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Uncategorized Published - 12 February, 2016    By - Dr Clemens
Platelet Counts, Acute Kidney Injury, and Mortality after Coronary Artery Bypass Grafting Surgery

Anesthesiology 2 2016, Vol.124, 339-352. Authors: Miklos D. Kertai, M.D., Ph.D. et al Background: Cardiac surgery requiring cardiopulmonary bypass is associated with platelet activation. Because platelets are increasingly recognized as important effectors of ischemia and end-organ inflammatory injury, the authors explored whether postoperative nadir platelet counts are associated with acute kidney injury (AKI) and mortality after coronary […]

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Uncategorized Published - 12 February, 2016    By - Dr Clemens
HHS Proposes Rule to Ease Some Substance Abuse Disclosures

Consent requirements would be eased for providers releasing their patients’ substance abuse diagnosis and treatment records under a proposed rule released earlier this week by the Department of Health and Human Services (HHS). The proposed rule seeks to “modernize the [current federal law on substance abuse confidentiality] by facilitating the electronic exchange of substance use disorder information […]

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Uncategorized Published - 11 February, 2016    By - Dr Clemens
Intra-Op Opioids Heighten Risk for PDNV in Children

The administration of intraoperative opioids was significantly associated with post-discharge nausea and vomiting (PDNV) in children, and long-acting opioids had far worse effects than their short-acting counterparts. “This study started out along the lines of a quality-assurance project into unexplored territory in children,” said Proshad Efune, MD, currently a fellow in the Pediatric Critical Clinical […]

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Uncategorized Published - 11 February, 2016    By - Dr Clemens
Novel Risk Index Proposed For Critically Ill Patients With Respiratory Failure

For critically ill patients with respiratory failure, none of the available risk indexes is particularly robust in terms of distinguishing survivors from nonsurvivors within the perioperative period. To address this, a University of California, Los Angeles (UCLA) research team has proposed a novel index that may prove to be more relevant to critically ill patients […]

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Uncategorized Published - 11 February, 2016    By - Dr Clemens
Point-of-Care Viscoelastic Testing Reduces Transfusions, Improves Outcomes in Severe Postpartum Hemorrhage

Point-of-care viscoelastic testing with rotational thromboelastography (ROTEM) is associated with significant reductions in transfusion requirements and better outcomes in patients with severe postpartum hemorrhage. “Contrary to our success in other areas in medicine, maternal mortality in the U.S. continues to grow, slowly but steadily,” said Denis Snegovskikh, MD, assistant professor of anesthesiology and associate chief […]

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