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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Intravenous Tranexamic Acid Bolus plus Infusion Is Not More Effective than a Single Bolus in Primary Hip Arthroplasty: A Randomized Controlled Trial

Authors: Paul J. Zufferey, M.D., Ph.D. et al Anesthesiology 9 2017, Vol.127, 413-422. Background: Preoperative administration of the antifibrinolytic agent tranexamic acid reduces bleeding in patients undergoing hip arthroplasty. Increased fibrinolytic activity is maintained throughout the first day postoperation. The objective of the study was to determine whether additional perioperative administration of tranexamic acid would further reduce […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Posterior Tibial Artery as an Alternative to the Radial Artery for Arterial Cannulation Site in Small Children: A Randomized Controlled Study

Anesthesiology 9 2017, Vol.127, 423-431. Authors: Eun-Hee Kim, M.D. et al Background: We evaluated the posterior tibial artery as an alternative arterial cannulation site to the radial artery in small children. Methods: A two-stage study was conducted. First, we evaluated the anatomical characteristics of the posterior tibial artery compared with the radial and dorsalis pedis arteries. Next, a […]

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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Apneic Oxygenation Prevents Desaturation During Intubation

Authors: Binks MJ et al. Am J Emerg Med 2017 Jun 24; Two meta-analyses used different methods but have similar findings. Apneic oxygenation is the delivery of high-flow oxygen by nasal cannula during endotracheal intubation. Two separate meta-analyses provide pooled results from trials of apneic oxygenation. The first meta-analysis included 8 studies and 1953 patients in […]

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Uncategorized Published - 25 August, 2017    By - Dr Clemens
Comprehensive Care for Joint Replacement: A Bundled-Payment Primer

In a push to support more efficient care for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) is implementing bundled payments and quality metrics for numerous clinical episodes, including hip and knee replacement surgeries. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Kelly C. Price outlined the fundamentals of the Comprehensive Care for Joint […]

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Uncategorized Published - 25 August, 2017    By - Dr Clemens
The Future of Anesthesiology in the O.R

Adapted from User:OgreBot/Uploads by new users/2014 December 05 12:00; Author: Pfree2014 I am typically the first person to walk into the O.R. in the morning. I turn on the lights and start running through a long check-list of items that must occur before I can bring the patient to the O.R. I run safety checks […]

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