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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Decision to Extubate Brain-injured Patients: Limiting Uncertainty in Neurocritical Care

Authors: Thomas Godet, M.D., Ph.D. et al Anesthesiology 8 2017, Vol.127, 217-219. WHATEVER the field of critical care medicine, timely decision to extubate, to both prevent complications associated with extubation failure and undue ventilatory support, remains challenging. Finding reliable clinical predictors of extubation success still appears as a holy grail.1  In this issue of Anesthesiology, Asehnoune et al. […]

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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Phenylephrine Infusion: Driving a Wedge in Our Practice of Left Uterine Displacement?

AUTHORS: Michaela K. Farber, M.D. et al Anesthesiology 8 2017, Vol.127, 212-214. “It is clearly important to critically evaluate aspects of our practice that may be perpetuated based on tradition more than a firm evidence base.” THE avoidance of maternal hypotension during spinal anesthesia for cesarean delivery is of paramount importance to maintain placental blood flow […]

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Uncategorized Published - 9 August, 2017    By - Dr Clemens
Shingles Tied to Higher Risk for CV Events

Herpes zoster infection is associated with increased risk for cardiovascular events, suggests a study in the Journal of the American College of Cardiology. Researchers in South Korea examined the medical records of 520,000 people from 2003 to 2013. During this time, 4% were diagnosed with herpes zoster. These patients were matched with control participants who didn’t […]

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Uncategorized Published - 8 August, 2017    By - Dr Clemens
WHO checklist leads to fewer post-surgery deaths

Annals of Surgery found death rate decline in South Carolina in hospitals that chose to participate in the program. The rate of patient death after surgery in South Carolina hospitals decreased substantially in hospitals that implemented a checklist developed by the World Health Organization, according to a summary of a study published online in Annals […]

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Uncategorized Published - 8 August, 2017    By - Dr Clemens
Psychological Factors As Treatment Target in Chronic Migraine

This study indicates a strong link between chronic migraine and psychological symptoms and beliefs that contribute to disability. Psychological factors such as catastrophizing of pain are common in migraine and, along with depression and anxiety, contribute significantly to migraine-related disability, according to an observational study published in Headacheaimed at better defining features of distress in chronic […]

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