Month: March 2019

Uncategorized Published - 20 March, 2019    By - Dr Clemens
Management of the Bleeding Cardiac Surgical Patient.

Cardiac Anesthesiologist blog Surgical reexploration in case of excessive bleeding. Criteria: 8 mL/kg in any 2 successive hours or 20 mL/kg in the first 4 postop hours with or without s/s at cardiac tamponade

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Uncategorized Published - 20 March, 2019    By - Dr Clemens
Mediterranean diet

By Mayo Clinic Staff The heart-healthy Mediterranean diet is a healthy eating plan based on typical foods and recipes of Mediterranean-style cooking. Here’s how to adopt the Mediterranean diet. If you’re looking for a heart-healthy eating plan, the Mediterranean diet might be right for you. The Mediterranean diet incorporates the basics of healthy eating — […]

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Uncategorized Published - 20 March, 2019    By - Dr Clemens
Harmful effects of sleep deprivation – it’s in the genes!

The Anaesthesia Blog Peri-operative medicine, critical care and pain The association between sleep deprivation and poor health outcomes is well-recognised. In this month’s issue of Anaesthesia, Cheung et al. conducted a mechanistic study aiming to unravel the effects of sleep deprivation on DNA damage in healthy, full-time doctors. Doctors who worked on-site overnight shifts had higher levels […]

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Uncategorized Published - 20 March, 2019    By - Dr Clemens
Ketamine Infusions for Chronic Pain Clinical Practice Guidelines

Cardiac Anesthesiologist blog We conclude that there is low-level evidence to support the use of oral ketamine (150 mg/d or 0.5 mg/kg every 6 hours) and other NMDA-receptor antagonists such as dextromethorphan (0.5–1 mg/kg every 8 hours) as follow-up therapy following IV infusions, and moderate evidence to support intranasal ketamine (1–5 sprays of ketamine 10 […]

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Uncategorized Published - 20 March, 2019    By - Dr Clemens
SIDS Risk Doubles If Mom Smoked in Pregnancy

By Steven Reinberg HealthDay News Smoking during pregnancy is never a good idea, but new research shows it might double the risk of a baby dying from sudden infant death syndrome (SIDS). “Any maternal smoking during pregnancy — even just one cigarette a day — doubles the risk of sudden unexpected infant death [SUID, another term for unexplained infant deaths],” said lead researcher Tatiana Anderson. She is […]

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Uncategorized Published - 20 March, 2019    By - Dr Clemens
How HCA Healthcare cut bloodstream infections among patients with central lines, drains by 30%

By Tina Reed Fierce Healthcare A focus on handwashing in hospitals has made a big dent in infection control. But a new study found that cleaning patients with antiseptic made a big impact on hospital-acquired infection rates among patients with central lines or drains. (Getty/monkeybusinessimages) When it comes to preventing infections in hospitals, officials may […]

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Uncategorized Published - 19 March, 2019    By - Dr Clemens
Deaths from dementia have more than doubled in US, report says

By Denise Powell CNN Dementia not only affects memory and quality of life, it can be fatal. A report released Thursday by the National Center for Health Statistics shows that the rate of Americans who died from dementia has more than doubled from 30.5 deaths per 100,000 people in 2000 to 66.7 in 2017. The term dementia […]

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Uncategorized Published - 19 March, 2019    By - Dr Clemens
Clear fluids fasting for elective paediatric anaesthesia

Authors: Disma, Nicola et al European Journal of Anaesthesiology (EJA): March 2019 – Volume 36 – Issue 3 – p 173–174 Guidelines for the management of pre-operative paediatric clear fluid fasting historically recommend a minimum of 2 h. In particular, the published guideline from European Society of Anaesthesiology (ESA) in 2011, dedicated a section to peri-operative […]

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Uncategorized Published - 19 March, 2019    By - Dr Clemens
Implementation of Routine Cognitive Screening in the Preoperative Assessment Clinic

Authors: Sherman, Julia B., BA et al A&A Practice: February 15, 2019 – Volume 12 – Issue 4 – p 125–127 Traditional systems of anesthesia evaluation do not routinely incorporate cognitive screening into preoperative assessments of vital organ systems. Increasing recognition of the importance of preoperative cognitive assessment of the elderly surgical patient has resulted in […]

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Uncategorized Published - 19 March, 2019    By - Dr Clemens
Side effects of oral corticosteroids

Cardiac Anesthesiologist As corticosteroids are hormones, they can have a wide range of side effects. the range and severity of the side effects will depend on two factors: what type of corticosteroid medicine how long patient is using it for. With oral corticosteroids the effects are spread throughout the body. Long-term corticosteroid use is more likely to lead […]

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