Month: November 2018

Uncategorized Published - 30 November, 2018    By - Dr Clemens
Fiber-Optic System Improves Needle Puncture for Perc Dilational Tracheostomy

Author: Chase Doyle Anesthesiology News A new fiber-optic–guided system has been shown to improve the performance of percutaneous dilational tracheostomy (PDT) by facilitating faster and more accurate needle puncture. “This new fiber-optic–guided technique is a reliable method to facilitate quicker and safer needle-guided puncture,” said Pin-Tarng Chen, MD, attending anesthesiologist at Taipei Veterans General Hospital and associate […]

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Uncategorized Published - 30 November, 2018    By - Dr Clemens
Residents Rarely Completely Document Urgent Intubations

Author: Thomas Rosenthal Anesthesiology News Anesthesia residents rarely documented all 12 items identified as essential for urgent/emergent intubations (UEIs) outside the operating room, according to a new study. The retrospective study of 136 standardized electronic medical records (EMRs) documenting non-OR UEIs at Tufts Medical Center in Boston, between Jan. 1, 2016, and Feb. 28, 2017, found […]

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Uncategorized Published - 30 November, 2018    By - Dr Clemens
Healthcare’s Dependence on Fax Machines Poses Risk to Health Data

 By Jessica Davis Legacy devices are still in frequent use by the healthcare sector. But a lack of awareness around disposing physical data could be putting healthcare organizations at risk. While the healthcare sector has some of the most advanced technology available, it’s oft perplexing to discover that about 75 percent of all healthcare communications are […]

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Uncategorized Published - 30 November, 2018    By - Dr Clemens
Can stimulating the brain treat chronic pain?

For the first time, researchers at the UNC School of Medicine showed they could target one brain region with a weak alternating current of electricity, enhance the naturally occurring brain rhythms of that region, and significantly decrease symptoms associated with chronic lower back pain. The results, published in the Journal of Pain and presented at the Society […]

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Uncategorized Published - 30 November, 2018    By - Dr Clemens
Effect of a Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Hospitalized Patients With Chronic Obstructive Pulmonary Disease

A Randomized Clinical Trial Authors: Hanan Aboumatar, MD, et al  JAMA. Published online November 12, 2018. Question  Can a hospital-initiated program result in reduced acute care use and better quality of life for patients hospitalized for chronic obstructive pulmonary disease (COPD)? Findings  In this single-site randomized clinical trial that included 240 patients with COPD, a 3-month program that combined transition […]

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Uncategorized Published - 29 November, 2018    By - Dr Clemens
Succinylcholine Use and Dantrolene Availability for Malignant Hyperthermia Treatment: Database Analyses and Systematic Review

Authors: Marilyn Green Larach, M.D., F.A.A.P. et al  Anesthesiology November 12, 2018. What We Already Know about This Topic: Dantrolene effectively treats malignant hyperthermia, but there are discrepant recommendations for dantrolene availability in facilities that stock succinylcholine for airway rescue but do not use volatile anesthetics. What This Article Tells Us That Is New: The authors […]

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Uncategorized Published - 29 November, 2018    By - Dr Clemens
Succinylcholine and Dantrolene: Inseparable in the Emergency Cupboard?

Authors: Philip M. Hopkins, M.B., B.S., M.D., F.R.C.A. et al  Anesthesiology November 12, 2018. “[Increased] patient safety is served by mandating that dantrolene be stocked where succinylcholine is available.” IN this issue, Larach et al.1  conclude a large database analysis and systematic review by advocating that dantrolene be stocked in all locations where succinylcholine is available, even if […]

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Uncategorized Published - 29 November, 2018    By - Dr Clemens
AHA: Heart Attacks More Common Now in Younger People, Especially Women

Heart attacks once characterized as a part of “old man’s disease” — are increasingly occurring in younger people, especially women, according to new research. The study, presented Sunday at the American Heart Association’s Scientific Sessions meeting in Chicago and published in the AHA journal Circulation, sought to investigate heart attacks in the young, a group frequently […]

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Uncategorized Published - 29 November, 2018    By - Dr Clemens
Peer Review: The Worst Way to Judge Research, Except for All the Others

By Aaron E. Carroll New York Times Nov 5, 2018 A look at the system’s weaknesses, and possible ways to combat them. Even before the recent news that a group of researchers managed to get several ridiculous fake studies published in reputable academic journals, people have been aware of problems with peer review. Throwing out the system — which deems whether research […]

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Uncategorized Published - 29 November, 2018    By - Dr Clemens
Oropharyngeal Bacterial Colonization after Chlorhexidine Mouthwash in Mechanically Ventilated Critically Ill Patients

Authors: Béatrice La Combe, M.D., M.Sc. et al  Anesthesiology 12 2018, Vol.129, 1140-1148. What We Already Know about This Topic: Chlorhexidine is frequently used to reduce oropharyngeal bacterial colonization in mechanically ventilated patients. How effective the drug is remains unclear. What This Article Tells Us That Is New: Bacterial colonization was evaluated in 30 mechanically ventilated […]

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