Month: March 2019

Uncategorized Published - 14 March, 2019    By - Dr Clemens
Neutrophil Extracellular Traps Are Elevated in Patients with Pneumonia-related Acute Respiratory Distress Syndrome

Authors: Inès Bendib, M.D. et al Anesthesiology 4 2019, Vol.130, 581-591. What We Already Know about This Topic: Neutrophil extracellular traps are increasingly recognized as pathogenic in acute injury, but their role in sepsis-related acute respiratory distress syndrome is unknown What This Article Tells Us That Is New: In 35 patients with acute respiratory distress syndrome […]

Read More
Uncategorized Published - 13 March, 2019    By - Dr Clemens
Intraoperative Electrosurgical Electromagnetic Interference in Patients with Implantable Cardioverter Defibrillators: Is It Safe?

Editorial Author: G. Alec Rooke, M.D., Ph.D. Anesthesiology 4 2019, Vol.130, 523-525. “There are two options to disable therapy [implantable cardioverter defibrillators]: place a magnet or reprogram the device. Both have their drawbacks.” Most anesthesiologists understand that electromagnetic interference from monopolar electrosurgery may adversely impact the normal functioning of cardiovascular implantable electrical devices, including pacemakers […]

Read More
Uncategorized Published - 13 March, 2019    By - Dr Clemens
Is Upcoding Anesthesia Time the Tip of the Iceberg in Insurance Fraud?

Authors: Alberto Coustasse, DrPH, MD, MBA, MPH et al JAMA Netw Open. 2018;1(7) The Centers for Medicare & Medicaid Services (CMS) defines fraud as making false statements to obtain benefit or payment for which no entitlement would otherwise exist. Medicare and Medicaid fraud was estimated in 2014 to range from $82 billion to $272 billion and […]

Read More
Uncategorized Published - 13 March, 2019    By - Dr Clemens
Amisulpride for the Rescue Treatment of Postoperative Nausea or Vomiting in Patients Failing Prophylaxis: A Randomized, Placebo-controlled Phase III Trial

Authors: Ashraf S. Habib, M.B., B.Ch. et al Anesthesiology 2 2019, Vol.130, 203-212. What We Already Know about This Topic: Although antiemetics are commonly used to prevent postoperative nausea or vomiting, the failure rate is appreciable and there is little evidence to guide best therapy for rescue treatment after failed prophylaxis What This Article Tells Us […]

Read More
Uncategorized Published - 13 March, 2019    By - Dr Clemens
Non–steady State Modeling of the Ventilatory Depressant Effect of Remifentanil in Awake Patients Experiencing Moderate-to-severe Obstructive Sleep Apnea

Authors: Anthony G. Doufas, M.D., Ph.D. et al Anesthesiology 2 2019, Vol.130, 213-226. What We Already Know about This Topic: Patients with obstructive sleep apnea are often said to have increased sensitivity to opioid-induced ventilatory depression What This Article Tells Us That Is New: The hypothesis that patients with moderate-to-severe obstructive sleep apnea are more sensitive […]

Read More
Uncategorized Published - 13 March, 2019    By - Dr Clemens
Kaiser Permanente hospital used video call to tell patient he was dying

I can’t believe this…………. A patient’s family was upset to learn over video that their grandfather was dying at Kaiser Permanente Medical Center in Fremont, Calif., according to a report from local Fox affiliate KTVU. A nurse told the patient, 79-year-old Ernest Quintana, and his granddaughter, Annalisia Wilharm, a physician would make rounds. Instead, a physician called in […]

Read More
Uncategorized Published - 13 March, 2019    By - Dr Clemens
Electromagnetic Interference with Protocolized Electrosurgery Dispersive Electrode Positioning in Patients with Implantable Cardioverter Defibrillators

Authors: Peter M. Schulman, M.D. et al Anesthesiology 4 2019, Vol.130, 530-540. What We Already Know about This Topic: Electromagnetic interference from monopolar electrosurgery may disrupt implantable cardioverter defibrillators. Current management recommendations by the American Society of Anesthesiologists and Heart Rhythm Society are based on expert clinical opinion since there is a paucity of data regarding […]

Read More
Uncategorized Published - 12 March, 2019    By - Dr Clemens
Propofol vs. inhalational agents to maintain general anaesthesia in ambulatory and in-patient surgery: a systematic review and meta-analysis

Authors: Stefan Schraag et al  BMC Anesthesiology201818:162 Background It is unclear if anaesthesia maintenance with propofol is advantageous or beneficial over inhalational agents. This study is intended to compare the effects of propofol vs. inhalational agents in maintaining general anaesthesia on patient-relevant outcomes and patient satisfaction. Methods Studies were identified by electronic database searches in […]

Read More
Uncategorized Published - 12 March, 2019    By - Dr Clemens
The Effect of Cigarette Smoking on Nonalcoholic Fatty Liver Disease

Authors: Jung H-S et al. Am J Gastroenterol 2018 Oct 23 Cigarette smoking appears to be a modifiable risk factor for development and progression of NAFLD. Although there is no specific treatment for nonalcoholic fatty liver disease (NAFLD), weight loss, avoiding alcohol, and control of underlying comorbid conditions such as diabetes are recommended. Should clinicians also […]

Read More
Uncategorized Published - 12 March, 2019    By - Dr Clemens
Pre-op Coagulation Parameters Predict 30-Day Mortality After Cardiac Surgery

Author: Chase Doyle Anesthesiology News New research suggests that preoperative coagulation testing can be instrumental in predicting cardiac surgery outcomes. According to a retrospective analysis of nearly 1,400 patients’ medical records, preoperative international normalized ratio (INR) is significantly associated with 30-day mortality in cardiac surgery patients. The data showed tha t for every 1-unit increase […]

Read More