Month: November 2018

Uncategorized Published - 12 November, 2018    By - Dr Clemens
Blood Pressure and End-tidal Carbon Dioxide Ranges during Aneurysm Occlusion and Neurologic Outcome after an Aneurysmal Subarachnoid Hemorrhage

Authors: Annemarie Akkermans, M.D et al  Anesthesiology October 31, 2018. What We Already Know about This Topic: It remains unknown what end-tidal carbon dioxide and mean arterial pressure are optimal for surgical management of patients with an aneurysmal subarachnoid hemorrhage What This Article Tells Us That Is New: The investigators retrospectively evaluated 1,099 patients who had […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
The troubling epidemic of unnecessary C-sections around the world, explained

The C-section rate has almost doubled in less than a generation. By Julia Belluz Vox Oct 27, 2018 Over the last century, medical advances have transformed childbirth from the most common cause of death for young women and infants into a much more survivable one. And the c-section has been an important tool — until doctors overused it. “Your […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
Prescience: Helping doctors predict the future

Author Sarah McQuate University of Washington News Oct 10, 2018 During surgery, anesthesiologists monitor and manage patients to make sure they are safe and breathing well. But these doctors can’t always predict when complications will arise. Prescience also provides real-world explanations behind its predictions. With this information, anesthesiologists can better understand why a patient is […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
Keep calm, and give the Ancef

This was from the blog a Pen Point The observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist, writer, and mother. A true allergic reaction is one of the most terrifying events in medicine. A child or adult who is highly allergic to bee stings or peanuts, for instance, can die within minutes without a life-saving […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Effect of a Low vs Intermediate Tidal Volume Strategy on Ventilator-Free Days in Intensive Care Unit Patients Without ARDS

A Randomized Clinical Trial JAMA. October 24, 2018. Question  In patients in the intensive care unit (ICU) who received invasive ventilation for reasons other than acute respiratory distress syndrome (ARDS), is a ventilation strategy with low tidal volume more effective than a strategy using intermediate tidal volume with respect to the number of ventilator-free days and alive […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
ACS: opiate-free surgery feasible for elective colectomy

Opiate-free surgery is feasible for patients undergoing elective colon resections with anastomosis, with shorter length of stay for patients not receiving narcotics, according to a study presented at the annual meeting of the American College of Surgeons, held from Oct. 21 to 25 in Boston. Sophia A. Horattas, M.D., from Cleveland Clinic Akron General, and […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Geography matters in hospital quality, Healthgrades report shows

I thought this was interesting so I wanted to share with our readers. By Meg Bryant Dive Brief: Rochester, Minnesota topped the list of healthiest cities in terms of access to care, quality hospitals and other measures in Healthgrades’ National Health Index of American cities, with Orlando, Florida, coming in last. Healthgrades’ analysis shows hospitals in close […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Promoting brain health before, during and after surgery

Patients 65 and older undergoing surgery are at increased risk for developing perioperative neurocognitive disorders, including postoperative delirium (POD), with detrimental effects on their recovery. POD is the most common surgical complication in older adults, occurring in 5 to 50 percent of older adults after an operation, according to the American Geriatrics Society. It’s estimated […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Management of Anesthesia and Delivery in Women With Chiari I Malformations

Authors: Waters, Janet F. R., MD, MBA et al Obstetrics & Gynecology: November 2018 – Volume 132 – Issue 5 – p 1180–1184 OBJECTIVE: To estimate whether vaginal delivery or neuraxial anesthesia poses a risk of neurologic deterioration in women with uncorrected Chiari I malformation. METHODS: To assemble this case series, electronic record databases were used to identify […]

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Uncategorized Published - 8 November, 2018    By - Dr Clemens
Novel Therapeutic Delivers Oxygen to Hypoxic Tissues

Researchers from the University of California at San Francisco (UCSF) have developed a novel therapeutic that can deliver oxygen specifically to under-oxygenated tissues, thereby restoring the contractile function of cardiac cells, which is heavily affected under hypoxic conditions. The study is published in the journal PLoS Biology. A new oxygen-delivery therapeutic restored the function of oxygen-starved heart tissue in an animal […]

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