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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Effect of a Low vs Intermediate Tidal Volume Strategy on Ventilator-Free Days in Intensive Care Unit Patients Without ARDS

A Randomized Clinical Trial JAMA. October 24, 2018. Question  In patients in the intensive care unit (ICU) who received invasive ventilation for reasons other than acute respiratory distress syndrome (ARDS), is a ventilation strategy with low tidal volume more effective than a strategy using intermediate tidal volume with respect to the number of ventilator-free days and alive […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
ACS: opiate-free surgery feasible for elective colectomy

Opiate-free surgery is feasible for patients undergoing elective colon resections with anastomosis, with shorter length of stay for patients not receiving narcotics, according to a study presented at the annual meeting of the American College of Surgeons, held from Oct. 21 to 25 in Boston. Sophia A. Horattas, M.D., from Cleveland Clinic Akron General, and […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Geography matters in hospital quality, Healthgrades report shows

I thought this was interesting so I wanted to share with our readers. By Meg Bryant Dive Brief: Rochester, Minnesota topped the list of healthiest cities in terms of access to care, quality hospitals and other measures in Healthgrades’ National Health Index of American cities, with Orlando, Florida, coming in last. Healthgrades’ analysis shows hospitals in close […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Promoting brain health before, during and after surgery

Patients 65 and older undergoing surgery are at increased risk for developing perioperative neurocognitive disorders, including postoperative delirium (POD), with detrimental effects on their recovery. POD is the most common surgical complication in older adults, occurring in 5 to 50 percent of older adults after an operation, according to the American Geriatrics Society. It’s estimated […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Management of Anesthesia and Delivery in Women With Chiari I Malformations

Authors: Waters, Janet F. R., MD, MBA et al Obstetrics & Gynecology: November 2018 – Volume 132 – Issue 5 – p 1180–1184 OBJECTIVE: To estimate whether vaginal delivery or neuraxial anesthesia poses a risk of neurologic deterioration in women with uncorrected Chiari I malformation. METHODS: To assemble this case series, electronic record databases were used to identify […]

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