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Uncategorized Published - 14 January, 2016    By - Dr Clemens
American College of Chest Physicians Offers New Guidelines on Antithrombosis for VTE

The American College of Chest Physicians has issued new guidelines on antithrombotic therapy for venous thromboembolism (VTE), including guidance on use of non-vitamin K antagonist oral anticoagulants. Among the recently changed or added recommendations, published in Chest: For patients without cancer who have deep vein thrombosis (DVT) of the leg or pulmonary embolism (PE), the guidelines […]

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Uncategorized Published - 14 January, 2016    By - Dr Clemens
Malpractice and Medicine: Who Gets Sued and Why?

Carol Peckham. Malpractice and Medicine: Who Gets Sued and Why? Medscape. Dec 08, The Scope of the Malpractice Problem Medscape surveyed almost 4000 primary care physicians and selected specialists to find out if and why they were sued and how the lawsuit affected their career and patient care decisions. Fifty-nine percent of respondents to the Medscape survey have been named in […]

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Uncategorized Published - 13 January, 2016    By - Dr Clemens
Impact of Metabolic Syndrome in Surgical Patients

Tzimas et al Br J Anaesth. 2015;115(2):194-202. Abstract Clinicians inevitably encounter patients who meet the diagnostic criteria for the metabolic syndrome (MetS); these criteria include central obesity, hypertension, atherogenic dyslipidaemia, and hyperglycaemia. Regardless of the variations in its definition, MetS may be associated with adverse outcomes in patients undergoing both cardiac and non-cardiac surgery. There is […]

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Uncategorized Published - 13 January, 2016    By - Dr Clemens
Epidural Blockade Affects the Pharmacokinetics of Propofol in Surgical Patients

Anesthesia & Analgesia: December 2015 Sitsen, Elske MD et al BACKGROUND: Neuraxial blockade reduces the dose requirements of sedative agents. It is unclear whether neuraxial blockade affects the pharmacokinetics and/or the pharmacodynamics of IV hypnotics. We therefore studied the influence of epidural blockade on the pharmacokinetics of propofol in patients scheduled for general surgery. METHODS: […]

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Uncategorized Published - 13 January, 2016    By - Dr Clemens
A Comparison of Photoplethysmography Versus Esophageal Doppler for the Assessment of Cardiac Index During Major Noncardiac Surgery

Anesthesia & Analgesia: December 2015 Blanié, Antonia MD et al BACKGROUND: In this prospective observational study, we compared changes in cardiac index (CI) during fluid challenge using photoplethysmography (PPG; Nexfin(TM)) (CIPPG) versus esophageal Doppler (ED) (CIED) in major noncardiac surgery patients. METHODS: Measurements were obtained when the attending anesthesiologist decided to perform a fluid challenge. […]

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