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Uncategorized Published - 10 January, 2023    By - Dr Clemens
Perioperative Management of Medications: Additional Guidelines

NEJM Journal Watch Allan S. Brett, MD, reviewing Pfeifer KJ et al. Mayo Clin Proc 2021 Dec Oprea AD et al. Mayo Clin Proc 2022 Feb Oprea AD et al. Mayo Clin Proc 2022 Feb During 2021 and 2022, a multidisciplinary group has issued consensus statements on perioperative management of drugs commonly used in pulmonary, gastroenterology, neurology, psychiatry, and rheumatology practice. Sponsoring […]

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Uncategorized Published - 10 January, 2023    By - Dr Clemens
A New Year’s Smorgasbord: An Assortment of New Guidance for Anesthesia and Pain

Author: Tony Mira F1rstNews                  Summary The year-end coding and compliance rule changes have been finalized and widely addressed, but there are always a few smaller actions by federal officials that don’t get as much attention.  In this alert, we take a look at some recent rules and […]

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Uncategorized Published - 10 January, 2023    By - Dr Clemens
Postoperative Continuous Positive Airway Pressure Didn’t Prevent Respiratory Complications

NEJM Journal Watch Patricia Kritek, MD, reviewing PRISM trial group. Lancet Respir Med 2021 Nov Routine use of CPAP after abdominal surgery didn’t prevent pneumonia, reintubation, or death. Respiratory complications (e.g., hypoxemia, pneumonia) are common after abdominal surgery and are thought to be related to postoperative atelectasis. Although adequate analgesia and incentive spirometry are important to minimize atelectasis, […]

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Uncategorized Published - 9 January, 2023    By - Dr Clemens
Perioperative Red Blood Cell Transfusion Is Associated With Adverse Cardiovascular Outcomes in Heart Valve Surgery

AUTHORS: Kim, Hee Jung MD, PhD et al  Anesthesia & Analgesia November 01, 2022. BACKGROUND: We examined the relationship between blood transfusion and long-term adverse events to evaluate the clinical impact of red blood cell (RBC) transfusion on patients undergoing cardiac valve surgery. METHODS: From the National Health Insurance Service database, individuals undergoing heart valve […]

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Uncategorized Published - 9 January, 2023    By - Dr Clemens
Effect of 5% EMLA Cream on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia

AUTHORS: Murugaiyan, Abishek MD et al  Anesthesia & Analgesia November 01, 2022. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and severity […]

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