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Uncategorized Published - 28 October, 2021    By - Dr Clemens
Chronic back pain: Can psychological therapy be an effective treatment?

Author: Lori Uildriks Medical News Today A recent study found that people with low-to-moderate chronic back pain who received pain-reprocessing therapy (PRT) experienced significant reductions in pain intensity after the treatment, with most individuals maintaining these reductions for 1 year. In all, 66% of participants receiving PRT were pain-free or nearly pain-free posttreatment. Scientists will need to […]

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Uncategorized Published - 28 October, 2021    By - Dr Clemens
What to know about rebound headaches

Author: Hana Ames Medical News Today Rebound headaches, or medication overuse headaches, occur due to someone taking certain medications too often. Although painkillers can relieve these headaches, they usually come back. To avoid rebound headaches, people should take preventive measures rather than overmedicating with pain-relieving drugs. Medication overuse headaches — rebound headaches — usually occur […]

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Uncategorized Published - 28 October, 2021    By - Dr Clemens
Primum Non Nocere But What Happens Next?

Autor: Stephanie Lynn Davidson, DO, FASA Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 I was asked to write an article about second victim syndrome (SVS) as it was suggested that I may be an expert in the area. Let me state up front, I do not self-proclaim to be an expert in […]

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Uncategorized Published - 27 October, 2021    By - Dr Clemens
General anesthesia with cisatracurium and sevoflurane for a patient with primary carnitine deficiency receiving L-carnitine therapy

DG Journal Club AUTHORS: Ling Ai, Yan Fang Medicine (Baltimore). 2021 Sep 24; 100(38): e27333 RATIONALE Lipid storage myopathies (LSMs) are a series of genetic disorders of lipid metabolism predominantly affecting muscle. The low incidence and lethal properties of this disease make anesthesia experience limited in such patients. Among all etiologies of LSMs, primary carnitine […]

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Uncategorized Published - 27 October, 2021    By - Dr Clemens
Perioperative Surgical Home Initiative Markedly Reduces the Incidence of Acute Kidney Injury After Total Joint Arthroplasty

Authors: Aldo Carmona, MD; Christopher Roscher, MD; Daniel Herman, MD; Robert Gayner, MD; Ajith Malige, MD; Brian Banas Anesthesia Patient Safety Foundation Vol 36 No 3 Oct 2021 SUMMARY:The elimination of AKI after elective TJA, is possible. An anesthesiologist-led PSH initiative has resulted in a sustained reduction of a significant postoperative complication. The American Society […]

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Uncategorized Published - 27 October, 2021    By - Dr Clemens
Intraoperative use of low-dose dexmedetomidine for the prevention of emergence agitation following general anaesthesia in elderly patients

DG Journal Club AUTHORS: Meiyan Sun, Tianliang Peng et al. Aging Clin Exp Res. 2021 Sept OBJECTIVE To clarify the effect of an intraoperative low-dose dexmedetomidine infusion on emergence agitation following general anaesthesia in elderly patients. METHODS Eighty elderly patients (> 64-years-old) following elective general anaesthesia for radical cancer surgeries were randomly allocated into two groups […]

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Uncategorized Published - 27 October, 2021    By - Dr Clemens
Are You Prepared for a Medicare Recovery Audit Contractor (RAC) Audit?

Author: Kathleen Stillwell, MPA/HSA, RN, Senior Patient Safety Risk Manager The Doctors Company The mission of the Centers for Medicare and Medicaid Services (CMS) Medicare Fee for Service (FFS) Recovery Audit Program is to identify and correct improper payments made on claims for healthcare services provided to Medicare beneficiaries. In January 2010, the Social Security […]

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Uncategorized Published - 27 October, 2021    By - Dr Clemens
Short-term Improvements in Insomnia or Pain Predict Long-term Improvements in Sleep, Pain, Depression, and Fatigue in Older Adults with Co-Morbid Osteoarthritis Pain and Insomnia

DG Journal Club Authors: Michael V Vitiello, Weiwei Zhu et al. Sleep. 2021 Sept In a primary care population of 327 older adults (age 60+) with chronic osteoarthritis (OA) pain and insomnia, we examined the relationship between short-term improvement in sleep or pain and long-term sleep, pain, depression, and fatigue by secondary analyses of randomized […]

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Uncategorized Published - 26 October, 2021    By - Dr Clemens
Treatments Associated with Lower Mortality among Critically Ill COVID-19 Patients

Authors: Xu Zhao, M.D. et al  Anesthesiology October 2021. Background Mortality in critically ill COVID-19 patients remains high. Although randomized controlled trials must continue to definitively evaluate treatments, further hypothesis-generating efforts to identify candidate treatments are required. This study’s hypothesis was that certain treatments are associated with lower COVID-19 mortality. Methods This was a 1-yr […]

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Uncategorized Published - 26 October, 2021    By - Dr Clemens
Urinary Neutrophil Gelatinase–Associated Lipocalin/Hepcidin-25 Ratio for Early Identification of Patients at Risk for Renal Replacement Therapy After Cardiac Surgery

AUTHORS: Elitok, Saban MD et al Anesthesia & Analgesia: September 20, 2021 Abstract BACKGROUND: Acute kidney injury requiring renal replacement therapy (AKI-RRT) is strongly associated with mortality after cardiac surgery; however, options for early identification of patients at high risk for AKI-RRT are extremely limited. Early after cardiac surgery, the predictive ability for AKI-RRT even of […]

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