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Uncategorized Published - 28 June, 2019    By - Dr Clemens
Acute Right Ventricular Failure in Cardiac Surgery During Cardiopulmonary Bypass Separation: A Retrospective Case Series of 12 Years’ Experience With Intratracheal Milrinone Administration

Journal of Cardiothoracic and Vascular Anesthesia March 2019 Volume 33, Issue 3, Pages 651–660 Authors: Caroline E. Gebhard, MD et al Objective To report the authors’ 12 years of experience with intratracheal milrinone administration and to assess the efficacy and limitations of intratracheal milrinone bolus administration for the treatment of unexpected acute right ventricular (RV) failure in […]

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Uncategorized Published - 28 June, 2019    By - Dr Clemens
Hypertension in Late Adolescence Might Increase Risk for End-Stage Renal Disease

This was interesting so wanted to share with our readers. Authors: Leiba A et al.  JAMA Intern Med 2019 Feb 25 In otherwise healthy adolescents with persistent hypertension at age 16 to 19 years, long-term risk for developing ESRD was doubled. The long-term implications of adolescent hypertension for the later development of end-stage renal disease (ESRD) […]

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Uncategorized Published - 28 June, 2019    By - Dr Clemens
Physician Suicide Statistics Spark Discussion of Culture That Stigmatizes Mental Illness

Author: Michael Vlessides Anesthesiology News Although often underestimated, suicide rates among physicians are higher than the general population, and according to experts, are exacerbated by a professional culture that tends to stigmatize mental illness beyond the amount seen in nonphysicians. Overcoming such stigma is the first step toward creating emotionally healthy workplaces that support, rather […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Epidural analgesia for adults undergoing cardiac surgery with or without cardiopulmonary bypass

Cochrane Systematic Review  Background General anaesthesia combined with epidural analgesia may have a beneficial effect on clinical outcomes. However, use of epidural analgesia for cardiac surgery is controversial due to a theoretical increased risk of epidural haematoma associated with systemic heparinization. This review was published in 2013, and it was updated in 2019. Objectives To […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Comparison of the effectiveness of radiofrequency neurotomy and endoscopic neurotomy of lumbar medial branch for facetogenic chronic low back pain: a randomized controlled trial

Authors: Song K et al World Neurosurgery (Feb 2019) OBJECTIVE To compare the effectiveness of radiofrequency neurotomy (RN) and endoscopic neurotomy(EN) of lumbar medial branch (MB) for facetogenic chronic low back pain (FCLBP). METHODS Forty patients with FCLBP were included and randomly assigned to the control group and the experimental group. The control group (20 […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Menopause Symptoms Nearly Double the Risk of Chronic Pain

In addition to the other health conditions affected by oestrogen, it has also appears to affect pain sensitivity, according to a study published in Menopause. This finding was the basis of a study of more than 200,000 records from the Veterans Health Administration that demonstrated a link between menopause symptoms and chronic pain. Women are more […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Prevention of Opioid-Induced Nausea and Vomiting During Treatment of Moderate to Severe Acute Pain

AUTHORS: John R Zuniga, DMD, PhD et al  Pain Medicine 17 January 2019 Objectives To evaluate the prevention of opioid-induced nausea and vomiting (OINV) and the relief of moderate to severe acute pain by CL-108, a novel drug combining a low-dose antiemetic (rapid-release promethazine 12.5 mg) with hydrocodone 7.5 mg/acetaminophen 325 mg (HC/APAP) was used. Methods This was […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Steroid Injection in Intra-Articular Lumbar Facet Joint and Lumbar Medial Branch Block Relieve Lower Back Pain

Author: Chris Berrie Steroid injection into the intra-articular lumbar facet joint (LFJ) and a lumbar medial branch block (MBB) provide good short-term relief of LFJ pain, according to a study presented here at the European Congress of Radiology (ECR). “Intra-articular steroid injection and MBB are effective and interchangeable techniques in the treatment of LFJ back […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Ohio Doctor Charged With Killing 25 Patients in Fentanyl Overdoses

I wanted to share with our readers. By Adeel Hassan New York Times In one of the largest murder cases in Ohio’s history, a doctor was charged on Wednesday with killing 25 people over four years by prescribing fatal doses of fentanyl, a powerful opioid, to critical-care patients at hospitals in and around Columbus. The doctor, […]

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Uncategorized Published - 27 June, 2019    By - Dr Clemens
Teleflex recalls breathing tubes worldwide after reports of 4 deaths

Reuters Teleflex Inc said on Monday it plans to recall some lots of its Hudson RCI Sheridan endotracheal tubes used for helping patients breathe, following reports of four deaths. The worldwide recall comes after the products were found to have an increased occurrence of being disconnected from the breathing circuit, resulting in insufficient oxygen supply, […]

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