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Uncategorized Published - 18 October, 2016    By - Dr Clemens
The Effect of Combined Spinal-Epidural Versus Epidural Analgesia in Laboring Women on Nonreassuring Fetal Heart Rate Tracings: Systematic Review and Meta-analysis.

Anesthesia & Analgesia: August 9, 2016 AUTHORS: Hattler, Judith MD et al BACKGROUND: Combined spinal-epidural labor analgesia has gained popularity, but it is unclear whether this technique is associated with a higher incidence of nonreassuring fetal heart rate (FHR) tracings compared with epidural analgesia. Our meta-analysis aimed at comparing the incidence of nonreassuring FHR tracings […]

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Uncategorized Published - 18 October, 2016    By - Dr Clemens
Pre-op Score Is Effective Tool for Predicting In-Hospital Mortality

Researchers have devised what they hope is a more accurate system for predicting in-hospital mortality in patients undergoing major surgery (Anesthesiology 2016;124:570-579). The number of patient deaths during or after surgery may be small, but the rate among some subgroups can be as high as 10%, making accurate predictions of in-hospital mortality crucial, according to the […]

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Uncategorized Published - 18 October, 2016    By - Dr Clemens
Ultrasound Identification of the Guidewire in the Brachiocephalic Vein for the Prevention of Inadvertent Arterial Catheterization During Internal Jugular Central Venous Catheter Placement.

Anesthesia & Analgesia: August 9, 2016 AUTHORS: Bowdle, Andrew MD, PhD, FASE et al BACKGROUND: Imaging the guidewire with ultrasonography in the internal jugular vein during central venous catheterization often is used to verify proper guidewire placement and to aid in prevention of inadvertent arterial catheterization. It is known, however, that inadvertent arterial catheterization can […]

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Uncategorized Published - 18 October, 2016    By - Dr Clemens
Increase Your Turnovers With a Parallel Process

There’s a lot to do in and around the OR between cases. In an effort to improve the efficiency of our room turnovers, and to bring their monthly average times down, we implemented a “parallel process” at our director’s recommendation. Every surgical team member was assigned specific, standardized tasks to carry out simultaneously, based on […]

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Uncategorized Published - 17 October, 2016    By - Dr Clemens
Pill Mill Doctor to Serve Jail Time

A West Virginia physician has been sentenced to a year and a day in jail after pleading guilty to seven felonies for illegal distribution of oxycodone. West Virginia has one of the highest rates of drug overdose deaths in the country, with 627 deaths in 2014, according to the Centers for Disease Control and Prevention. […]

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