Month: October 2019

Uncategorized Published - 15 October, 2019    By - Dr Clemens
Most Medical Tourniquets Contaminated With Staphylococci, Other Organisms

Author: Marie Rosenthal, MS Anesthesiology News Those little rubber tourniquets used while drawing blood could put patients at risk, because they appear to be contaminated with a variety of disease-producing organisms, according to research presented at the 2019 annual European Congress of Clinical Microbiology and Infectious Diseases (poster 1044). Tourniquets are one of the most […]

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Uncategorized Published - 15 October, 2019    By - Dr Clemens
P Valueless? Statisticians Bidding Adieu to ‘Statistical Significance’

Author: Alison McCook Anesthesiology News Busy clinicians who want to stay on top of the literature often only have time to scan abstracts in their favorite journals. More often than not, authors will note whether the data they are reporting are statistically significant—meaning, after performing a hypothesis test of the data, the calculated P value is less […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
Perioperative Anaphylaxis: Symptoms, Diagnosis, and Management

The Frost Series #351 Author: Alma Juels, MD Anesthesiology News Case Presentation A 34-year-old man without significant past medical history presented for shoulder arthroscopy. He reported an allergy to sulfa-containing drugs. The patient received midazolam en route to the OR. In the OR, cefazolin 2 g was administered. General anesthesia was induced with fentanyl, lidocaine, […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
Sufentanil Sublingual Tablet Well Tolerated for Treating Pain

Author: Bob Kronemyer Anesthesiologist News In medically supervised settings, the sufentanil sublingual tablet (ssT; Dsuvia, AcelRx Pharmaceuticals) has been found to be well tolerated for the short-term treatment of moderate to severe acute pain, with at most moderate levels of adverse events. This study (Pain Med 2019 Jan 7. was a pooled phase 3 safety […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
Retrospective Analysis of the Safety and Efficacy of Sugammadex Versus Neostigmine for the Reversal of Neuromuscular Blockade in Children

AUTHORS: Gaver, Renee S. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1124-1129 BACKGROUND: Sugammadex, with its novel mechanism of action of encapsulation and noncompetitive binding of aminosteroid neuromuscular-blocking agents (rocuronium and vecuronium), may offer distinct advantage to pediatric patients where residual neuromuscular blockade may be poorly tolerated. […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
A Perspective on the American Society of Anesthesiologists Physical Status Classification for Pediatric Patients

AUTHORS: Ferrari, Lynne R. MD et al Anesthesia & Analgesia: June 2019 BACKGROUND: The American Society of Anesthesiologists physical status (ASA-PS) classification system is used worldwide to classify patients based on comorbid conditions before general anesthesia. Despite its popularity, the ASA-PS classification system has been shown to have poor interrater reliability due to its subjective definitions, especially […]

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Uncategorized Published - 14 October, 2019    By - Dr Clemens
For growing number of doctors, life in medicine extends into 70s

Author: Andis Robeznieks American Medical Association Every year, a new record is set for medical school enrollment. But despite this influx of new doctors, the U.S. physician work-force continues to trend older. There were 985,000 licensed physicians in the U.S. in 2018, according to the Federation of State Medical Boards’ (FSMB) biennial census, which notes […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
CAN MEDTECH KEEP UP WITH ASC EXPANSION?

Definitive Healthcare The shift from inpatient to outpatient care centers has been well-documented over the last few years. Ambulatory surgery centers (ASCs) are often the focal point in this trend, situated at the sweet intersection of cost and convenience, pulling attention from hospital outpatient centers. Traditionally, acute care hospitals have dominated the surgical arena, the […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Health Care-Associated Infections: A Call to Anesthesia Professionals

AUTHORS: Richard C. Prielipp MD, MBA; David J. Birnbach MD, MPH APSF Newsletter Circulation 122,210 • Volume 34, No. 2 • October 2019 This issue of the APSF Newsletter sheds new light on an old issue and challenges clinicians to refocus their attention on health care-associated infections (HCAI) and even more relevant, surgical site infections (SSI). Infection control […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Red Blood Cell Transfusion in Pediatric Orthotopic Liver Transplantation: What a Difference a Few Decades Make

AUTHORS: Tran, Lieu T. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1087-1092 BACKGROUND: Liver transplantation in children is often associated with coagulopathy and significant blood loss. Available data are limited. In this observational retrospective study, we assessed transfusion practices in pediatric patients undergoing liver transplantation at a […]

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