Uncategorized

Uncategorized Published - 28 January, 2020    By - Dr Clemens
Opioid Dosing for Fractures Varies by Race

Author: Naveed Saleh, MD, MS Anesthesiology News Regardless of race, patients with long bone fractures are prescribed opioids in the emergency department (ED). Opioid dosing, however, is lower for minority patients than it is for white patients. In research presented at the American Pain Society 2019 Scientific Meeting (abstract 277), investigators analyzed differences in opioid […]

Read More
Uncategorized Published - 28 January, 2020    By - Dr Clemens
Why do you get headaches during your period?

Medical News today Many people experience headaches around the time of their periods. These headaches can be severe and interfere with daily life. Period headaches may be mild and accompanied by symptoms such as irritability and tender breasts. In this case, a person may be experiencing premenstrual syndrome (PMS). Also, menstruation can trigger migraine in people with the condition. […]

Read More
Uncategorized Published - 27 January, 2020    By - Dr Clemens
Comparison of Programmed Intermittent Epidural Boluses With Continuous Epidural Infusion for the Maintenance of Labor Analgesia

AUTHORS: Ojo, Oluremi A. BS et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 426-435 BACKGROUND:  Programmed intermittent epidural boluses may improve the spread of local anesthetics compared to continuous epidural infusion, improving labor analgesia and obstetric outcomes. However, there are limited data from studies using commercially available pumps […]

Read More
Uncategorized Published - 27 January, 2020    By - Dr Clemens
Assessment of platelet function after discontinuation of ticagrelor

Authors: Martin Söderberg et al Anaesthesiologica Scandinavica Dec 2019 Background Patients presenting with acute coronary syndromes (ACS) are often treated by percutaneous coronary intervention (PCI) with insertion of coronary artery stents and a majority receive dual antiplatelet therapy (DAPT), usually a combination of a COX‐1 inhibitor (aspirin) and a P2Y12 inhibitor (eg ticagrelor). Not seldom the […]

Read More
Uncategorized Published - 27 January, 2020    By - Dr Clemens
Effect of Rocuronium vs Succinylcholine on Endotracheal Intubation Success Rate Among Patients Undergoing Out-of-Hospital Rapid Sequence Intubation

Authors: Bertrand Guihard, MD et al JAMA. 2019;322(23):2303-2312. Question  Is rocuronium noninferior to succinylcholine with regard to first-attempt endotracheal intubation success among patients undergoing rapid sequence intubation in an out-of-hospital emergency setting? Findings  In this randomized clinical trial that included 1248 patients, the number of patients with successful first-attempt intubation was 455 of 610 (74.6%) in the rocuronium […]

Read More
Uncategorized Published - 27 January, 2020    By - Dr Clemens
Study: Medicare spent $2.6 billion in 2018 on undelivered post-op visits

Author: TARA BANNOW Modern Healthcare A new CMS-funded study suggests surgeons are overpaid for certain bundled procedures and proposes a solution it says could save the agency billions of dollars annually. The New England Journal of Medicine report found that just a fraction of post-operative visits the CMS pays for as part of procedure bundles […]

Read More
Uncategorized Published - 27 January, 2020    By - Dr Clemens
Inside Google’s Quest for Millions of Medical Records

By  Rob Copeland, Dana Mattioli and Melanie Evans The Wall Street Journal Roughly a year ago, Google offered health-data company Cerner Corp. an unusually rich proposal. Cerner was interviewing Silicon Valley giants to pick a storage provider for 250 million health records, one of the largest collections of U.S. patient data. Google dispatched former chief executive Eric Schmidt […]

Read More
Uncategorized Published - 27 January, 2020    By - Dr Clemens
Opioids for chronic low back pain: An updated systematic review and meta‐analysis of efficacy, tolerability and safety in randomized placebo‐controlled studies of at least 4 weeks of double‐blind duration

Authors: Frank Petzke et al European Journal of Pain December 2019 Background and Objective This updated systematic review evaluated the efficacy, tolerability and safety of opioids compared to placebo in non‐malignant chronic low back pain. Databases and Data Treatment Clinicaltrials.gov, CENTRAL, MEDLINE and PsycINFO were searched from October 2013 to May 2019. Randomized controlled trials […]

Read More
Uncategorized Published - 24 January, 2020    By - Dr Clemens
Neuromuscular blocking agents for tracheal intubation in pediatric patients

Authors: Luc E. Vanlinthout et al Pediatric Anesthesia Dec 2019 Background The benefit of using neuromuscular blocking agents to facilitate tracheal intubation in children remains unclear due to variations in design, treatments, and results among trials. By combining the available evidence, we aimed to establish whether scientific findings are consistent and can be generalized across […]

Read More
Uncategorized Published - 24 January, 2020    By - Dr Clemens
Comparison of ropivacaine combined with sufentanil for epidural anesthesia and spinal-epidural anesthesia in labor analgesia

Authors: Yanshuang Wang et al BMC Anesthesiology volume 20, Article number: 1 (2020) Background To compare the application and efficacy of ropivacaine combined with sufentanil for continuous epidural anesthesia (CEA) and combined spinal-epidural anesthesia (CSEA) in labor analgesia. Methods Three hundred sixty pregnant women requesting labor analgesia from October 2017 to August 2018 were selected retrospectively. According to the anesthetic […]

Read More