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Uncategorized Published - 5 September, 2018    By - Dr Clemens
Physicians Rate Communication During Visit Lower Than Patients

There is a lack of correlation between physician scores and those of others for physician-patient communication, according to a study published in the July/August issue of the Annals of Family Medicine. Jenni Burt, Ph.D., from the University of Cambridge in the United Kingdom, and colleagues analyzed survey data from patients attending face-to-face appointments with 45 family physicians […]

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Uncategorized Published - 5 September, 2018    By - Dr Clemens
Impact of Intravenous Acetaminophen on Perioperative Opioid Utilization and Outcomes in Open Colectomies: A Claims Database Analysis

Authors: Isaac Wasserman, M.P.H. et al  Anesthesiology 7 2018, Vol.129, 77-88. Background: The value of intravenous acetaminophen in postoperative pain management remains debated. The authors tested the hypothesis that intravenous acetaminophen use, in isolation and in comparison to oral, would be associated with decreased opioid utilization (clinically significant reduction defined as 25%) and opioid-related adverse effects in […]

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Uncategorized Published - 5 September, 2018    By - Dr Clemens
Tobacco Exposure Influences Cluster Headache Presentation

The United States Cluster Headache Survey revealed differences in presentation between cluster headache sufferers exposed to tobacco and those not exposed, according to research published in Headache. This study found that respondents who were exposed to tobacco presented more severely in terms of headache frequency, disability due to headaches, and cycle frequency. They also reported the […]

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Uncategorized Published - 5 September, 2018    By - Dr Clemens
Neuropsychological and Behavioral Outcomes after Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study

Authors: David O. Warner, M.D. et al    Anesthesiology 7 2018, Vol.129, 89-105. Background: Few studies of how exposure of children to anesthesia may affect neurodevelopment employ comprehensive neuropsychological assessments. This study tested the hypothesis that exposure to multiple, but not single, procedures requiring anesthesia before age 3 yr is associated with adverse neurodevelopmental outcomes. Methods: Unexposed, singly […]

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Uncategorized Published - 4 September, 2018    By - Dr Clemens
Adding Peripheral Nerve Blocks to Injections Improves Knee Replacement Care

Adding peripheral nerve blocks to routine periarticular injections for total knee replacements has been linked to less postoperative pain and lower opioid consumption, according to a study that will be presented at the American Society of Regional Anesthesia (ASRA) and Pain Medicine meeting. With increasing numbers of patients receiving total knee arthroplasty (TKA) in the […]

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Uncategorized Published - 4 September, 2018    By - Dr Clemens
Development and Validation of a Deep Neural Network Model for Prediction of Postoperative In-hospital Mortality

Authors: Christine K. Lee, M.S., Ph.D. et al   Anesthesiology April 16, 2018. Background: The authors tested the hypothesis that deep neural networks trained on intraoperative features can predict postoperative in-hospital mortality.Methods: The data used to train and validate the algorithm consists of 59,985 patients with 87 features extracted at the end of surgery. Feed-forward networks with a logistic […]

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Uncategorized Published - 4 September, 2018    By - Dr Clemens
Pain Tolerance in Buprenorphine Maintenance Treatment

Buprenorphine maintenance treatment for opioid dependence may result in hyperalgesia and prevent morphine-associated antinociception, according to preliminary findings published in Pain Medicine. In this study, 12 patients maintained on stable doses of sublingual buprenorphine for 1.5 to 12 months and 10 healthy control patients were included. All study participants were pain free. Patients receiving buprenorphine maintenance treatment were […]

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Uncategorized Published - 4 September, 2018    By - Dr Clemens
Low Minute Ventilation in PACU May Identify Opioid-Induced Respiratory Depression

Monitoring for low minute ventilation during the 45 minutes before anticipated PACU discharge can be useful in identifying patients at risk for postoperative opioid-induced respiratory depression on the general hospital floor. Investigators concluded that monitoring patients with a respiratory volume monitor may help prevent this potentially devastating postoperative event. “We’ve all been concerned about opioid-induced […]

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Uncategorized Published - 4 September, 2018    By - Dr Clemens
Sex a Potential Factor in Adherence to Pain Medicine Use

Women are twice as likely as men to take pain medication over a 12-week, post-discharge period, according to researchers. The secondary analysis of a large study identified factors that influence postoperative pain medicine use in orthopedic trauma patients who also received a psychosocial intervention or standard trauma intervention. The analysis found no significant difference in […]

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Uncategorized Published - 4 September, 2018    By - Dr Clemens
Children’s Advil Suspension Recalled Due to Unmatched Dosage Cup

This doesn’t involve anesthesia however our providers are often parents so I wanted to share it. Pfizer Consumer Healthcare announced a voluntary recall of one lot of Children’s Advil Suspension (ibuprofen) Bubble Gum Flavored 4 floz bottle due to customer complaints that the dosage cup included is marked in teaspoons whereas the label instructions are described in […]

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