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Uncategorized Published - 23 January, 2019    By - Dr Clemens
Preoperative dexamethasone for acute post-thoracotomy analgesia: a randomized, double-blind, placebo-controlled study

Authors: Kyoung-Woon Joung et al  BMC Anesthesiology201818:135 Background The analgesic effects of dexamethasone have been reported previously, and the present study determined the effects of preoperative dexamethasone on postoperative pain in patients who received thoracotomy. Methods Forty patients participated in this randomized, double-blind study. All patients received either dexamethasone via a 0.1 mg/kg intravenous bolus before anesthetic […]

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Uncategorized Published - 22 January, 2019    By - Dr Clemens
9 Steps to Implementing an Anesthesia Care Team Model

Anesthesiology News Evolving as a Small- to Medium-Sized Practice Butch Parker, MD Anesthesiologist President, Columbia Anesthesia Group Vancouver, Washington As a representative of a small anesthesia practice, you find yourself in a hospital executive’s office discussing the anesthesia needs of your community hospital. Catching you by surprise, she asks, “Why don’t you bring in CRNAs? […]

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Uncategorized Published - 22 January, 2019    By - Dr Clemens
Study Finds 1 in 4 Patients Receives Preoperative Opioids

Author: Bob Kronemyer Anesthesiology News Nearly one in four patients is given opioids immediately before surgical intervention, according to a large cross-sectional, observational study at a tertiary care academic medical center. The study, which appears in JAMA Surgery, collected information from 34,186 patients, with a mean age of 53.1 years, from March 2010 through April 2016 […]

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Uncategorized Published - 22 January, 2019    By - Dr Clemens
Anesthesia Duration Tied to Complications in Head, Neck Surgery

Author: Bob Kronemyer Anesthesiology News Increasing the duration of anesthesia from five hours to 12 hours for microvascular reconstruction of the head and neck significantly increases the risk for surgical complications and the need for postoperative transfusion, according to a study in JAMA Facial Plastic Surgery(2018;20[3]:188-195). “When surgeons are performing this type of surgery, they should […]

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Uncategorized Published - 22 January, 2019    By - Dr Clemens
Invasive Mechanical Ventilation for Pneumonia Declines in Very Old Patients

Author: Thomas Rosentnal Anesthesiology News Although the number of adult patients requiring mechanical ventilation (MV) declined from 2005 to 2011, approximately 9% of the 1,209,185 patients who were admitted to California community hospitals with community-acquired pneumonia (CAP) required invasive MV (IMV) within 48 hours of admission. That rate has remained relatively stable over the years […]

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Uncategorized Published - 22 January, 2019    By - Dr Clemens
More Doctor Visits Lead to Less Suicide Attempts for Patients With Fibromyalgia

Patients with fibromyalgia who regularly visit their physicians are much less likely to attempt suicide than those who do not, according to a study published in Arthritis Care & Research. Patients who did not attempt suicide were at the doctor an average of 50 hours per year versus less than 1 hour per year for the […]

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Uncategorized Published - 21 January, 2019    By - Dr Clemens
Pregabalin Not Effective for Chronic Pain After Traumatic Nerve Injury

Pregabalin (Lyrica) is not effective in controlling the chronic pain that sometimes develops following traumatic nerve injury, according to a study published in the Journal of Neurology. The results of the international study, which was driven by an effort to identify effective non-opioid pain medications, did show potential in relieving in pain that sometimes lingers after […]

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Uncategorized Published - 21 January, 2019    By - Dr Clemens
Long-term outcomes following microscopic anterior cervical foraminotomy with a minimum 10-year follow-up

Autohrs: Son S et al World Neurosurgery Sep 2018 BACKGROUND Microscopic anterior cervical foraminotomy (MACF) is a surgical technique for unilateral cervical radiculopathy that preserves segmental motion and avoids adjacent segmental degeneration, but little is known of its long-term outcomes. METHODS A retrospective minimum 10-year follow-up study was conducted on patients treated by one surgeon. […]

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Uncategorized Published - 21 January, 2019    By - Dr Clemens
Glossopharyngeal neuralgia treatment outcomes following nerve section, microvascular decompression, or stereotactic radiosurgery: a systematic review and meta-analysis

Authors: Lu V j et al World Neurosurgery (Sep 2018) BACKGROUND Glossopharyngeal neuralgia (GPN) is a rare neuralgic pain syndrome amenable to neurosurgical treatments including nerve section (NS), microvascular decompression (MVD), and stereotactic radiosurgery (SRS). However, thorough comparisons between the modalities have not been performed to date. The objective of this study was to compare […]

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Uncategorized Published - 21 January, 2019    By - Dr Clemens
Periumbilical infiltration of lidocaine with epinephrine for postoperative pain reduction in single-port laparoscopic adnexal surgery

Authors: Eoh K et al Journal of Obstetrics and Gynaecology 1-5  Sep 2018 An efficient and simple approach to control postoperative pain in transumbilical single-port laparoscopic surgery appears necessary. We conducted a retrospective analysis in a study group (80 patients who received periumbilical infiltration of lidocaine with epinephrine before their incisional site repair completion) and […]

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