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Uncategorized Published - 19 April, 2022    By - Dr Clemens
Back rib pain: What is causing it?

Author: Zawn Villnes MedicalNewsToday Many people experience pain in the ribs of the back at some point. The pain may be sharp or dull and mild or severe. Mild injuries can cause pain in this area and may improve over time, with or without treatment. However, this pain can sometimes indicate a more serious medical […]

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Uncategorized Published - 19 April, 2022    By - Dr Clemens
Effects of back exercises versus transcutaneous electric nerve stimulation on relief of pain and disability in operating room nurses with chronic non-specific LBP

DG Journal Club AUTHORS: Fereshteh Jalalvandi, Reza Ghasemi, Maryam Mirzaei, MohammadBagher Shamsi BMC Musculoskelet Disord. 2022 Mar 26; 23(1): 291 BACKGROUND Low back pain (LBP) is one of the most common musculoskeletal disorders related to working. Due to the nature of nursing work, this problem is often seen in nurses, including those who work in […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
Compatibility of intravenous acetaminophen with morphine, fentanyl and ketamine in acute pediatric pain setting

DG Journal Club AUTHORS: Edmond O’Loughlin, Yan Ghee Peng, Angela Cheaib, Matthew T V Chan Paediatr Anaesth. 2022 Apr 10 BACKGROUND Intravenous acetaminophen and opioid analgesics are routinely given concurrently to children after major surgery, where intravenous access can be limited. There is limited information about the compatibility of acetaminophen with opioid analgesics and ketamine […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
The Impact of Neuromuscular Electrical Stimulation during Walking on Pain Sensitivity in Obese Women with Knee Pain

DG Journal Club AUTHORS: Hiroo Matsuse, Neil A Segal, Kaitlin G Rabe, Naoto Shiba Arch Phys Med Rehabil. 2022 Mar 22 OBJECTIVE To assess the extent to which pain sensitivity is altered in obese women with frequent knee symptoms who walk with either a hybrid training system (HTS) that provides antagonist muscle electrical stimulation vs. […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
Use of Epidural in Childbirth Is Linked to Decreased Severe Maternal Morbidity

DG News In a study of vaginal births in New York State hospitals, labour neuraxial analgesia  was associated with a decreased risk of severe maternal morbidity. Deliveries with a neuraxial analgesia also lessened the risk of postpartum haemorrhage, the leading cause of preventable severe maternal morbidity, according to Jean Guglielminotti, MD, Columbia University Mailman School […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
Association Between Race and Opioid-Induced Respiratory Depression

AUTHORS: Sim, Ming Ann MBBS et al Anesthesia & Analgesia: March 2022 BACKGROUND: Opioid-induced respiratory depression (OIRD) is common on the medical and surgical wards and is associated with increased morbidity and health care costs. While previous studies have investigated risk factors for OIRD, the role of race remains unclear. We aim to investigate the association […]

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Uncategorized Published - 18 April, 2022    By - Dr Clemens
The impact of pain on quality of life in patients with osteoarthritis

DG Journal Club AUTHORS: Mojahed Shalhoub, Mohammad Anaya, Soud Deek, Anwar H Zaben BMC Musculoskelet Disord. 2022 Mar 14; 23(1): 248 BACKGROUND Osteoarthritis is one of the most common musculoskeletal problems. Pain is the most common complaint and the most significant cause of decreased health-related quality of life (HRQOL) among osteoarthritic patients. The objectives of […]

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Uncategorized Published - 15 April, 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: March 2022 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 noninferior postoperative analgesia but superior diaphragmatic sparing effect compared […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Assessment of a Naloxone Coprescribing Alert for Patients at Risk of Opioid Overdose

AUTHORS: Nelson, Scott D. PharmD, MS, CPHIMS, FAMIA et al Anesthesia & Analgesia: March 2022 BACKGROUND: Patients taking high doses of opioids, or taking opioids in combination with other central nervous system depressants, are at increased risk of opioid overdose. Coprescribing the opioid-reversal agent naloxone is an essential safety measure, recommended by the surgeon general, but […]

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Uncategorized Published - 15 April, 2022    By - Dr Clemens
Diabetes mellitus and perioperative outcomes

DG Journal Club AUTHORS: Daniel J Drayton, Rebecca J Birch, Carlota D’Souza-Ferrer, Michael Ayres Br J Anaesth. 2022 Mar BACKGROUND Diabetes mellitus (DM) is frequently encountered in the perioperative period. DM may increase the risk of adverse perioperative outcomes owing to the potential vascular complications of DM. We conducted a scoping review to examine the […]

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