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Uncategorized Published - 21 November, 2017    By - Dr Clemens
Does Weekend Hospital Admission Portend Higher Patient Mortality?

Authors: Pauls LA et al. J Hosp Med 2017 Sep . Meta-analysis of observational studies showed nearly 20% higher mortality for weekend admissions. Whether mortality is more likely after weekend hospital admissions than after weekday admissions is unclear. In a meta-analysis of 97 observational studies, researchers evaluated worldwide data on >51 million inpatients for in-hospital, 7-day, or […]

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Uncategorized Published - 21 November, 2017    By - Dr Clemens
Low End-Tidal Carbon Dioxide at the Onset of Emergent Trauma Surgery Is Associated With Nonsurvival: A Case Series

AUTHORS: Dudaryk, Roman MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1261–1266 BACKGROUND: End-tidal carbon dioxide (EtCO2) is a valuable marker of the return of adequate circulation after cardiac arrest due to medical causes. Previously, the prognostic value of capnography in trauma has been studied among limited populations in […]

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Uncategorized Published - 21 November, 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 critical care […]

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Uncategorized Published - 20 November, 2017    By - Dr Clemens
The Effect of Glycopyrrolate on the Incidence of Hypotension and Vasopressor Requirement During Spinal Anesthesia for Cesarean Delivery: A Meta-analysis

AUTHORS: Patel, Selina D. BMedSci, MBBS, FRCA et al Anesthesia & Analgesia: July 2017 BACKGROUND: The objective of this meta-analysis was to determine the efficacy of glycopyrrolate at reducing spinal hypotension during cesarean delivery. METHODS: A literature search was performed to identify randomized controlled trials investigating the effect of glycopyrrolate on spinal-induced hypotension during cesarean delivery. […]

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Uncategorized Published - 20 November, 2017    By - Dr Clemens
Abnormal Calcium Levels During Trauma Resuscitation Are Associated With Increased Mortality, Increased Blood Product Use, and Greater Hospital Resource Consumption: A Pilot Investigation

AUTHORS: MacKay, Emily J. DO et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 895–901 BACKGROUND: Admission hypocalcemia predicts both massive transfusion and mortality in severely injured patients. However, the effect of calcium derangements during resuscitation remains unexplored. We hypothesize that any hypocalcemia or hypercalcemia (either primary or from overcorrection) in […]

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