Month: April 2020

Uncategorized Published - 3 April, 2020    By - Dr Clemens
Emerging Drug-Resistant Candida a Challenge

Author: Lynne Peeples Anesthesiology News Ten years since the first report of Candida auris—found in a patient with an ear infection in Japan—the highly drug-resistant fungus has taken a foothold in many parts of the world, including the United States. Infectious disease experts are responding with pleas for greater efforts to control and contain the spreading […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Report From Wuhan: Hard-Won Insights From China

Author: Michael Vlessides Anesthesiology News As the United States continues to grapple with the reality of the COVID-19 outbreak, anesthesiologists are finding that access to relevant and reliable information is key to maintaining personal safety and patient well-being. Nowhere is information more relevant than that coming from Chinese colleagues who have already weathered the worst […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Medicare Fast-tracks Advance Payment to Providers

Author: Tony Mira The Centers for Medicare and Medicaid Services (CMS) has released a fact sheet explaining how it intends to put money directly into the hands of professional clinicians and hospitals whose surgical caseloads—and income—have plummeted due to the coronavirus (COVID-19) outbreak.  According to the fact sheet, “CMS is authorized to provide accelerated or […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Purchase and Wearing of Personal Protective Equipment by Anesthesiologists and other Anesthesia Professionals

From the ASA COVID-19 community transmission is becoming widespread, and reports of health care workers becoming infected are increasing. Post-procedure infection in apparently healthy patients is also reported. CDC guidance addresses the care of known, potential (persons under investigation) and non-infected individuals.1 This guidance contains recommendations for appropriate personal protective equipment (PPE), including respirators (e.g., N95 […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Goal-Directed Approach for Transthoracic Esophagectomy Reduces Morbidity, Mortality

Author: Michael Vlessides Anesthesiology News Transthoracic esophagectomy may pose a host of challenges, but a new study has found that intraoperative goal-directed therapy can reduce the incidence of major morbidity and mortality after the procedure. The investigation also found that use of goal-directed therapy decreased the hospital length of stay after the procedure. “Transthoracic esophagectomy […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
Measuring NT-ProBNP for Preoperative Cardiac Risk Assessment

Authors: Duceppe E et al. Ann Intern Med 2019 Dec 24 Preoperative N-terminal pro–B-type natriuretic peptide levels predicted postoperative adverse cardiovascular events. The VISION (Vascular Events in Noncardiac Surgery Patients Cohort Evaluation) study is a prospective, international cohort study of cardiovascular complications following noncardiac surgery (NEJM JW Gen Med Jun 1 2017 and JAMA 2017; 317:1642). In this substudy […]

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Uncategorized Published - 2 April, 2020    By - Dr Clemens
App Improves Post-op Pain Control, Reduces Opioid Use

Anesthesiology News Patients who underwent total knee replacement and used a smartphone app (PainCoach) at home after surgery consistently reduced opioid use and reported improved pain control, according to research presented at the 2019 Euroanaesthesia Congress in Vienna. The more the study participants used the app, the more likely they were to lower pain scores […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
The Nation’s 5,000 Outpatient Surgery Centers Could Help With The COVID-19 Overflow

Kaiser Health News As the number of COVID-19 cases continues to rise, a group of anesthesiologists wants to convert America’s surgery centers into critical care units for infected patients. Many of the country’s more than 5,000 outpatient surgery centers have closed or sharply cut back on the number of elective procedures they perform, to comply with requests […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
Hypoxia During Upper Endoscopy: A Serious Problem and a New Solution

Author: René Miguel Gonzalez, MD Anesthesiology News The Problem In 2017, Goudra and Singh wrote: “The growing popularity of deep sedation for UGI [upper gastrointestinal] endoscopy has created immense challenges to anesthesiologists. Gastroenterologists have clearly benefited from deep sedation. It allows performing complicated procedures with relative ease. However, research suggests that management of the airway […]

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Uncategorized Published - 1 April, 2020    By - Dr Clemens
Preoperative Vitamin D Concentration and Cardiac, Renal, and Infectious Morbidity after Noncardiac Surgery

AUTHORS: Turan A et al Anesthesiology. 2020 Jan;132(1):121-130 BACKGROUND: Low 25-hydroxyvitamin D is associated with cardiovascular, renal, and infectious risks. Postsurgical patients are susceptible to similar complications, but whether vitamin D deficiency contributes to postoperative complications remains unclear. We tested whether low preoperative vitamin D is associated with cardiovascular events within 30 days after noncardiac surgery. […]

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