Month: August 2019

Uncategorized Published - 13 August, 2019    By - Dr Clemens
Sedation and controlled paralysis do not improve survival of ICU patients with ARDS

Reversibly paralyzing and heavily sedating hospitalized patients with severe breathing problems do not improve outcomes in most cases, according to a National Institutes of Health-sponsored clinical trial conducted at dozens of North American hospitals and led by clinician-scientists at the University of Pittsburgh and University of Colorado schools of medicine. The trial — which was […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Safety Culture: The Foundation of Hospital Risk Management

When it comes to risk management in community hospitals, reacting swiftly to incidents is important but not enough. Effective risk management programs emphasize proactivity and prevention, not just damage control. Likewise, patient safety is paramount but by no means the sole focus. Comprehensive risk management programs span the enterprise, from data security and regulatory compliance […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Blood Test Could Help Speed Diagnosis of Preeclampsia

By Kelly Young In cases of suspected preeclampsia, measuring levels of placental growth factor (PlGF) and incorporating results into a management algorithm is associated with shorter time to diagnosis, according to a study in The Lancet. Over 1000 pregnant women with suspected, but not confirmed, preeclampsia before 37 weeks’ gestation had blood samples tested for PlGF. […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
These gut bacteria prevent mice from becoming obese—what could that mean for us?

I wanted to share with our readers since over 60% of the population is overweight or obese. By University of Utah Mice that inevitably become obese have a compromised immune system and less of a class of bacteria called Clostridia in their gut microbiome than healthy mice. Giving Clostridia to the immune-impaired mice prevents obesity. […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
Remifentanil Has No Effect on Length of PACU Stay In Patients Undergoing Flexible Bronchoscopy

Author: Ethan Covey Anesthesiology News The use of remifentanil in patients undergoing flexible bronchoscopy resulted in no change in the length of stay in the PACU, despite worse ASA status and greater case complexity, according to a new study. The researchers also found that PACU length of stay was unchanged in rigid bronchoscopy patients who […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
TAVR for Low-Risk Patients with Severe AS — A Paradigm Shift!

Howard C. Herrmann, MD reviewing Mack MJ et al.  N Engl J Med 2019 Mar 17 Popma JJ et al.  Two randomized trials show that transcatheter aortic valve replacement is as safe and effective as surgery. Transcatheter aortic valve replacement (TAVR) began in 2002 as a treatment for desperate patients with severe aortic stenosis (AS) and no other […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
32 million patient records were breached in the first half of 2019

Author: Christine Fisher Engadget That’s more than double the 15 million hacked in all of 2018. More than 32 million patient records were breached between January and June 2019. That’s more than double the 15 million medical records breached in all of 2018, says healthcare analytics firm Protenus. According to the company, the number of […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
Alcoholic Fatty Liver Disease with Significant Fibrosis Doubles in U.S.

By Amy Orciari Herman The prevalence of alcoholic fatty liver disease with moderate-to-severe fibrosis doubled in the U.S. over a 15-year period, according to a research letter in JAMA. Examining data from the National Health and Nutrition Examination Surveys, researchers found that the prevalence of alcoholic fatty liver disease was stable from 2001-2002 through 2015-2016, at […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
Vitamin K to Reverse Excessive VKA Anticoagulation

Brady L. Stein, MD, MHS reviewing Authors: Khatib R et al.  Blood Adv 2019 Mar 12 Beyond holding anticoagulation, adding vitamin K did not reduce mortality, bleeding, or thrombosis risks in nonbleeding patients with elevated INRs. Labile international normalized ratios (INRs) due to drug interactions, dietary changes, and acute illness increase bleeding risks in patients receiving vitamin […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
Reduction in Hospital-Onset MRSA Infections Slowing

By Kelly Young The CDC is calling on healthcare facilities to adhere to guidelines for preventing device- and procedure-related methicillin-resistantStaphylococcus aureus (MRSA) infections. New data show a slowing in the decline of healthcare-onset MRSA bloodstream infections. In MMWR Vital Signs, researchers report the following: From 2005 to 2012, the incidence of hospital-onset MRSA bloodstream infection declined by […]

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