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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Racial Variation in Total Knee Replacement in a Diverse Nationwide Clinical Trial

I thought this was interesting so I wanted to share it Source: J Clin Rheumatol OBJECTIVE Racial variation in total knee replacement (TKR) utilization in the United States has been reported in administrative database studies. We investigated racial variation in TKR procedures in a diverse cohort with severe knee pain followed in an ongoing clinical trial. […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Acute myocardial infarction due to simultaneous spasm of 3 coronary arteries that worsened over time

Am J Emerg Med Coronary artery spasm (CAS) rarely worsens from single-vessel to simultaneous multivessel CAS naturally, and simultaneous multivessel CAS leads to serious conditions such as cardiopulmonary arrest (CPA). A 77-year-old Japanese man who took medications for CAS was transferred to our hospital due to persistent chest pain. On arrival, his vital signs were […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Duration of Intra-op Hypo- or Hypertension Not Independently Associated With Post-op AKI

Although there is a significant association between elevated baseline pulse pressure and acute kidney injury (AKI) after coronary artery bypass graft (CABG) surgery, no association exists with the weighted duration of intraoperative hemodynamic perturbations, such as hypotension or hypertension. “It’s known that elevated pulse pressure is a predictor of acute kidney injury after CABG surgery,” […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Endovascular vs. Open Repair for Suspected Ruptured Abdominal Aortic Aneurysm

 IMPROVE Trial Investigators. BMJ 2017 Nov 14. Three-year mortality was lower with endovascular repair. In a previously reported U.K. trial of 613 patients with clinically suspected rupture of abdominal aortic aneurysm (AAA), 30-day mortality and hospital costs were similar in patients randomized to endovascular repair (in those with suitable aortic anatomy) and patients randomized to open repair; […]

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Uncategorized Published - 21 June, 2018    By - Dr Clemens
Comparison of adductor canal block and IPACK block (interspace between the popliteal artery and the capsule of the posterior knee) with adductor canal block alone after total knee arthroplasty: a prospective control trial on pain and knee function in immediate postoperative period

AUTHORS: Sankineani S et al European Journal of Orthopaedic Surgery & Traumatology (May 2018) BACKGROUND Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery […]

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