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Uncategorized Published - 4 February, 2015    By - Dr Clemens
Sodium Bicarbonate for Kidney Protection in Cardiac Surgery: Demise of Yet Another Magic Bullet?

Published in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 233-235. doi:10.1097/ALN.0000000000000548 Authors: Duminda N. Wijeysundera, M.D., Ph.D.; Chirag R. Parikh, M.D., Ph.D. ACUTE kidney injury following cardiac surgery is associated with significant morbidity and mortality.  This important postoperative complication, termed cardiac surgery–associated acute kidney injury (CS-AKI), is multifactorial in etiology, with postulated causes including […]

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Uncategorized Published - 4 February, 2015    By - Dr Clemens
Perioperative Temperature Management: Time for a New Standard of Care?

Author: Harriet W. Hopf, M.D. Published in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 229-230. doi:10.1097/ALN.0000000000000552 When I started anesthesia residency in 1988, patients undergoing major surgery routinely arrived in the postanesthesia care unit (PACU) with a core temperature of 34.5° to 35°C. We did not fully understand how anesthesia causes hypothermia; […]

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Uncategorized Published - 3 February, 2015    By - Dr Clemens
Postoperative Complications After Carotid Endarterectomy

Authors: Bennett KM et al., J Vasc Surg 2015 Jan 61:103 The 30-day rate of stroke or death was 3% in a large U.S. cohort. Perioperative complications — especially stroke or death — are key considerations when patients consider carotid endarterectomy. In this study, researchers used a national surgical database to determine rates and predictors of postoperative […]

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Uncategorized Published - 3 February, 2015    By - Dr Clemens
Anthem, insurers on board for value-based payments

This in the future will effect the way we get reimbursed. As new payment methods gain traction, the nation’s second-largest insurer is taking leaps and bounds to transition away from the traditional fee-for-service model toward value-based payments, reported Forbes. Anthem wants to focus on enhancing payments for performance and shared-risk arrangements, CEO Joe Swedish said […]

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Uncategorized Published - 3 February, 2015    By - Dr Clemens
Physician Burnout Program Targets Effects of Sentinel Events

I thought this was an article our followers would want to read. Administrative burdens and long hours contribute to rising levels of physician burnout, so too do the emotional repercussions of being involved in an adverse event. Nearly half (46%) of doctors report they felt burnout, up from 40% in 2013, Medscape’s Physician Lifestyle Report, shows. […]

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