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Uncategorized Published - 6 July, 2017    By - Dr Clemens
How Stable Are Patients with Moderate Aortic Stenosis and Left Ventricular Dysfunction?

Authors: WJ., J Am Coll Cardiol 2017 May 16; 69:2393 A high rate of adverse events prompts the question of whether earlier intervention would improve outcomes. The authors of this international, four-site study examined longitudinal outcomes data on 305 patients (mean age, 73; 75% men) who were identified on baseline echocardiograms with moderate aortic stenosis (AS; defined […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Evaluation of Nitrous Oxide in the Gas Mixture for Anesthesia II (ENIGMA II) Revisited: Patients Still Vomiting

Authors: Edmond C. K. Li, M.D. et al Anesthesiology 7 2017, Vol.127, 204-205. To the Editor: We read the secondary analysis of the Evaluation of Nitrous Oxide in the Gas Mixture for Anesthesia II (ENIGMA II) trial for severe postoperative nausea and vomiting (PONV) with great interest.1 Because PONV remains an often-cited risk in using nitrous oxide,2 the […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Low-Dose Aspirin Beginning Early in Pregnancy Helps Prevent Preterm Preeclampsia

Use of low-dose aspirin lowers the risk for preeclampsia among women determined to be at high risk during first-trimester screening, according to a study presented at a meeting of the Fetal Medicine Foundation and published in the New England Journal of Medicine. Over 1700 high-risk women with singleton pregnancies were randomized to receive 150-mg aspirin or […]

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Uncategorized Published - 6 July, 2017    By - Dr Clemens
Adding Antibiotics to Incision-and-Drainage of Small Skin Abscesses Helps

In small, uncomplicated skin abscesses, the addition of antibiotics to usual treatment improves short-term outcomes, a New England Journal of Medicine study finds. In a multicenter trial, researchers randomized almost 800 adults and children with single skin abscesses to one of three regimens after incision and drainage: clindamycin, trimethoprim-sulfamethoxazole (TMP-SMX), or placebo. Treatments were prescribed for 10 […]

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Uncategorized Published - 5 July, 2017    By - Dr Clemens
Accounting for Planned Postoperative Intubation

Authors: Thomas M. Austin, M.D. et al Anesthesiology 7 2017, Vol.127, 195-196. To the Editor: We read with interest the article by Bulka et al.1  regarding the use of intraoperative nondepolarizing muscle relaxants (NDMRs) and their association with postoperative pneumonia. We commend them for increasing knowledge in an area that is exceedingly important. In this article, postoperative pneumonia […]

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