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Uncategorized Published - 19 May, 2017    By - Dr Clemens
Spinal versus general anesthesia for transabdominal preperitoneal (TAPP) repair of inguinal hernia: Interim analysis of a controlled randomized trial

Authors: Chamaidi Sarakatsianou et al The American Journal of Surgery April 2017 Background General anesthesia has been used as standard for laparoscopic hernia repair by the transabdominal preperitoneal (TAPP) approach. Regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. This randomized clinical trial compares spinal anesthesia with general anesthesia […]

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Uncategorized Published - 19 May, 2017    By - Dr Clemens
Peripheral Nerve Blockade for Primary Total Knee Arthroplasty: A Population-based Cohort Study of Outcomes and Resource Utilization

Authors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 2 2017, Vol.126, 312-320. Background: Although peripheral nerve blocks decrease pain after total knee arthroplasty, the population-level impact of nerve blocks on arthroplasty resource utilization is unknown. Methods: We conducted a population-based cohort study using linked administrative data from Ontario, Canada. We identified all adults having their first […]

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Uncategorized Published - 19 May, 2017    By - Dr Clemens
Laryngoscopy Equipment Affects Head and Neck Movement, Vital in Trauma Settings

C-MAC (Karl Storz) video laryngoscopy, especially when using the D-blade configuration, is a promising way to minimize head and neck movement during intubation, a recent study concluded. In patients with cervical spine injuries in particular, the extra time and effort needed compared with conventional Macintosh laryngoscopy is clinically unimportant, the researchers said. “Head and neck […]

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Uncategorized Published - 18 May, 2017    By - Dr Clemens
Out-of-Network Billing: ‘Surprise Billing’ Or ‘Surprise Gaps in Insurance Coverage’?

This is a familiar story: A patient with health insurance has an accident and seeks care at a hospital. She receives care in the ER and undergoes an operation. The health care team provides the necessary care, regardless of her health insurance policy. After discharge from the hospital, she receives an unexpected bill from the […]

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Uncategorized Published - 18 May, 2017    By - Dr Clemens
Intranasal Fentanyl and Inhaled Nitrous Oxide for Pediatric Fracture Reduction

Authors: Hoeffe J et al., Am J Emerg Med 2017 Jan 5; Combination intranasal fentanyl and nitrous oxide provided adequate pain control for children undergoing reduction of mildly to moderately displaced fractures and dislocations. In a prospective, observational study conducted at two children’s hospitals in Canada and Australia, investigators evaluated the efficacy and safety of intranasal fentanyl […]

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