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Uncategorized Published - 25 February, 2016    By - Dr Clemens
50/50 Rule Ties Blood Transfused To Increasing Mortality

A large retrospective analysis has uncovered a previously unnoticed linear relationship between mortality and units of blood transfused, namely, that there is a 10% increase in mortality for every additional 10 units of blood transfused—what has been dubbed “the 50/50 rule.” Morbidities were also assessed. Trauma patients brought to the ER are often in hemorrhagic […]

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Uncategorized Published - 25 February, 2016    By - Dr Clemens
Obesity – A Risk Factor for Postoperative Complications in General Surgery?

BMC Anesthesiol. 2015;15(112) Authors: Elke E K M Tjeertes et al Background: Obesity is generally believed to be a risk factor for the development of postoperative complications. Although being obese is associated with medical hazards, recent literature shows no convincing data to support this assumption. Moreover a paradox between body mass index and survival is described. This […]

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Uncategorized Published - 24 February, 2016    By - Dr Clemens
Nonfatal Opioid Overdose No Bar to Further Prescriptions

The overwhelming majority of people who survive an overdose of prescription opioids continue to be prescribed opioids afterward, often by the same prescriber, according to a new study. “We found the degree of continued prescribing both surprising and concerning,” lead investigator Marc Larochelle, MD, MPH, from Boston Medical Center, in Massachusetts, told Medscape Medical News. Using […]

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Uncategorized Published - 24 February, 2016    By - Dr Clemens
DEA Issues Warning on Dangers of Fentanyl

The United States Drug Enforcement Administration (DEA) issued a nationwide alert to warn the public—and law enforcement in particular—about the dangers of fentanyl and its analogues/compounds. The DEA reported that heroin abuse and fentanyl-related seizures is on the rise. Fentanyl submissions increased from 942 to 3,344 between 2013 and 2014, according to data from the […]

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Uncategorized Published - 24 February, 2016    By - Dr Clemens
Monitor Triglycerides To Avoid Propofol Infusion Syndrome

It is disturbingly common, dangerously lethal and difficult to diagnose, yet propofol-related infusion syndrome (PRIS) may be detected before it happens, given proper vigilance by anesthesiologists. Indeed, research has found a positive correlation between the duration of propofol infusion and increasing triglyceride (TG) levels, which may indicate onset of the deadly complication. “Obviously, propofol has […]

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