interactive Case History 2023

Authors: Bettinger J, Yaras R. Pract Pain Manage. 2023 MayJune:23(2). How to apply the updated CDC Clinical Practice Guideline for Prescribing Opioids for Pain in individuals starting opioid therapy. In this series of analyses, we have broken down the various aspects of the newly released revisions to the CDC Clinical Practice Guideline for Prescribing Opioids for Pain […]

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Uncategorized Published - 1 June, 2023    By - Dr Clemens
It’s Time for Hospital Workers to Identify and Eliminate Roadblocks to Reprocessing! 2023

Author: Daniel Vukelich, JD ASA Monitor June 2023, Vol. 87, 20. The February 2023 report issued by the U.N. Intergovernmental Panel on Climate Change stated that if human-caused global warming isn’t slowed to a couple tenths of a degree, deadly heat, drought, fires, and floods could impact the planet in “potentially irreversible” ways. Putting off cuts […]

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Uncategorized Published - 1 June, 2023    By - Dr Clemens
Hormones May Play a Role in Women’s Migraines 2023

Author: Heidi Splete Practical Pain Management May/June 2023 A new study explores the role of sex hormones and CGRP as a contributor to the higher prevalence of migraine in women compared to men. Migraine headaches are approximately three times more common in women than in men, but the prevalence of migraine in women decreases after […]

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Uncategorized Published - 31 May, 2023    By - Dr Clemens
Anesthesia Considerations for Radiation Therapy Patients 2021

Radius Anesthesia May blog Cancer treatment, including surgery, chemotherapy, and radiotherapy, results in major physiological and health changes. Impacts on everyday life can be significant and are relatively well-known. Impacts on other areas are also important. In particular, there are unique considerations for patients undergoing cancer treatment, especially radiation therapy, who need anesthesia. Chemotherapy can damage […]

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Uncategorized Published - 31 May, 2023    By - Dr Clemens
MY ANESTHESIOLOGIST ADMINISTERED FENTANYL TO ME. IS THAT OK? 2023

Author: Richard Novak MD THE ANESTHESIA CONSULTANT America is in the midst of a fentanyl crisis. There were 71,238 fentanyl overdose deaths in the United States in 2021. The Drug Enforcement Administration (DEA) states, “fentanyl is involved in more deaths of Americans under 50 than any cause of death, including heart disease, cancer, homicide, suicide and […]

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Uncategorized Published - 31 May, 2023    By - Dr Clemens
Is Continuous Intraoperative Monitoring of Mean Arterial Pressure as Good as the Hypotension Prediction Index Algorithm?: Research Letter 2023

Authors: Marijn P. Mulder, M.Sc. et al  Anesthesiology June 2023, Vol. 138, 657–658. To the Editor: The Hypotension Prediction Index is a validated machine learning algorithm based on numerous characteristics of the arterial waveform and aimed at predicting hypotension up to 15 min in advance.  The recent special article by Enevoldsen and Vistisen focused on the data selection […]

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Uncategorized Published - 31 May, 2023    By - Dr Clemens
Layering Migraine Medications Leads to More Effective Relief 2023

Author: Doheny K Pract Pain Manag. 2023 May/June;22(3). With additional medications now FDA-approved and available, combination therapy promises to give more patients improved outcomes. It’s an old concept in migraine management that’s been given a new name in recent years: layering. “Conceptually, it’s nothing new,” said Jay Joshi, MD, DABA, DABA-PM, FABA-PM, CEO and medical […]

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Uncategorized Published - 31 May, 2023    By - Dr Clemens
Late-Onset PsA May Increase Risk for Cardiovascular Events 2023

Author: Avery Hurt Practical Pain Management May/June 2023 Retrospective study findings may urge clinicians to consider cardiac risk factors when evaluating and treating older adults with psoriatic arthritis. Psoriatic arthritis is a complex disease with many clinical manifestations and variations that can develop over its course. In addition to the common effects on the skin, […]

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Uncategorized Published - 30 May, 2023    By - Dr Clemens
Motor Vehicle Crash Risk among Adults Undergoing General Surgery 2023

Authors: Timothy G. Gaulton, M.D., M.Sc. et al  Anesthesiology June 2023, Vol. 138, 602–610. Background Surgery causes transient impairment in cognition and function, which may impact driving safety. The authors hypothesized that the risk of a motor vehicle crash would increase after compared to before surgery. Methods The authors performed a nested case-crossover study within population-based […]

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