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Uncategorized Published - 25 October, 2017    By - Dr Clemens
Handoff Communication: An APSF Safety Initiative and Perioperative Provider Concern

The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Steven Greenberg, MD, FCCP, FCCM The substantial number of preventable deaths and other adverse events associated with health care are now widely recognized.1,2 Handoffs (also called handovers), or transfers in care responsibilities of various types, are among the most important contributors to these outcomes […]

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Uncategorized Published - 25 October, 2017    By - Dr Clemens
Only You Can Prevent Surgical Fires

Published in The Joint Commission By Gerard M. Castro, PhD, MPH Out of approximately 65 million surgical cases annually, there are 200 to 240 surgical fires, a frequency comparable to that of other surgical safety events such as wrong site surgery and unintended retention of a foreign object.1 While relatively rare, surgical fires can be catastrophic, […]

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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Postoperative Respiratory Complications in Patients at Risk for Obstructive Sleep Apnea: A Single-Institution Cohort Study

AUTHORS: Ramachandran, Satya Krishna MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 272–279 BACKGROUND: Obstructive sleep apnea (OSA) is a prevalent condition that is associated with early postoperative respiratory complications (PRCs). As the majority of patients with OSA are undiagnosed, preoperative screening remains the most efficient method to identify […]

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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Informed Consent for Pediatric Anesthesia: Minimums Met, but Agreement Lacking

The minimum criteria for informed consent (IC) are being met in pediatric anesthesia, but more can be done to obtain explicit agreement from patients’ parents, according to a prospective, cross-sectional study conducted at Seattle Children’s Hospital, in Washington. The findings come from analyses of recorded and transcribed conversations between parents of surgical patients aged 1 […]

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Uncategorized Published - 24 October, 2017    By - Dr Clemens
Labor Analgesia Onset With Dural Puncture Epidural Versus Traditional Epidural Using a 26-Gauge Whitacre Needle and 0.125% Bupivacaine Bolus: A Randomized Clinical Trial

AUTHORS: Wilson, Sylvia H. MD et al Anesthesia & Analgesia: June 2017 BACKGROUND: Lumbar epidurals (LEs) provide excellent analgesia. Combined spinal epidural and dural puncture epidural (DPE) are 2 techniques to expedite neuraxial analgesia onset. In DPE, dura is punctured but medication is not administered in the cerebrospinal fluid. Expedited analgesia onset has been demonstrated with […]

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