Month: October 2020

Uncategorized Published - 26 October, 2020    By - Dr Clemens
Preoperative Anaemia Linked to Increased Mortality in Patients With Sepsis Undergoing Exploratory Laparotomy

Author: Eric Ramos DG News Preoperative anaemia in patients with sepsis undergoing exploratory laparotomy can lead to increased mortality, postoperative complications, and length of hospital stay, according to a study presented at the 2020 Virtual Meeting of the American Society of Anesthesiologists (ASA). “The incidence of sepsis and septic shock, particularly in elective general surgery […]

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Uncategorized Published - 26 October, 2020    By - Dr Clemens
The Future of Acute Pain Payment in Anesthesia

Author: Tony Mira Summary If one considers the historical trend of bundling “standard of care” practices into primary services, can the bundling of acute pain service be far off?  What was once a new and increasing revenue stream opportunity may one day become part of the global anesthesia payment. A review of the history of […]

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Uncategorized Published - 26 October, 2020    By - Dr Clemens
Pain scale types: Benefits and limitations

Author: Veronica Zambon Medical News Today Pain scales are tools for people to describe the level of pain they experience. Healthcare workers can also use pain scale charts to assess patients. There are several different pain scales, each with their pros and cons. This article explores what a pain scale is, how they work, and […]

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Uncategorized Published - 26 October, 2020    By - Dr Clemens
The Association of Frailty With Adverse Outcomes After Multisystem Trauma

AUTHORS: Poulton, Alexander MD et al Anesthesia & Analgesia: June 2020 – Volume 130 – Issue 6 – p 1482-1492 BACKGROUND:  Frailty strongly predicts adverse outcomes in a variety of clinical settings; however, frailty-related trauma outcomes have not been systematically reviewed and quantitatively synthesized. Our objective was to systematically review and meta-analyze the association between […]

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Uncategorized Published - 26 October, 2020    By - Dr Clemens
Surgeons revive donor heart after death, complete successful transplant

Author: Michael Walter Cardiovascular Business News Surgeons at UC San Diego Health have performed a successful heart transplant from a donor after circulatory death (DCD), the first time such a transplant has been completed on the West Coast. DCD transplants involve removing the organ within 30 minutes of the donor’s death and connecting it to […]

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Uncategorized Published - 23 October, 2020    By - Dr Clemens
Change of Pace: An Update on the Perioperative Management of Cardiovascular Implantable Electronic Devices (CIEDs)

Authors: Jacques P Neelankavil, MD; Annemarie Thompson, MD; Aman Mahajan, MD, PhD, MBA Anesthesia Patient Safety Foundation Summary Cardiovascular implantable electronic device (CIED) is a general term for pacemakers, implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices. The goal of the APSF article from 2013 “Managing CIEDs during Perioperative Care” was to provide […]

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Uncategorized Published - 23 October, 2020    By - Dr Clemens
Renal Morbidity of 6% Hydroxyethyl Starch 130/0.4 in 9000 Propensity Score Matched Pairs of Surgical Patients

AUTHORS: Miyao, Hideki MD, PhD et al Anesthesia & Analgesia: June 2020 – Volume 130 – Issue 6 – p 1618-1627 BACKGROUND:  Several studies of critically ill patients reported that fluid resuscitation with hydroxyethyl starch (HES) solutions damages the kidneys, but their use for surgical patients is debated. Because different HES preparations have different safety […]

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Uncategorized Published - 23 October, 2020    By - Dr Clemens
Heading to the Office: A Closer Look at Office-Based Anesthesia

Author: Tony Mira Summary Providing anesthesia in an office setting involves a whole host of hurdles not normally encountered in traditional anesthetizing locations.  The anesthesia group will therefore want to sit down and count the cost before agreeing to provide office-based services.  In some cases, such services may prove to be a profitable addition to […]

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Uncategorized Published - 23 October, 2020    By - Dr Clemens
Dr. Alok Sharan: Coronavirus, cost savings will speed adoption of awake spine surgery

Author: Alan Condon  Becker’s Spine Review Alok Sharan, MD, was recently appointed director of spine and orthopedics at NJ Spine and Wellness in East Brunswick, N.J. An early adopter of the spine surgery that doesn’t require general anesthesia, Dr. Sharan has completed 130 cases since he started performing the procedure in 2017. He spoke to Becker’s […]

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Uncategorized Published - 23 October, 2020    By - Dr Clemens
Face masks have negligible negative effect on CO2 and O2 levels

Author: Timothy Huzar MedicalNewsToday A new study suggests that face masks have a negligible negative effect on the levels of carbon dioxide and oxygen that a person breathes. The findings even hold true for individuals with chronic obstructive pulmonary disease (COPD). The research, which appears in the journal Annals of the American Thoracic Society, contributes to […]

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