Month: January 2018

Uncategorized Published - 17 January, 2018    By - Dr Clemens
Health Care Just Became the U.S.’s Largest Employer

Author: Ralph Orlowski / Reuters In the American labor market, services are the new steel. This moment was inevitable. It just wasn’t supposed to happen so soon. Due to the inexorable aging of the country—and equally unstoppable growth in medical spending—it was long obvious that health-care jobs would slowly take up more and more of […]

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Uncategorized Published - 17 January, 2018    By - Dr Clemens
In a turf battle for organs, a policy review rattles the national transplant system

By Alan Zarembo Tethered to a breathing machine at a Manhattan hospital, 21-year-old Miriam Holman would die without a lung transplant. But her odds of finding a suitable organ were especially low in New York, where waiting times are among the longest in the country. Just across the Hudson River in New Jersey, patients in far […]

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Uncategorized Published - 17 January, 2018    By - Dr Clemens
How Do Anesthetics Work?

In Surprise, Research Suggests Lipid Bilayer Uninvolved, Challenging Prevalent Theory General anesthesia at clinically relevant concentrations induces unconsciousness by changing the function of proteins on the cell membrane, not the lipid bilayer, as previously believed, researchers have concluded. The findings challenge a century-old concept of how anesthetics work, and may ultimately help guide the development of novel, […]

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Uncategorized Published - 16 January, 2018    By - Dr Clemens
Medical drones geared for take off

I include this one because I thought it was interesting for us as providers. By Meg Bryant Researchers in Mississippi hope to have a fleet of medical drones ready for disaster response by next year’s hurricane season. Hattiesburg, Mississippi, is no stranger to natural disasters. The city, 70 miles north of the Gulf Coast, suffered major […]

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Uncategorized Published - 16 January, 2018    By - Dr Clemens
Utility of Perioperative Lung Ultrasound in Pediatric Cardiac Surgery: A Randomized Controlled Trial

Authors: In-Kyung Song, M.D. et al Anesthesiology published January, 2018. Background: Pediatric cardiac patients are at risk for perioperative respiratory insufficiency. The objective of this study was to assess the utility of perioperative lung ultrasound examination in pediatric cardiac surgery. Methods: In this randomized, controlled trial, children (5 yr old or younger) undergoing cardiac surgery were allocated into […]

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Uncategorized Published - 16 January, 2018    By - Dr Clemens
Sevoflurane Blocks the Induction of Long-term Potentiation When Present during, but Not When Present Only before, the High-frequency Stimulation

Authors: Jinyang Liu, M.S. et al Anesthesiology published January, 2018. Background: This study tests the hypothesis that sevoflurane blocks long-term potentiation only if it is present during the high-frequency stimulation that induces long-term potentiation. Methods: Long-term potentiation, an electrophysiologic correlate of memory, was induced by high-frequency stimulation and measured as a persistent increase in the field excitatory postsynaptic […]

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Uncategorized Published - 16 January, 2018    By - Dr Clemens
Bariatric Surgery Associated with Higher Suicide Risk

Bariatric surgery is associated with elevated risk for suicide and nonfatal self-harm, according to findings reported in the Lancet Diabetes & Endocrinology. In one cohort, researchers compared outcomes in 2000 obese patients undergoing bariatric surgery and matched controls who chose not to undergo surgery. During a median 18 years’ follow-up, the incidence of suicide or nonfatal […]

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Uncategorized Published - 16 January, 2018    By - Dr Clemens
MS: Providers Can Text, Just Not Medical Orders

By Brian Ward After ‘texting is not permitted’ confusion, CMS clarifies when secure messaging apps are appropriate. This post original appeared in HCPro’s Accreditation Insider, January 2, 2017. CMS is clearing up recent confusion on what medical providers can text each other. The agency confirmed care team members are allowed to text patient information over a […]

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Uncategorized Published - 15 January, 2018    By - Dr Clemens
Cost-effectiveness Analysis of Intraoperative Cell Salvage for Obstetric Hemorrhage

Authors: Grace Lim, M.D., M.S. et al Anesthesiology 2 2018, Vol.128, 328-337. Background: Cost-effectiveness analyses on cell salvage for cesarean delivery to inform national and societal guidelines on obstetric blood management are lacking. This study examined the cost-effectiveness of cell salvage strategies in obstetric hemorrhage from a societal perspective. Methods: Markov decision analysis modeling compared the cost-effectiveness of […]

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Uncategorized Published - 15 January, 2018    By - Dr Clemens
Defining the Intrinsic Cardiac Risks of Operations to Improve Preoperative Cardiac Risk Assessments

Authors: Jason B. Liu, M.D., M.S. et al Anesthesiology 2 2018, Vol.128, 283-292. Background: Current preoperative cardiac risk stratification practices group operations into broad categories, which might inadequately consider the intrinsic cardiac risks of individual operations. We sought to define the intrinsic cardiac risks of individual operations and to demonstrate how grouping operations might lead to imprecise […]

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