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Uncategorized Published - 5 February, 2020    By - Dr Clemens
Kidney Function May Affect Risks Associated With Prescription Opioids

Receiving an opioid prescription is linked with higher risks of death and hospitalisation compared with receiving other pain medications, and the risk of death is especially high in individuals with lower kidney function, according to a study published in the Clinical Journal of the American Society of Nephrology. When individuals with chronic kidney disease (CKD) are […]

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Uncategorized Published - 4 February, 2020    By - Dr Clemens
Post-op Pain Unaffected by IV Acetaminophen After Minimally Invasive Spine Surgery

Author: Chase Doyle Anesthesiology News A study of perioperative IV acetaminophen in patients undergoing minimally invasive spine surgery has found no effect on postoperative pain. However, that finding does not rule out its use for other surgeries, particularly more painful spine surgeries. According to a retrospective analysis of 187 patients undergoing minimally invasive diskectomy, decompression […]

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Uncategorized Published - 4 February, 2020    By - Dr Clemens
Controlled Multifactorial Coagulopathy Effects of Dilution, Hypothermia, and Acidosis on Thrombin Generation In Vitro

AUTHORS: Mitrophanov, Alexander Y. PhD  et al Anesthesia & Analgesia: October 9, 2019 BACKGROUND: Coagulopathy and hgemostatic abnormalities remain a challenge in patients following trauma and major surgery. Coagulopathy in this setting has a multifactorial nature due to tissue injury, hemodilution, hypothermia, and acidosis, the severity of which may vary. In this study, we combined computational […]

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Uncategorized Published - 4 February, 2020    By - Dr Clemens
Steroid Injections of the Hip, Knee May Damage Joints

Corticosteroid injections used to treat osteoarthritis (OA) pain in the hip and knee may be more dangerous than previously thought, according to a study published in Radiology. Researchers suggested that injection-associated risks like rapid progressive OA, which may eventually lead to joint collapse, should be integrated into consent forms so that patients are aware of the […]

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Uncategorized Published - 4 February, 2020    By - Dr Clemens
Lab-grown heart muscles transplanted into a human for the first time

Author: Rachel England engadget Researchers in Japan have successfully carried out the world’s first transplant of lab-grown heart muscle cells, in a move which could significantly reduce the need for heart transplants. To grow the heart muscle cells, the scientists from Osaka University first took adult stem cells and reprogrammed back into their embryonic-like state. From this […]

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Uncategorized Published - 4 February, 2020    By - Dr Clemens
Sleep problems and risk of all-cause cognitive decline or dementia: an updated systematic review and meta-analysis

Authors: Wei Xu et al  BMJ Objectives To conduct an updated systematic review and meta-analysis of association between sleep and all-cause cognitive disorders. Methods PubMed and EMBASE were searched from inception to 18 February 2019. Cohort studies exploring longitudinal associations of sleep with cognitive decline or dementia were included. The multivariable-adjusted effect estimates were pooled by random-effects […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
Making the Most of Ultrasound-Guided Regional Anesthesia

Authors: Theresa Bowling, MD et al   Anesthesiology News First described in the 1990s, the use of ultrasound-guided regional anesthesia (UGRA) has dramatically increased in recent years, facilitated by the widespread availability of small portable ultrasound machines with high-resolution imaging. Numerous comparative studies and meta-analyses have demonstrated that UGRA is the most effective technique to […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
Comparison of incidence of anaphylaxis between sugammadex and neostigmine

Authors: Masaki Oriharan et al British Journal of Anesthesia Background Although cases of anaphylaxis caused by sugammadex have been reported, its incidence remains uncertain. Conversely, no studies have evaluated the incidence of anaphylaxis to neostigmine. Methods This was a retrospective multicentre observational study of patients who underwent surgery under general anaesthesia between 2012 and 2016 […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
U.S. opioid epidemic driving an increase in infectious diseases

Author: Joanne Finnegan Fierce Healthcare The opioid epidemic has fueled a second epidemic of an increase in infectious diseases, according to a new report. There’s another epidemic that’s accompanied the country’s opioid crisis, according to a new report. The opioid epidemic is driving a simultaneous epidemic of infectious diseases, according to a report from the National […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
Coming clean: Your anesthesiologist needs to know about marijuana use before surgery

Author: David Hepner, MD, MPH Harvard Health Blog Given the increasing prevalence and legalization of marijuana, many patients have come to think that marijuana use is not worth mentioning to their physicians. After all, they reason, I would not necessarily tell my doctor that I had a glass of wine last night, so why should […]

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