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Uncategorized Published - 26 February, 2020    By - Dr Clemens
Effect of Oral Carbohydrate Intake During Labor on the Rate of Instrumental Vaginal Delive

AUTHORS: Simonet, Thérèse MD et al Anesthesia & Analgesia: November 5, 2019 BACKGROUND: Carbohydrate intake during physical exercise improves muscle performance and decreases fatigue. We hypothesized that carbohydrate intake during labor, which is a period of significant physical activity, can decrease the instrumental vaginal delivery rate. METHODS: In a multicenter, prospective, randomized, controlled trial, healthy […]

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Uncategorized Published - 26 February, 2020    By - Dr Clemens
Hypoglycemia Close to Discharge Is Associated with Worse Outcomes

Neil H. Winawer, MD, SFHM reviewing EK et al.  J Clin Endocrinol Metab 2019 Sep 1 Diabetic patients with hypoglycemia on the last day of hospitalization had higher readmission rates and postdischarge mortality. Inpatient hypoglycemia worsens outcomes among patients with and without diabetes; however, little is known about the implications of low blood glucose levels during the […]

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Uncategorized Published - 25 February, 2020    By - Dr Clemens
Out-of-Pocket Costs, Surprise Billing Loom as UHC, MEDNAX Split

By Kelsey Waddill Health Payer Intelligence February 24, 2020 – Surprise billing occurrences can become more likely when providers and payers are locked in a contract dispute, like UnitedHealthcare’s (UHC’s) dispute with MEDNAX that is set to end contracts with 11 provider organizations across four states. On February 20, MEDNAX, a medical staffing firm that specializes in anesthesiology, neonatology, […]

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Uncategorized Published - 25 February, 2020    By - Dr Clemens
Transfusion of Red Blood Cells, Fresh Frozen Plasma, or Platelets Is Associated With Mortality and Infection After Cardiac Surgery in a Dose-Dependent Manner

AUTHORS: Ming, Yue MMed et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 488-497 BACKGROUND:  It is unclear whether transfusion of platelets or fresh frozen plasma, in addition to red blood cells, is associated with an increased risk of mortality and infection after cardiac surgery. METHODS: Patients who underwent valve […]

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Uncategorized Published - 25 February, 2020    By - Dr Clemens
Effects of Obstructive Sleep Apnea and Obesity on Morphine Pharmacokinetics in Children

AUTHORS: Dalesio, Nicholas M. MD, MPH et al Anesthesia & Analgesia: October 31, 2019 BACKGROUND: Obesity increases susceptibility to chronic pain, increases metabolism, and is associated with obstructive sleep apnea syndrome (OSAS), all which can complicate perioperative pain management of patients. In addition, obesity and OSAS can cause elevation of the adipose-derived hormone leptin, which […]

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