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Uncategorized Published - 8 April, 2016    By - Dr Clemens
Migraine Linked to Irritable Bowel Syndrome

Migraine and tension-type headache may share links with irritable bowel syndrome (IBS), a preliminary study hints. “Our results suggest a high possibility of phenotypic and genotypic associations between IBS and primary headache disorders (particularly migraine) and support the presence of some shared pathophysiology,” Derya Uluduz, MD, from Istanbul University in Turkey, told Medscape Medical News. “Greater […]

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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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