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Uncategorized Published - 25 October, 2019    By - Dr Clemens
Aviation-Style Computerized Surgical Safety Checklist Displayed on a Large Screen and Operated by the Anesthesia Provider Improves Checklist Performance

AUTHORS: Jelacic, Srdjan MD, FASE et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Many hospitals have implemented surgical safety checklists based on the World Health Organization surgical safety checklist, which was associated with improved outcomes. However, the execution of the checklists is frequently incomplete. We reasoned that aviation-style computerized checklist displayed onto large, centrally located screen […]

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Uncategorized Published - 25 October, 2019    By - Dr Clemens
Factors Associated With Failure of Spinal Anesthetic An 8-Year Retrospective Analysis of Patients Undergoing Elective Hip and Knee Joint Arthroplasty

AUTHORS: Colish, Jane FRCPC et al Anesthesia & Analgesia: July 9, 2019 The primary outcome of this 8-year retrospective review was the failure of spinal anesthetic (SA) in elective hip and knee joint arthroplasty surgery. Of 3542 SAs, a total of 135 failures were identified (3.8%). Factors associated with increased odds of failure were younger age […]

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Uncategorized Published - 25 October, 2019    By - Dr Clemens
When Giving Negative Feedback, Stick to the Facts

I just wanted to share this with our readers who are in management. Everyone needs feedback to grow. But if you deliver it in a way that feels like an attack, your employees will probably get defensive and shut down. Here’s how to give negative feedback more productively: Start the conversation by noting when and […]

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Uncategorized Published - 25 October, 2019    By - Dr Clemens
Viscoelastic Signals for Optimal Resuscitation in Trauma Kaolin Thrombelastography Cutoffs for Diagnosing Hypofibrinogenemia (VISOR Study)

AUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Acute traumatic coagulopathy is common in trauma patients. Prompt diagnosis of hypofibrinogenemia allows for early treatment with cryoprecipitate or fibrinogen concentrate. At present, optimal cutoffs for diagnosing hypofibrinogenemia with kaolin thrombelastography (TEG) have not been established. We hypothesized that kaolin kaolin-TEG parameters, such […]

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Uncategorized Published - 24 October, 2019    By - Dr Clemens
Comparison of 3 Methods to Assess Occupational Sevoflurane Exposure in Abdominal Surgeons

AUTHORS: Herzog-Niescery, Jennifer MD et al Anesthesia & Analgesia: July 5, 2019 BACKGROUND: Studies demonstrated that operating room personnel are exposed to anesthetic gases such as sevoflurane (SEVO). Measuring the gas burden is essential to assess the exposure objectively. Air pollution measurements and the biological monitoring of urinary SEVO and its metabolite hexafluoroisopropanol (HFIP) are possible approaches. […]

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