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Uncategorized Published - 21 December, 2017    By - Dr Clemens
Prevalence and Prognosis Impact of Patient–Ventilator Asynchrony in Early Phase of Weaning according to Two Detection Methods

Auhors: Camille Rolland-Debord, M.D. et Anesthesiology 12 2017, Vol.127, 989-997. Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim was to […]

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Uncategorized Published - 21 December, 2017    By - Dr Clemens
Caffeine Demonstrates Surprising Opioid-Dependent Effect on Fibromyalgia Pain

Patients with fibromyalgia who take opioids and consume caffeine have significantly lower pain interference, pain catastrophizing, less pain severity and depressive symptoms, and higher physical function than patients taking opioids who avoid caffeine. By Katie Estes, PhD Interviews with Ryan Scott, MPH, CPH and Don Goldenberg, MD. A reported 85% of American adults consume caffeine on […]

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Uncategorized Published - 21 December, 2017    By - Dr Clemens
Physician Certification Group Wins Dismissal of Antitrust Suit Brought By Physicians

BY BRUCE D. SOKLER AND FARRAH SHORT A physician organization has failed to sufficiently plead that a physician certification group caused an unreasonable restraint of trade through its actions to promulgate its certification program. Last week, a district court dismissed the case that centered on the defendant organization’s agreement with a hospital accreditation company to encourage the use […]

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Uncategorized Published - 20 December, 2017    By - Dr Clemens
Is Improvement a Matter of Urgency?

Author: Mary Jane Kornacki, MS Amicus, Inc. Consider this brief exchange, and how a physician leader ought to respond: Chief of surgery at department meeting: “Our metrics around rehospitalization for the past half year haven’t gotten any better. The board quality committee asked some hard questions about medical staff plans to move the numbers, so that’s […]

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Uncategorized Published - 20 December, 2017    By - Dr Clemens
Prevalence of Potentially Distracting Noncare Activities and Their Effects on Vigilance, Workload, and Nonroutine Events during Anesthesia Care

Authors: Jason M. Slagle, Ph.D. et al Anesthesiology 1 2018, Vol.128, 44-54. Background: When workload is low, anesthesia providers may perform non–patient care activities of a clinical, educational, or personal nature. Data are limited on the incidence or impact of distractions on actual care. We examined the prevalence of self-initiated nonclinical distractions and their effects on anesthesia […]

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