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Uncategorized Published - 13 March, 2019    By - Dr Clemens
Non–steady State Modeling of the Ventilatory Depressant Effect of Remifentanil in Awake Patients Experiencing Moderate-to-severe Obstructive Sleep Apnea

Authors: Anthony G. Doufas, M.D., Ph.D. et al Anesthesiology 2 2019, Vol.130, 213-226. What We Already Know about This Topic: Patients with obstructive sleep apnea are often said to have increased sensitivity to opioid-induced ventilatory depression What This Article Tells Us That Is New: The hypothesis that patients with moderate-to-severe obstructive sleep apnea are more sensitive […]

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Uncategorized Published - 13 March, 2019    By - Dr Clemens
Kaiser Permanente hospital used video call to tell patient he was dying

I can’t believe this…………. A patient’s family was upset to learn over video that their grandfather was dying at Kaiser Permanente Medical Center in Fremont, Calif., according to a report from local Fox affiliate KTVU. A nurse told the patient, 79-year-old Ernest Quintana, and his granddaughter, Annalisia Wilharm, a physician would make rounds. Instead, a physician called in […]

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Uncategorized Published - 13 March, 2019    By - Dr Clemens
Electromagnetic Interference with Protocolized Electrosurgery Dispersive Electrode Positioning in Patients with Implantable Cardioverter Defibrillators

Authors: Peter M. Schulman, M.D. et al Anesthesiology 4 2019, Vol.130, 530-540. What We Already Know about This Topic: Electromagnetic interference from monopolar electrosurgery may disrupt implantable cardioverter defibrillators. Current management recommendations by the American Society of Anesthesiologists and Heart Rhythm Society are based on expert clinical opinion since there is a paucity of data regarding […]

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Uncategorized Published - 12 March, 2019    By - Dr Clemens
Propofol vs. inhalational agents to maintain general anaesthesia in ambulatory and in-patient surgery: a systematic review and meta-analysis

Authors: Stefan Schraag et al  BMC Anesthesiology201818:162 Background It is unclear if anaesthesia maintenance with propofol is advantageous or beneficial over inhalational agents. This study is intended to compare the effects of propofol vs. inhalational agents in maintaining general anaesthesia on patient-relevant outcomes and patient satisfaction. Methods Studies were identified by electronic database searches in […]

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Uncategorized Published - 12 March, 2019    By - Dr Clemens
The Effect of Cigarette Smoking on Nonalcoholic Fatty Liver Disease

Authors: Jung H-S et al. Am J Gastroenterol 2018 Oct 23 Cigarette smoking appears to be a modifiable risk factor for development and progression of NAFLD. Although there is no specific treatment for nonalcoholic fatty liver disease (NAFLD), weight loss, avoiding alcohol, and control of underlying comorbid conditions such as diabetes are recommended. Should clinicians also […]

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