Month: November 2019

Uncategorized Published - 29 November, 2019    By - Dr Clemens
Comparative efficacy of epidural clonidine versus epidural fentanyl for treating breakthrough pain during labor

Author Allison Lee et al International Journal of Obstetric Anesthesia Highlights •Avoiding neuraxial opioids for labor analgesia may be warranted in some patients. •Epidural clonidine was not superior to fentanyl for breakthrough labor pain. •Epidural clonidine and fentanyl both showed efficacy for breakthrough labor pain. •Incidence of hypotension, sedation and fetal bradycardia did not significantly […]

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Uncategorized Published - 29 November, 2019    By - Dr Clemens
Fresh Frozen Plasma versus Crystalloid Priming of Cardiopulmonary Bypass Circuit in Pediatric Surgery

Author: Audrey Dieu, M.D. et al    Anesthesiology October 2019. Editor’s Perspective: What We Already Know about This Topic: Fresh frozen plasma is often used to prime the cardiopulmonary bypass circuit for pediatric cardiac surgical patients to help offset dilutional coagulopathy that might result in increased perioperative bleeding and allogeneic blood transfusion Prior randomized trials […]

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Uncategorized Published - 29 November, 2019    By - Dr Clemens
Time for consensus on rapid sequence intubation?

Authors: M. Charlesworth et al  Anaesthesia Oct 2019 This month in Anaesthesia, Zdravkovic et al. report an international survey of 10,003 anaesthetists and 16 airway experts on preferences for clinical practices associated with rapid sequence intubation (RSI) 1. For a hypothetical patient with intestinal obstruction requiring RSI, the head‐up or ‐down position was preferable, as was nasogastric […]

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Uncategorized Published - 29 November, 2019    By - Dr Clemens
Study finds Americans can’t lose weight, even though they try

Author: Brian P. Dunleavy UPI A new study suggests Americans are trying to lose weight — just not successfully. More and more Americans are trying to lose weight, but few are finding success, a new study has found. According to figures published Wednesday in the journal JAMA: Diabetes and Endocrinology, the percentage of U.S. adults 20 […]

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Uncategorized Published - 29 November, 2019    By - Dr Clemens
Heart Group Recommends Prescription Omega-3s

I wanted to share so our readers live a long life. Author: Kelly Young Edited by André Sofair, MD, MPH The American Heart Association concludes that prescription omega-3 fatty acids are an effective and safe treatment for lowering triglycerides either as a monotherapy or in combination with other lipid-lowering agents. The science advisory is published in Circulation. […]

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Uncategorized Published - 29 November, 2019    By - Dr Clemens
‘Cyberchondria’: 40% of Americans have misdiagnosed themselves online

Author: Stephen Johnson Big Think A new survey highlights the side effects of using Google to self-diagnose. Summary A new survey of Americans suggests that online self-diagnosing often leads to stress and unreliable information. Forty percent of respondents said they had received inaccurate diagnoses online. Still, symptom-checkers can be useful, especially for determining when to go to […]

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Uncategorized Published - 28 November, 2019    By - Dr Clemens
HAPPY THANKSGIVING ENJOY YOUR FAMILY AND FRIENDS

No blogs today eat turkey and watch football!

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Airway Management Roundtable 2019: 7 Questions for an International Panel

Anesthesiology News This year Felipe Urdaneta, MD, the president-elect of the Society for Airway Management (SAM), presented seven questions to an international panel of airway experts. The panelists were chosen by Dr. Urdaneta, who also answered the questions. Lorraine J. Foley, MD, MBA Anesthesiologist Treasurer, Winchester Anesthesia Associates Clinical Assistant Professor, Tufts School of Medicine […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Metabolic Syndrome: Major Risk Factor for Morbidity and Mortality in Severely Injured Trauma Patients

Authors: Brett M. Tracy MD et al American College of Surgeons 105th Annual Clinical Congress, Scientific Forum, San Francisco, CA, October 2019. Background Metabolic syndrome (MetS) increases cardiovascular risk and is associated with poor patient outcomes. We hypothesized that MetS confers an increased risk of morbidity and mortality in severely injured trauma patients. Study Design We performed a […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
The haemostasis traffic light: a pragmatic tool for bleeding management

Authors: F. G. Mileo et al Anaethesia Perioperative Medicine, Critical Care and Pain Major bleeding is a critical scenario which can quickly develop into a crisis, thereby compromising patient safety. Controversy still exists regarding the best approach for haemostatic management with different initial coagulation resuscitation strategies receiving the same level of recommendation 1, 2. From a logistical […]

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