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Uncategorized Published - 8 April, 2016    By - Dr Clemens
Anesthesia Complications Reduced for Cesarean Deliveries … But Other Perioperative Complications Rise

There has been a 25% fall in anesthesia-related complications for women undergoing cesarean deliveries, with mortality rates falling as well, a comprehensive study of New York state hospital records has found. The bad news: Nonanesthetic perioperative complications jumped nearly 50%. The study (Anesthesiology 2015;123:1013-1023) examined 785,854 cesarean deliveries in hospitals across New York state from 2003 […]

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Uncategorized Published - 8 April, 2016    By - Dr Clemens
OR-to-PACU Handoff Protocol Succeeds in Reducing Errors

A new handoff protocol boosted communication while slashing errors among nurses, anesthesiologists and surgeons during the transfer of patients from the operating room (OR) to the PACU. There was a dramatic decrease in lapses in the surgery and anesthesia reports after the rollout of the new handoff process at The Johns Hopkins Hospital, in Baltimore, […]

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Uncategorized Published - 7 April, 2016    By - Dr Clemens
ETCO2 Concentration Correlates With Trauma Mortality

End-tidal carbon dioxide (ETCO2) monitoring could aid resuscitation of trauma patients presenting with hypovolemic shock undergoing emergency surgery, a retrospective study suggests. ETCO2 of less than 20 mm Hg was a 95% predictor of intraoperative cardiac arrest or death. “Our results suggest that end-tidal carbon dioxide is a valuable short-term prognostic indicator in trauma patients underdoing […]

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Uncategorized Published - 7 April, 2016    By - Dr Clemens
No Need for Chest X-Ray After Ultrasound-Guided Right Internal Jugular Lines?

Authors: Hourmozdi JJ et al., Crit Care Med 2016 Mar 31; Very few complications were picked up by routine chest x-ray at a large academic hospital system. For decades, dogma has been that chest x-ray should be performed to confirm placement of all internal jugular (IJ) central lines, despite evidence that ultrasound can significantly reduce complication rates. […]

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Uncategorized Published - 7 April, 2016    By - Dr Clemens
Liposome Bupivacaine Femoral Nerve Block for Postsurgical Analgesia after Total Knee Arthroplasty

Anesthesiology published on 4 2016. Authors: Admir Hadzic, M.D. et al Background: The authors evaluated the efficacy of liposome bupivacaine in a femoral nerve block (FNB) after total knee arthroplasty. Methods: Part 1: subjects received FNB with 20 ml liposome bupivacaine (67, 133, or 266 mg) or placebo. Part 2: subjects were randomized to FNB with liposome bupivacaine […]

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