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Uncategorized Published - 8 July, 2022    By - Dr Clemens
Large study suggests shingles does not increase the risk of dementia

Author: Deep Shkla MedicalNewsToday Having shingles may not pose an increased risk of dementia, a new study suggests.  Herpes zoster, also known as shingles, is a common disease among older adults caused by the varicella-zoster virus that also causes chickenpox. Some previous studies have linked shingles to an increased risk of dementia, but others have […]

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Uncategorized Published - 8 July, 2022    By - Dr Clemens
Acupuncture for chronic sciatica

DG Journal Club AUTHORS: Fang-Ting Yu, Cun-Zhi Liu, Guang-Xia Ni, Guo-Wei Cai BMJ Open. 2022 May 17; 12(5): e054566 BACKGROUND Chronic Sciatica is a disabling condition causing considerable medical, social and financial implications. Currently, there is no recognised long-term effective treatment to alleviate sciatica. Acupuncture has been widely used for treating chronic pains with persistent […]

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Uncategorized Published - 8 July, 2022    By - Dr Clemens
Do Pain Relievers Impede the Efficacy of Bisphosphonates?

This is for our readers who treat pain pts. DG News New research published in the Journal of Bone and Mineral Research suggests that non-steroidal anti-inflammatory drugs (NSAIDs) may block the beneficial effects of bisphosphonates. In the study of 5,212 community-dwelling women aged 75 years and older, the use of NSAIDs did not seem to have a […]

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Uncategorized Published - 8 July, 2022    By - Dr Clemens
Anesthesiologists are kind of like Marvel superheroes

AUTHOR: ZACH ANTONOV, MD KevinMD,com An excerpt from I Watch You Sleep: A Doctor’s Tales of Anesthesia and Chain Restaurants.   Medicine on television is often inaccurate. As a physician, it bugs me to see my field misrepresented. It is even rarer to see anesthesiology represented at all on TV. I’m sure lawyers scream at their […]

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Uncategorized Published - 7 July, 2022    By - Dr Clemens
Comparison Between Subparaneural Upper Trunk and Conventional Interscalene Blocks for Arthroscopic Shoulder Surgery

AUTHORS: Zhang, Hongye MD et al  Anesthesia & Analgesia: June 2022 – Volume 134 – Issue 6 – p 1308-1317 BACKGROUND: Although interscalene nerve block is the standard for shoulder analgesia, the risk of hemidiaphragmatic paralysis restricts its use in patients with compromised pulmonary function. We hypothesized that a novel subparaneural upper trunk block would provide […]

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Uncategorized Published - 7 July, 2022    By - Dr Clemens
Watch and Wait Strategy Could Be Better Than Emergency Surgery for Patients With Severe Levels of Frailty

DG News For patients who are very frail, it may be better to adopt a “watch and wait” approach rather than proceeding to emergency surgery for 5 common medical emergencies, according to a study published in Anaesthesia. The study analysed hospital inpatient data for adult patients with common acute conditions who had emergency admissions to 175 […]

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Uncategorized Published - 7 July, 2022    By - Dr Clemens
Exercises for easing and preventing upper back pain

Authors: Nicole Galan RN and Charlotte Lillis MedicalNewsToday Upper back pain and tension are common complaints, particularly when people are stressed or spend a lot of time hunched over. Exercises that stretch the neck, shoulders, and upper back can help relieve pain and loosen tight muscles. This article lists several stretches that can ease upper […]

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Uncategorized Published - 7 July, 2022    By - Dr Clemens
Effect of Lidocaine 2% Versus Bupivacaine 0.5% and 1 Versus 2 Dual Separate Injections on Onset and Duration of Ultrasound-Guided Wrist Blocks

AUTHORS: Van Boxstael, Sam MD et al  Anesthesia & Analgesia: June 2022 – Volume 134 – Issue 6 – p 1318-1325 BACKGROUND: Local anesthetics are often selected or mixed to accomplish faster onset of anesthesia. However, with ultrasound guidance, local anesthetics are delivered with greater precision, which may shorten the onset time with all classes of […]

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Uncategorized Published - 7 July, 2022    By - Dr Clemens
Multisensory sensitivity differentiates between multiple chronic pain conditions and pain-free individuals

DG Journal Club AUTHORS: Dan Wang, Laura A Frey-Law Pain. 2022 May 19 ABSTRACT Multisensory sensitivity (MSS) to non-painful stimuli has been identified as a risk factor for the presence of coexisting chronic pain conditions (COPCs). However, it remains unclear whether MSS can differentiate pain phenotypes involving different levels of central sensitivity. Both pain-free and […]

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Uncategorized Published - 6 July, 2022    By - Dr Clemens
Plasma Volume Expansion and Fluid Kinetics of 20% Albumin During General Anesthesia and Surgery Lasting for More Than 5 Hours

AUTHORS: Gunnström, Michaela MD et al  Anesthesia & Analgesia: June 2022 – Volume 134 – Issue 6 – p 1270-1279 BACKGROUND: Intraoperative administration of crystalloid for plasma volume expansion may be reduced by use of hyperoncotic albumin. However, the degree of plasma volume expansion with administration of 20% albumin is poorly quantitated. We estimated the amount […]

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