Month: July 2019

Uncategorized Published - 10 July, 2019    By - Dr Clemens
Fauci: ‘We Have the Tools’ to End HIV

This is great news so I wanted to share with our readers. Author: Marie Rosenthal MS Anesthesiology News The statistics prove the imperative that something has to be done: 1.1 million people live in the United States with HIV, and 14% don’t even know they are infected; 38,000 new infections occur every year; and since […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Doctors significantly over-allocated times to perform joint replacements, study shows

By Ron Shinkman Healthcare Dive Dive Brief: The physician-led Relative Value Scale Update Committee over-allocated the time required to perform knee replacement surgeries by 23% and hip replacement surgeries by 18%, according to a new Health Affairs study. Time over-allocations were even greater when previously implanted joints were being repaired or replaced. More than 80% of original replacements […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
Pre-op Evaluation of a Patient With Pulmonary Hypertension

Anesthesiology News The Frost Series #348 Written by: John C. Klick, MD; Theodore J. Cios, MD; Anita Malhotra, MD; and Shayne M. Roberts, DO Case Presentation A 63-year-old woman presents to the preoperative holding area for elective laparoscopic hysterectomy with bilateral oophorectomy and lymph node dissection. She is short of breath and her lips are […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
No Analgesic Benefit Seen With New Popliteal-Sciatic Nerve Block

Author: Michael Vlessides Anesthesiology News A novel continuous popliteal-sciatic nerve block using a location immediately distal to the sciatic nerve bifurcation and deep to the paraneural sheath appears to offer no postoperative analgesic advantage over the traditional technique. Catheter insertion above the sciatic bifurcation and superficial to the paraneural sheath has been used more commonly. […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
Elective Shoulder Replacement Surgery: What Are the Risks?

Authors: Craig RS et al. BMJ 2019 Feb 20 Risks for serious adverse events and revision surgery were high. Elective shoulder replacement improves quality of life for patients with glenohumeral arthropathies. However, risks for postsurgical adverse events and revisions are unclear. Using a national U.K. database, researchers identified 52,000 patients (mean age, 72) who underwent 58,000 […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
Fighting obesity with a single cup of coffee

I hope this works in the fight against obesity. By Ana Sandoiu Medical News Today Scientists say they have conducted ‘the first study in humans to show that something like a cup of coffee can have a direct effect on our brown fat functions.’ A simple cup of coffee may hold the key to tackling obesity […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
FDA Grants Breakthrough Device Designation for the T2Resistance Panel

This is important for our readers who practice in the ICU. The FDA granted T2 Biosystems Breakthrough Device designation for the T2Resistance panel, a diagnostic panel that can detect 13 resistance genes from both gram-negative and -positive pathogens from a single blood sample, without the wait for blood culture. The 13 genes identified with the panel include […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
New Score Uses Intra-op Variables To Predict Respiratory Complications

Author: Michael Vlessides Anesthesiology News Investigators have been able to significantly improve the predictive abilities of the Score of Prediction of Postoperative Respiratory Complications, or SPORC, by incorporating intraoperative variables, an evolution that ultimately may improve patient care. “Postoperative respiratory complications are common, leading to increased costs and health care resource utilization, and may be […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
Pleth variability index versus pulse pressure variation for intraoperative goal-directed fluid therapy in patients undergoing low-to-moderate risk abdominal surgery

Authors: Sean Coeckelenbergh et al  BMC Anesthesiology 2019 19:34 Background Goal-directed fluid therapy (GDFT) based on dynamic indicators of fluid responsiveness has been shown to decrease postoperative complications and hospital length of stay (LOS) in patients undergoing major abdominal surgery. The usefulness of this approach still needs to be clarified in low-to-moderate risk abdominal surgery. […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
A retrospective analysis of the use of intravenous dexamethasone for postoperative nausea and vomiting in total joint replacement

AUTHORS: Francis P. Bustos, MD et al Arthroplasty Today June 2019 Volume 5, Issue 2, Pages 211–215 Background Multimodal perioperative pain-management protocols have contributed to the success of elective total joint replacement in orthopedic surgery. General or neuraxial anesthesia for arthroplasty is accompanied by complications such as pruritis, nausea, and vomiting. Dexamethasone has been demonstrated to […]

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