Month: February 2020

Uncategorized Published - 13 February, 2020    By - Dr Clemens
A Denver businessman wants to fix America’s health care system — by doing your knee replacement in Mexico

Author: John Ingold The Colorado Sun Part entrepreneur and part activist, North American Specialty Hospital CEO James Polsfut has carved out a business model from the dysfunction of U.S. health care James Polsfut cuts briskly through the sleek coworking space in Denver’s RiNo neighborhood where his company has its offices and angles toward a conference […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Number of Americans Headed to ER for Suicidal Thoughts, Self-Harm Keeps Rising

Author: Steven Reinberg HealthDay News Men and women are flooding America’s emergency rooms because of suicidal thoughts and injuries caused by harming themselves, federal health officials reported Thursday. In fact, these types of emergency room visits shot up 25.5% from 2017 to 2018, according to the U.S. Centers for Disease Control and Prevention. April Foreman, […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
A Patient With E-Cigarette Vaping Associated Lung Injury (EVALI)—Coming to an Operating Room Near You!

Authors: Todd Dodick, MD et al  apsf Newsletter February 2020 Introduction The use of e-cigarettes, commonly referred to as vaping, has increased exponentially in the past several years. E-cigarettes were initially marketed as a smoking cessation aid, but their use among adolescents and young adults doubled from 2017 to 2019. In early 2019, cases of […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
Epidural Anesthesia is associated with increased complications in Cystectomy Patients: A NSQIP Analysis

Authors: Kirtishri Mishra, MD et al Urology January 15, 2020 Objective To identify differences in short term outcomes and readmission rates in cystectomy patients managed with general anesthesia compared to those undergoing general anesthesia and adjuvant epidural anesthesia. Methods Utilizing the National Surgical Quality Inpatient Program database, patients who underwent a cystectomy with ileal conduit […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
Effect of Sevoflurane Versus Isoflurane on Emergence Time and Postanesthesia Care Unit Length of Stay

AUTHORS: Maheshwari, Kamal MD, MPH et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 360-366 BACKGROUND:  We previously reported that the duration of hospitalization was not different between isoflurane and sevoflurane. But more plausible consequences of using soluble volatile anesthetics are delayed emergence from anesthesia and prolonged stays in […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
US drinking more now than just before Prohibition

By MIKE STOBBE Associated Press Americans are drinking more now than when Prohibition was enacted. What’s more, it’s been rising for two decades, and it’s not clear when it will fall again. That’s the picture painted by federal health statistics, which show a rise in per-person consumption and increases in emergency room visits, hospitalizations and […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
E-Scooter Injuries Continue to Climb

Author: Ryan Felton Consumer Reports Accidents in the U.S. involving electric scooters nearly doubled between 2017 and 2018, a study released on Wednesday found, prompting its authors to call for more safety measures to protect riders. The study, published in JAMA Surgery, analyzed data from the National Electronic Injury Surveillance System (NEISS) on estimates of […]

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Uncategorized Published - 11 February, 2020    By - Dr Clemens
General anesthesia in cesarean deliveries increases odds of postpartum depression by 54%

COLUMBIA UNIVERSITY’S MAILMAN SCHOOL OF PUBLIC HEALTH Odds of suicidal thoughts or self-inflicting injury rise to 91% A new study shows that having general anesthesia in a cesarean delivery is linked with significantly increased odds of severe postpartum depression requiring hospitalization, thoughts of suicide or self-inflicted injury. The findings from research conducted at Columbia University […]

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Uncategorized Published - 11 February, 2020    By - Dr Clemens
Guidelines for the management of glucocorticoids during the peri‐operative period for patients with adrenal insufficiency

Authors: T. Woodcock et al Anaesthesia Peri-operative medicine, critical care and pain February 2020 Guidelines for the management of glucocorticoids during the peri‐operative period for patients with adrenal insufficiency Guidelines from the Association of Anaesthetists, the Royal College of Physicians and the Society for Endocrinology UK Summary These guidelines aim to ensure that patients with […]

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Uncategorized Published - 11 February, 2020    By - Dr Clemens
Retooling Recovery: Emerging Evidence Sparks Interest in Enhanced Surgical Protocols

Trimedia After a slow start, cardiac ERAS is gaining traction in some U.S. hospitals. Proponents explain how to overcome resistance. In the 1990s, Denmark and later much of western Europe adopted a concept called “enhanced recovery after surgery” (ERAS) in which hospitals implement evidence-based pre-, peri- and post-surgical protocols that address inflammation, metabolism, endocrine function, […]

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