Month: March 2018

Uncategorized Published - 2 March, 2018    By - Dr Clemens
Preoperative fasting in children: review of existing guidelines and recent developments

British Journal of Anesthesia March 20018 Volume 120, Issue 3, Pages 469–474 Authors: P. Frykholm et al Abstract The current guidelines for preoperative fasting recommend intervals of 6, 4, and 2 h (6–4–2) of fasting for solids, breast milk, and clear fluids, respectively. The objective is to minimize the risk of pulmonary aspiration of gastric contents, but […]

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Uncategorized Published - 2 March, 2018    By - Dr Clemens
We Should Focus On “When” As Well As “Whom” to Monitor for Postoperative Opioid-Induced Ventilatory Impairment

Authors: Lorri A. Lee, MD; Karen L. Posner, PhD; and Karen B. Domino, MD, MPH   Postoperative opioid-induced ventilatory impairment (OIVI) is a preventable cause of high severity injuries to patients and many organizations have focused efforts on this patient safety issue over the last two decades. Progress has been slow in this arena because […]

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Uncategorized Published - 1 March, 2018    By - Dr Clemens
Point-of-care viscoelastic testing improves the outcome of pregnancies complicated by severe postpartum hemorrhage

Journal  of Clinical Anesthesia February 2018 Volume 44 Pages 50-56 Authors: Denis Snegovskikh, M.D. et al Highlights Postpartum Hemorrhage (PPH) is a major cause of maternal morbidity and mortality. 6,708 cesarean deliveries and 13,641 vaginal births analyzed. Point-of-care viscoelastic testing (PCVT) was utilized in patients with PPH. The PCVT produced substantial improvement in both patient […]

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Uncategorized Published - 1 March, 2018    By - Dr Clemens
Encourage Your Team to Bring You Problems — Just Not Complaints

This is from Harvard Business Review “Bring me solutions, not problems.” Many well-meaning managers have said it, intending to keep employees from simply complaining about work issues. But employees can take it to mean they should cover up an issue if they don’t have a way to fix it. So it’s better to tell your […]

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