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Uncategorized Published - 29 December, 2016    By - Dr Clemens
AAP: “Time to Say No” to Codeine for Children

Cara Adler, MS, John D. Cowden, MD, MPH reviewing Tobias JD et al. Pediatrics 2016 Oct. In a clinical report, the American Academy of Pediatrics outlines the risks of codeine for management of pain and cough in children and adolescents. Citing risk for respiratory depression or death, the American Academy of Pediatrics, in a clinical […]

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Uncategorized Published - 29 December, 2016    By - Dr Clemens
Metabolic Acidosis Assessment in High-Risk Surgeries: Prognostic Importance

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1163–1171 AUTHORS: Silva, João Manoel Jr MD, PhD et al BACKGROUND: Metabolic acidosis frequently is present in surgical patients; however, different types of metabolic acidosis (hyperlactatemia, hyperchloremia, and others) may have different relationships to perioperative outcomes. We hypothesized that in postoperative surgical […]

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Uncategorized Published - 29 December, 2016    By - Dr Clemens
Pausing With the Gauze: Inhibition of Temporary Pacemakers by Radiofrequency Scan During Cardiac Surgery

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1143–1148 AUTHORS: Williams, Matthew R. MD et al BACKGROUND: Radiofrequency identification (RFID) detection systems are used to detect retained surgical sponges and may cause electromagnetic interference (EMI), altering intended function of cardiac pacing systems. Three pediatric patients requiring temporary pacing for postoperative […]

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Uncategorized Published - 29 December, 2016    By - Dr Clemens
New Evidence Against Restricting Physical Activity After Concussion

By John D. Cowden, MD, MPH Dr. Cowden is an associate editor with NEJM Journal Watch Pediatrics and Adolescent Medicine, from which this story was adapted. Full coverage is available at the link below. Engaging in physical activity early after concussion is associated with a lower rate of persistent symptoms in children, according to a JAMA study. Researchers […]

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Uncategorized Published - 28 December, 2016    By - Dr Clemens
Incidence of Connected Consciousness after Tracheal Intubation: A Prospective, International, Multicenter Cohort Study of the Isolated Forearm Technique

Authors: Robert D. Sanders, M.B.B.S., Ph.D., F.R.C.A. et al         Anesthesiology published on December 15, 2016. Background: The isolated forearm technique allows assessment of consciousness of the external world (connected consciousness) through a verbal command to move the hand (of a tourniquet-isolated arm) during intended general anesthesia. Previous isolated forearm technique data suggest that the incidence of […]

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