Month: June 2016

Uncategorized Published - 16 June, 2016    By - Dr Clemens
Workplace Violence Rampant in Healthcare

Workplace violence against healthcare workers is rampant, but solutions remain unclear, largely as a result of underrecognition and underreporting of the problem and poor-quality research, according to a review article published in the April 28 issue of the New England Journal of Medicine. The article stems from the tragic death of a surgeon at Brigham and Women’s Hospital […]

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Uncategorized Published - 16 June, 2016    By - Dr Clemens
Repeated Ketamine May Sustain Antidepressant Effect

I thought this was interesting so I wanted to share it with our readers. Repeated administration of ketamine may help sustain the antidepressant effect in patients with treatment-resistant depression beyond the initial dose, a new study shows. Ketamine, an injectable anesthetic, has demonstrated a rapid antidepressant effect. But the effect is relatively short-lived, and how […]

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Uncategorized Published - 16 June, 2016    By - Dr Clemens
Nitrous Oxide in Modern Anaesthetic Practice

Authors: SM Brown FRCA; JR Sneyd FRCA BJA Education. 2016;16(3):87-91. Introduction Nitrous oxide (N2O) was first isolated by Joseph Priestly in 1772 and subsequently recognized for its analgesic properties by Humphrey Davy in 1799. Davy has actually invented a new pleasure, for which language has no name. Oh Tom! I am going for more this evening; […]

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Uncategorized Published - 16 June, 2016    By - Dr Clemens
Controlled Substance Reconciliation Accuracy Improvement Using Near Real-Time Drug Transaction Capture from Automated Dispensing Cabinets

Anesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1841–1855 AUTHORS: Epstein, Richard H. MD et al BACKGROUND: Accurate accounting of controlled drug transactions by inpatient hospital pharmacies is a requirement in the United States under the Controlled Substances Act. At many hospitals, manual distribution of controlled substances from pharmacies is […]

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Uncategorized Published - 16 June, 2016    By - Dr Clemens
Congressional Investigation Finds Higher Number of Scope Infections

The number of infections from contaminated duodenoscopes is much higher than previously reported, according to a congressional investigation. The FDA recently revealed after a yearlong investigation that as many as 350 patients at 41 facilities in the United States and overseas have been infected by tainted scopes between Jan. 1, 2010, and Oct. 31, 2015. […]

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Uncategorized Published - 15 June, 2016    By - Dr Clemens
The Accuracy of Pulse Spectroscopy for Detecting Hypoxemia and Coexisting Methemoglobin or Carboxyhemoglobin

Anesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1856–1865 AUTHORS: Kulcke, Axel PhD et al BACKGROUND: Pulse spectroscopy is a new noninvasive technology involving hundreds of wavelengths of visible and infrared light, enabling the simultaneous quantitation of multiple types of normal and dysfunctional hemoglobin. We evaluated the accuracy of a […]

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Uncategorized Published - 15 June, 2016    By - Dr Clemens
Applying Latent Class Analysis to Risk Stratification for Perioperative Mortality in Patients Undergoing Intraabdominal General Surgery

Anesthesia & Analgesia: April 22, 2016 AUTHORS: Kim, Minjae MD, MS et al BACKGROUND: Perioperative risk stratification is often performed using individual risk factors without consideration of the syndemic of these risk factors. We used latent class analysis (LCA) to identify the classes of comorbidities and risk factors associated with perioperative mortality in patients presenting […]

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Uncategorized Published - 15 June, 2016    By - Dr Clemens
One-Year Mortality, Causes of Death, and Cardiac Interventions in Patients with Postoperative Myocardial Injury.

Anesthesia & Analgesia: April 22, 2016 AUTHORS: Van Waes, Judith A. R. MD et al BACKGROUND: To evaluate the role of routine troponin surveillance in patients undergoing major noncardiac surgery, unblinded screening with cardiac consultation per protocol was implemented at a tertiary care center. In this study, we evaluated 1-year mortality, causes of death, and […]

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Uncategorized Published - 15 June, 2016    By - Dr Clemens
Response Patterns to the Electric Stimulation of Epidural Catheters in Pregnant Women: A Randomized Controlled Trial of Uniport Versus Multiport Catheters

Anesthesia & Analgesia: Post Author Corrections: April 22, 2016 AUTHORS: Patel, Ruchira MBBS et al BACKGROUND: The transcatheter electric stimulation test (Tsui test) can be performed at the bedside to confirm the correct placement of a wire-reinforced epidural catheter within the epidural space. The most commonly observed motor response with a uniport epidural catheter placed […]

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Uncategorized Published - 15 June, 2016    By - Dr Clemens
Costs Associated with Anesthesia-Related Adverse Events During Labor and Delivery in New York State, 2010

Anesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 2007–2016 AUTHORS: Hunt, Tristan D. BS et al BACKGROUND: The safety of anesthetic care provided during childbirth has improved during the past 2 decades in the United States, with a marked decrease in the rate of anesthesia-related adverse events (ARAEs). To date, […]

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