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Uncategorized Published - 25 April, 2019    By - Dr Clemens
Report: U.S. economic burden of chronic diseases tops $3.8 trillion—and expected to double

By Tina Reed Fierce Healthcare According to a report from Fitch Solutions, aggregate annual costs of the leading chronic medical conditions are approximately $1.1 trillion due to expenses from hospital care, physician visits, pharmaceuticals, medical devices and home care. The U.S. economic burden of chronic diseases such as Alzheimer’s, diabetes, heart disease, obesity and cancer […]

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Uncategorized Published - 24 April, 2019    By - Dr Clemens
Not as clean as you think: Privacy curtains in hospitals could be carrying deadly bacteria Read more at: //economictimes.indiatimes.com/articleshow/68847569.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst

The Economical Times Hospitals awash with antibiotics can become incubators of drug-resistant bacteria. Hard-to-clean privacy curtains in hospitals and nursing homes worldwide may be contaminated with deadly drug-resistant bugs, according to findings to be presented Saturday at an infectious diseases conference. More than a fifth of 1,500 samples taken from six post-acute care nursing facilities […]

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Uncategorized Published - 24 April, 2019    By - Dr Clemens
Effect of Intraoperative Goal-directed Balanced Crystalloid versus Colloid Administration on Major Postoperative Morbidity: A Randomized Trial

Authors: Barbara Kabon, M.D. et al Anesthesiology 5 2019, Vol.130, 728-744. What We Already Know about This Topic: Crystalloid solutions leave the circulation quickly, whereas colloids remain for hours, thus promoting hemodynamic stability. However, colloids are expensive and promote renal toxicity in critical care patients. Whether goal-directed intraoperative tetrastarch colloid administration reduces complications or promotes renal […]

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Uncategorized Published - 24 April, 2019    By - Dr Clemens
Respiratory Variation of Internal Carotid Artery Blood Flow Peak Velocity Measured by Transfontanelle Ultrasound to Predict Fluid Responsiveness in Infants: A Prospective Observational Study

Authors: Eun-Hee Kim, M.D. et al Anesthesiology 5 2019, Vol.130, 719-727. What We Already Know about This Topic: Several ultrasound parameters for assessing fluid responsiveness have been described Transfontanelle ultrasound can be easily used in small children undergoing surgery, and the anterior fontanelle is an optimal site for Doppler examination of the internal carotid artery Previous […]

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Uncategorized Published - 24 April, 2019    By - Dr Clemens
Mechanical Ventilation in Acute Respiratory Distress Syndrome: Time Heals All Wounds, or Does It?

Authors: Lorenzo Del Sorbo, M.D. et al Anesthesiology 5 2019, Vol.130, 680-682. “[Would] lung injury induced by high tidal volume ventilation [in ARDS]… be less if that high tidal volume was reached by gradually increasing tidal volume over time[?]”   Acute respiratory distress syndrome (ARDS), characterized by the acute onset of hypoxemia (PaO2/FiO2less than or […]

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