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Uncategorized Published - 15 May, 2017    By - Dr Clemens
Ineffable Betrayal: Reflections on the Doctors of Death, Torture, and Deception

Kathryn E. McGoldrick, MD, FCAI(Hon) ‘Into whatever houses I enter, I will go into them for the benefit of the sick and will abstain from every voluntary mischief and corruption.’ —Hippocratic Oath Although it is perhaps less true today than four or five decades ago, physicians are often perceived by the public—and possibly by doctors […]

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Uncategorized Published - 15 May, 2017    By - Dr Clemens
Epidemiology of Cardiac Arrest During Hospitalization for Delivery in Canada: A Nationwide Study

AUTHORS: Balki, Mrinalini MBBS, MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 890–897 BACKGROUND: Cardiac arrest in pregnancy is a rare and devastating condition with high mortality and morbidity. The objective of this study was to generate information about maternal cardiac arrest in Canada by examining the frequency, […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
A New Pediatric Sedation State Scale

Authors: Cravero JP et al., Pediatrics 2017 May 139:e20162897 This easy-to-learn 6-point scale was developed to assess the quality or “state” of sedation experienced by children undergoing procedural sedation. Investigators developed a simple scale to evaluate quality — as opposed to depth — of sedation experienced by pediatric patients undergoing any type of sedation (pharmacologic or nonpharmacologic) […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
Diffuse Apneic Oxygenation Benefits Respiratory Physiology During Prolonged Apnea

Authors: West JR et al., Am J Emerg Med 2017 Apr 2; In patients undergoing endotracheal intubation who had apnea for >60 seconds, DAO correlated with increased pH and decreased PaCO2. Diffuse apneic oxygenation (DAO) uses high-flow nasal cannula oxygen during laryngoscopy for endotracheal intubation. This approach is believed to flush CO2 from the lungs and to improve respiratory […]

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Uncategorized Published - 12 May, 2017    By - Dr Clemens
A Systematic Review and Meta-analysis Examining the Impact of Incident Postoperative Delirium on Mortality

Authors: Gavin M. Hamilton, M.D., M.Sc. et al Anesthesiology published on May 4, 2017 Background: Delirium is an acute and reversible geriatric syndrome that represents a decompensation of cerebral function. Delirium is associated with adverse postoperative outcomes, but controversy exists regarding whether delirium is an independent predictor of mortality. Thus, we assessed the association between incident postoperative […]

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