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Uncategorized Published - 12 April, 2019    By - Dr Clemens
Fentanyl deaths skyrocketed more than 1,000% over six years in the US. Here’s who it’s killing

By Nadia Kounang CNN This is your brain on pain 01:39 Deaths from the synthetic opioid fentanyl skyrocketed more than 1,000% from 2011 to 2016, according to a report released Thursday. The number of fatalities related to the drug held fairly steady between 2011 and 2012, hovering around 1,600 deaths in both those years. In 2013, the number […]

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Uncategorized Published - 12 April, 2019    By - Dr Clemens
HOW GOVERNMENT DECISIONS ARE ACTUALLY MADE: EXPAREL

William Donovan As previously reported, in that massive July 31 proposed rule (“CMS to Pay Extra for Exparel in ASCs, Not Hospitals,” Orthopedics This Week, October 9, 2018), the Centers for Medicare and Medicaid Services (CMS) singled out one pain medication, the drug Exparel, for extra reimbursement under the bundled-payment system for outpatient surgeries such as […]

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Uncategorized Published - 12 April, 2019    By - Dr Clemens
NEW STUDY SUPPORTS EXPAREL COST EFFECTIVENESS

Author: Biloine W. Young In an article by Allison Inserro, published on AJMC.com, “Patients having total knee arthroplasty (TKA) who were treated with liposomal bupivacaine were discharged to their homes sooner and had a significantly shorter hospital stay compared with patients who did not receive that drug during surgery, according to a recently published study […]

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Uncategorized Published - 12 April, 2019    By - Dr Clemens
Large study ties PTSD, acute stress to cardiovascular disease

I thought this was interesting. By Catharine Paddock PhD A large Swedish population study has found strong links between psychiatric conditions that can follow extremely stressful experiences and the risk of several types of cardiovascular disease. The link between acute stress and cardiovascular symptoms may be bidirectional, suggests new research. In addition, the researchers found that […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
Effect of Total Intravenous Anesthesia vs Volatile Induction With Maintenance Anesthesia on Emergence Agitation After Nasal Surgery

Authors: Jun-Young Jo, MD, MS et al JAMA Otolaryngol Head Neck Surg. 2019;145(2):117-123. Question  Does the occurrence rate of emergence agitation differ between patients who underwent nasal surgery under volatile induction and maintenance of anesthesia or total intravenous anesthesia? Findings  In this randomized clinical trial of 80 patients undergoing nasal surgery, emergence agitation after nasal surgery under total […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
General Anesthesia Linked To Subtle Cognitive Decline in Older Adults

Author: Bob Kronemyer Anesthesiology News Older adults undergoing surgery with anesthesia may experience mild cognitive impairment afterward, according to a prospective study published in the British Journal of Anaesthesia. The study of 1,819 people, with a median follow-up of 5.1 years after exposure to anesthesia, and four cognitive assessments found a subtle decline in cognitive z scores that […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
Hospital staff errors with gowns and gloves spread bacteria

Author: Carolyn Crist Reuters Health Healthcare workers caring for infectious patients sometimes make mistakes when removing personal protective garments, resulting in contamination of clothes or equipment with antibiotic-resistant bacteria, a small study shows. “No one is perfect and inadvertent healthcare worker contamination with multi-drug resistant organisms can occur and may be a key step in […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
Adding Quadratus Lumborum Block To Post-Cesarean Analgesia Found Ineffective

Author: Michael Vlessides Anesthesiology News Although the quadratus lumborum block has proved effective in abdominal surgery, the benefit was not seen in women who had undergone cesarean delivery, according to a Canadian research team. Their study found that although adding the block to an intrathecal morphine–based multimodal analgesic regimen was associated with increased time to […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
1 in 7 In-Network Admissions End with Surprise Medical Bill

By Jacqueline LaPointe The analysis also showed that anesthesiologists performed and independent labs billed the most out-of-network services resulting in surprise medical bills. Approximately 14.5 percent of in-network hospital admissions resulted in a surprise medical bill for patients, researchers from the Health Care Cost Institute (HCCI) recently reported. However, the occurrence of surprise medical bills […]

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Uncategorized Published - 11 April, 2019    By - Dr Clemens
OPIOIDS PRE-OP MEAN TROUBLE POST-OP?

Author:  Elizabeth Hofheinz, MPH. M. Ed A new retrospective economic analysis from Midwest Orthopaedics at Rush and The Ohio State University Wexner Medical Center suggests that lumbar fusion in those with chronic preoperative opioid use should be approached with caution. The study, “Pre-operative Chronic Opioid Therapy: A Risk Factor for Complications, Readmission, Continued Opioid Use […]

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