Month: December 2017

Uncategorized Published - 19 December, 2017    By - Dr Clemens
Global anesthesia drugs market to hit $13.2B by 2020 — 4 insights

An analysis by Research and Markets said the global anesthesia drugs market is poised for significant growth in the next four years. Here’s what you should know: 1. Market analysts believe the market was worth $11.17 billion in 2015. They believe the market’s value will blossom to $13.20 billion by 2020. Analysts anticipate the market […]

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Uncategorized Published - 19 December, 2017    By - Dr Clemens
Hidden toll of Chicago’s gun violence: $447 million in hospital bills over seven years

Leo Leyva, 26, discusses life after he was paralyzed in 2009 from a gunshot wound in Chicago. (Armando L. Sanchez / Chicago Tribune) Jennifer Smith Richards, Annie Sweeney and Jason Meisner Contact Reporters Chicago Tribune The charges started racking up the moment Annette Johnson arrived at Mount Sinai Hospital with a gunshot wound to her […]

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Uncategorized Published - 18 December, 2017    By - Dr Clemens
Left Lateral Table Tilt for Elective Cesarean Delivery under Spinal Anesthesia Has No Effect on Neonatal Acid–Base Status: A Randomized Controlled Trial

Authors: Allison J. Lee, M.D. et Anesthesiology 8 2017, Vol.127, 241-249 Background: Current recommendations for women undergoing cesarean delivery include 15° left tilt for uterine displacement to prevent aortocaval compression, although this degree of tilt is practically never achieved. We hypothesized that under contemporary clinical practice, including a crystalloid coload and phenylephrine infusion targeted at […]

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Uncategorized Published - 18 December, 2017    By - Dr Clemens
Medication Safety Program Reduces Drug Administration Errors

A Perioperative Systems Improvement program, put into place to review and respond to medication errors, has resulted in significant improvements at Boston Children’s Hospital. In an effort to decrease adverse medical events caused by drug administration errors, researchers there conducted a retrospective analysis of errors made from 2008 through 2016. Information was obtained from mandatory […]

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Uncategorized Published - 18 December, 2017    By - Dr Clemens
Multimodal Analgesia for Postsurgical Acute Pain Management: The Role of the Bedside Practitioner

By Maureen F. Cooney, DNP, FNP-BC, Pain Management Nurse Practitioner, Westchester Medical Center, Valhalla, N.Y. For patients preparing for surgery, their biggest worry often has nothing to do with typically noted complications. What patients fear most is pain.1 And for good reason: More than 80% of surgical patients report acute postoperative pain,2 yet less than […]

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Uncategorized Published - 18 December, 2017    By - Dr Clemens
Tetralogy of Fallot With Pulmonary Atresia Predicts Complications After Pulmonary Rehab Surgery

Pediatric patients with tetralogy of Fallot and pulmonary atresia appear to have an increased likelihood of complications following pulmonary rehabilitation surgery, according to a retrospective review. The findings, presented at the 2017 annual meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and Pain Medicine (abstract CA1-36), come from an analysis […]

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Uncategorized Published - 18 December, 2017    By - Dr Clemens
Ringer’s Lactate Versus Normal Saline in Urgent Cesarean Delivery in a Resource-Limited Setting: A Pragmatic Clinical Trial

AUTHORS: Ayebale, Emmanuel Timarwa MBChB, MMED et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 533–539 BACKGROUND: Crystalloids are used routinely for perioperative fluid management in cesarean delivery. Few studies have determined the crystalloid of choice in obstetric anesthesia. We compared the effects of Ringer’s lactate (RL) versus 0.9% […]

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Uncategorized Published - 15 December, 2017    By - Dr Clemens
Remote Ischemic Preconditioning Decreases Oxidative Lung Damage After Pulmonary Lobectomy: A Single-Center Randomized, Double-Blind, Controlled Trial

AUTHORS: García-de-la-Asunción, José MD, PhD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 499–506 BACKGROUND: During lobectomy in patients with lung cancer, the operated lung is often collapsed and hypoperfused. Ischemia/reperfusion injury may then occur when the lung is re-expanded. We hypothesized that remote ischemic preconditioning (RIPC) would […]

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Uncategorized Published - 15 December, 2017    By - Dr Clemens
Blood Product Utilization Among Trauma and Nontrauma Massive Transfusion Protocols at an Urban Academic Medical Center

AUTHORS: Patel, Eshan U. MPH et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 967–974 BACKGROUND: Hospital-wide massive transfusion protocols (MTPs) primarily designed for trauma patients may lead to excess blood products being prepared for nontrauma patients. This study characterized blood product utilization among distinct trauma and nontrauma MTPs at a […]

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Uncategorized Published - 15 December, 2017    By - Dr Clemens
A New Buprenorphine Preparation for Treating Narcotic Dependence

Authors: Walsh SL et al., JAMA Psychiatry 2017 Jun 22; An investigational depot form of the medication has positive early results. The opioid receptor partial agonist buprenorphine, as sublingual monotherapy or in combination with the opioid antagonist naloxone (Suboxone), attenuates narcotic withdrawal and craving and blocks euphoria from concurrent narcotics. Still, buprenorphine is itself subject to misuse […]

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