Month: April 2019

Uncategorized Published - 22 April, 2019    By - Dr Clemens
Perioperative Fluid Management: Turning Art to Science

Authors: Harriet W. Hopf, M.D., F.A.S.A. et al Anesthesiology 5 2019, Vol.130, 677-679. “[E]ffective [fluid] volume may be more important than type of fluid.” Appropriate fluid management is a cornerstone of anesthetic practice.1  Unfortunately, there is disagreement as to how to translate that goal into practice. Anesthesiologists know that too much fluid may lead to complications […]

Read More
Uncategorized Published - 22 April, 2019    By - Dr Clemens
US halts sales of pelvic mesh tied to injuries in women

By MATTHEW PERRONE AP U.S. health regulators on Tuesday halted sales of a type of surgical mesh used to repair pelvic conditions in women, following years of patients’ reports of injuries and complications from the implants. The Food and Drug Administration ordered the two remaining makers of the mesh — Boston Scientific and Coloplast — […]

Read More
Uncategorized Published - 22 April, 2019    By - Dr Clemens
Hospital deaths after surgery fall after launch of surgical safety checklists in Scotland

EurekAlert! The World Health Organization (WHO) created the Surgical Safety Checklist over a decade ago, in an effort to reduce mortality after surgery. The BJS (British Journal of Surgery) has published a study that used a national database to look at the records of over 12 million patients. The authors were interested in the numbers of deaths before […]

Read More
Uncategorized Published - 21 April, 2019    By - Dr Clemens
Extracorporeal Arteriovenous Ultrasound Measurement of Cardiac Output in Small Children

Authors: Theodor S. Sigurdsson, M.D. et al Anesthesiology 5 2019, Vol.130, 712-718. What We Already Know about This Topic: To date, there are not clinically practical, accurate, and precise noninvasive methods for measuring cardiac output in small children What This Article Tells Us That Is New: This study describes a noninvasive method by which ultrasound can […]

Read More
Uncategorized Published - 19 April, 2019    By - Dr Clemens
New Guidance Outlines Recommendations for Infection Control in Anaesthesiology

The Society for Healthcare Epidemiology of America (SHEA) has issued a new expert guidance on how hospitals and healthcare providers may reduce infections associated with anaesthesiology procedures and equipment in the operating room. The guidance, published in Infection Control & Hospital Epidemiology, recommends steps to improve infection prevention through increased hand hygiene, environmental disinfection, and continuous […]

Read More
Uncategorized Published - 19 April, 2019    By - Dr Clemens
ASC, anesthesia provider relationships risk violating anti-kickback laws — 3 insights

Written by Angie Stewart  Source: Becker’s ASC Review Certain relationships between ASC and anesthesia service providers create compliance issues related to anti-kickback laws, according to healthcare law firm Nelson Hardiman. Here are three takeaways: 1. In ASC-anesthesia services arrangements, the transfer of anything of value from the anesthesia provider to the ASC or ASC owners […]

Read More
Uncategorized Published - 19 April, 2019    By - Dr Clemens
Earthquake safety law could put California’s hospitals in ‘financial distress,’ report warns

California’s hospitals are scrambling to retrofit their buildings before the “The Big One” hits, an effort that will cost tens of billions dollars and could jeopardize healthcare access, according to a newly released study. The state’s 418 hospitals have a deadline from the state, too. They’re racing to meet seismic safety standards set by a […]

Read More
Uncategorized Published - 19 April, 2019    By - Dr Clemens
Pulsed Radiofrequency Provides Durable Back Pain Relief

By Alex Morrisson DG News Computed tomography (CT)-guided pulsed radiofrequency is superior to injection only for patients with back pain caused by nerve pressure, researchers reported here at the 2018 Annual Meeting of the Radiological Society of North America (RSNA). One year after undergoing the treatment 95% of the 113 patients in the studied reported […]

Read More
Uncategorized Published - 19 April, 2019    By - Dr Clemens
Elevated Risk for Opioid Abuse from Dental Prescriptions in Teens and Young Adults

Authors: Schroeder AR et al. JAMA Intern Med 2018 Dec 3 Dental procedures are a common source of first-time opioid exposure that can lead to further use and abuse. Dental clinicians are a leading prescriber of opioids to children, often within the context of third molar extractions. Among generally healthy U.S. individuals aged 16 to 25 […]

Read More
Uncategorized Published - 18 April, 2019    By - Dr Clemens
National PDPH Rates, Clinical Practice Strategies Analyzed

Author: Michael Vlessides Anesthesiology News A large analysis of rates of postdural puncture headache (PDPH) following labor analgesia/anesthesia in the United States closely replicates findings from previous smaller studies. The analysis also revealed that conservative treatment strategies were common among these women, with much lower rates of repeat epidural blood patch and follow-up care for […]

Read More