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Uncategorized Published - 7 October, 2019    By - Dr Clemens
New Round of Medicare Readmission Penalties Hits 2,583 Hospitals

Author: Maria Fabrizio KHN Medicare cut payments to 2,583 hospitals continuing the Affordable Care Act’s eight-year campaign to financially pressure hospitals into reducing the number of patients who return for a second stay within a month. The severity and broad application of the penalties, which Medicare estimates will cost hospitals $563 million over a year, […]

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Uncategorized Published - 4 October, 2019    By - Dr Clemens
Practice Pattern Variation in the Use of Transesophageal Echocardiography for Open Valve Cardiac Surgery

Authors: Emily J. MacKay, DO et al Journal of Cardiothoracic and Vascular Anesthesia January 2019 Volume 33, Issue 1, Pages 118–133 Objective The authors sought to assess for the presence of practice variation in the use of intraoperative transesophageal echocardiography (TEE) for open cardiac valve surgery. Design This study was a retrospective cohort analysis. Setting The […]

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Uncategorized Published - 3 October, 2019    By - Dr Clemens
Myocardial Protection in Mitral Valve Surgery: Comparison Between Minimally Invasive Approach and Standard Sternotomy

Authors: Jean-Sébastien Lebon, BPharm, MD, FRCPC et al Journal of Cardiothoracic and Vascular Anesthesia Vol 32 Issue 2 pages 656-663 Objective To compare antegrade and retrograde cardioplegia administration in minimally invasive mitral valve surgery (MIMS) and open mitral valve surgery (OMS) for myocardial protection. Participants The study comprised 118 patients undergoing MIMS and 118 patients […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Could Short-Term Perioperative High-Dose Atorvastatin Offer Antiarrhythmic and Cardio-Protective Effects in Rheumatic Valve Replacement Surgery?

Authors: Essam Abd Allah, MD et al Journal of Cardiothoracic and Vascular Anesthesia Objectives To evaluate the role of prophylactic high-dose atorvastatin for prevention of postoperative atrial fibrillation (POAF), inflammatory response attenuation, and myocardial protection after valve replacement cardiac surgery. Participants Sixty-four adult patients undergoing cardiac valve replacement surgery. Interventions The participants were equally divided […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Do I Need A Magnet – Pacemaker/ICD Nomenclature

Author: RK MD With the number of patients receiving permanent pacemakers (PPMs) and implantable cardioverter-defibrillators (ICDs) increasing each year, we’ll see more of these devices in our respective clinical settings. With this post, I’ll try to simplify pacemaker nomenclature (ie, DDDR or AOO) and the implications of placing the magnet. All ICDs have a pacemaker function but […]

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