Month: May 2019

Uncategorized Published - 17 May, 2019    By - Dr Clemens
Continuous BP Monitoring Halves Intra-op Hypotension

AUTHOR: Michael Vlessides Anesthesiology News Continuous noninvasive blood pressure monitoring helps limit hypotension during noncardiac surgery. Researchers at the Cleveland Clinic concluded that a novel device halved the amount of hypotension below a mean arterial pressure (MAP) threshold of 65 mm Hg. “There is increasing evidence that low blood pressure during noncardiac surgery is associated with serious […]

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Uncategorized Published - 17 May, 2019    By - Dr Clemens
1 in 9 U.S. Women Report Drinking While Pregnant

I thought this was interesting so I wanted to share By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS Nearly 12% of pregnant women report consuming alcohol in the past 30 days, according to an analysis of data from the 2015–2017 Behavioral Risk Factor Surveillance System published in MMWR. Among the […]

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Uncategorized Published - 17 May, 2019    By - Dr Clemens
Emergency Department Airway Management Responsibilities in the United States

AUTHORS: Chiaghana, Chukwudi, MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 296–301 BACKGROUND: In the 1990s, emergency medicine (EM) physicians were responsible for intubating about half of the patients requiring airway management in emergency rooms. Since then, no studies have characterized the airway management responsibilities in the emergency […]

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Uncategorized Published - 17 May, 2019    By - Dr Clemens
Familiarity and Communication in the Operating Room

Authors: Lane L.FrasierMD MS et al Journal of Surgical Research Volume 235 March 2019 Pages 395-403 Background Poor communication is implicated in many adverse events in the operating room (OR); however, many hospitals’ scheduling practices permit unfamiliar operative teams. The relationship between unfamiliarity, team communication and effectiveness of communication is poorly understood. We sought to evaluate […]

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Uncategorized Published - 16 May, 2019    By - Dr Clemens
Perioperative Management and In-Hospital Outcomes After Minimally Invasive Repair of Pectus Excavatum

AUTHORS: Muhly, Wallis T., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 315–327 BACKGROUND: There are few comparative data on the analgesic options used to manage patients undergoing minimally invasive repair of pectus excavatum (MIRPE). The Society for Pediatric Anesthesia Improvement Network was established to investigate outcomes for […]

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Uncategorized Published - 16 May, 2019    By - Dr Clemens
Does Taking Time For Compassion Make Doctors Better At Their Jobs?

Source: Shots news from NPR For most of his career, Dr. Stephen Trzeciak was not a big believer in the “touchy-feely” side of medicine. As a specialist in intensive care and chief of medicine at Cooper University Health Care in Camden, N.J., Trzeciak felt most at home in the hard sciences. Then his new boss, Dr. Anthony Mazzarelli, […]

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Uncategorized Published - 16 May, 2019    By - Dr Clemens
Opioid Oversupply After Joint and Spine Surgery

AUTHORS: Bicket, Mark C., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 358–364 BACKGROUND: Many patients receive prescription opioids at hospital discharge after surgery, yet little is known regarding how often these opioids go unused. We estimated the prevalence of unused opioids, use of nonopioid analgesics, and storage […]

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Uncategorized Published - 16 May, 2019    By - Dr Clemens
Preoperative Salivary Cortisol AM/PM Ratio Predicts Early Postoperative Cognitive Dysfunction After Noncardiac Surgery in Elderly Patients

AUTHORS: Han, Yuan, MD, PhD Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 349–357 BACKGROUND: The diagnosis of postoperative cognitive dysfunction (POCD) requires complicated neuropsychological testing and is often delayed. Possible biomarkers for early detection or prediction are essential for the prevention and treatment of POCD. Preoperative screening of salivary cortisol […]

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Uncategorized Published - 16 May, 2019    By - Dr Clemens
Discharge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery

AUTHORS: Cho, Brian C., MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 342–348 BACKGROUND: Restrictive transfusion strategies supported by large randomized trials are resulting in decreased blood utilization in cardiac surgery. What remains to be determined, however, is the impact of lower discharge hemoglobin (Hb) levels on readmission […]

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Uncategorized Published - 16 May, 2019    By - Dr Clemens
Oral Immunotherapy for Peanut Allergy Linked to Increased Anaphylaxis Risk

I wanted to share due to the high incidence of peanut allergy. By Kelly Young Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS Peanut oral immunotherapy is associated with increased risk for anaphylaxis, according to a meta-analysis in the Lancet. Researchers examined 12 trials in which over 1000 patients with peanut allergy were randomized […]

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