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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Naloxegol Alleviates Opioid-Induced Constipation

Authors: Chey WD et al., N Engl J Med 2014 Jun 19; 370:2387 About eight patients had to be treated to benefit one. Binding of opioid drugs to intestinal μ-opioid receptors causes the troublesome side effect of constipation. In two identical randomized trials, industry-sponsored researchers have examined the efficacy of naloxegol (Movantik) — a μ-opioid–receptor […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Using the Post-Resuscitation ECG to Determine Need for Urgent PCI

Authors: Garcia-Tejada J et al., Resuscitation 2014 Jun 11; Patients with ST-segment elevation on post-arrest electrocardiogram were more likely to have acute coronary occlusion than those without it in a small study. Determining which patients will benefit from urgent percutaneous coronary intervention (PCI) after out-of-hospital cardiac arrest is not always straightforward. These researchers assessed whether […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Another Look at Noninvasive Continuous Arterial Pressure Monitoring

Authors: Weiss E et al., Br J Anaeth 2014 Jul 113:52 A new finger-cuff device might be useful as an early warning system for hemodynamic variability, but it is not a replacement for invasive monitoring. The Nexfin is a noninvasive finger-cuff device that uses photoplethysmographic technology to continuously measure arterial pressure. To compare Nexfin measurements […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
More Nurses and Better Nurse Education Lower Inpatient Mortality

Since this is involves surgery it is related to anesthesia so I wanted to share it with our readers. Authors: Aiken LH et al., Lancet 2014 May 24; 383:1824 Surgical patients in hospitals with better nurse-to-patient ratios and higher percentages of nurses with bachelor degrees are less likely to die within 30 days. In an […]

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Uncategorized Published - 27 July, 2014    By - Dr. Clemens
Beware the Reimbursement Gap

If a patient doesn’t pay his health insurance premiums, the insurer doesn’t have to pay the provider for care rendered during the grace period. That means that up to two months of provider services may not be reimbursed. A little-known provision in the Patient Protection and Affordable Care Act could leave physicians holding the bag […]

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