Author: Dr Clemens

Uncategorized Published - 19 November, 2018    By - Dr Clemens
More pregnant women in U.S. smoking pot

Even as alcohol and tobacco use continue to decline among pregnant women in the U.S., a new study offers fresh evidence that more American mothers are using cannabis during pregnancy. Other recent studies have also documented a rise in cannabis use among pregnant women of all ages, with some evidence of particularly sharp increases for […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
The hypoxic burden of sleep apnoea predicts cardiovascular disease-related mortality: the Osteoporotic Fractures in Men Study and the Sleep Heart Health Study

Authors: Ali Azarbarzin et al   European Heart Journal, 30 October 2018 Apnoea–hypopnoea index (AHI), the universal clinical metric of sleep apnoea severity, poorly predicts the adverse outcomes of sleep apnoea, potentially because the AHI, a frequency measure, does not adequately capture disease burden. Therefore, we sought to evaluate whether quantifying the severity of sleep apnoea […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
Pain and Complications After Arthroplasty Controlled Best With Multimodal Analgesia

A massive database analysis has confirmed the suspicions of thousands of practicing anesthesiologists the world over: Multimodal analgesia for joint arthroplasty is, indeed, a good thing. Data from more than 1.5 million patients demonstrated that the most tried and true medications provide the biggest bang for the buck when it comes to maximizing pain control […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
FDA Approves Sublingual Form of Potent Opioid Sufentanil Despite Controversy

The FDA has approved the sublingual opioid sufentanil (Dsuvia) for moderate-to-severe acute pain. Sufentanil is already approved for intravenous and epidural use. The drug is dispensed in a single-use applicator under medical supervision. The FDA said that its delivery mechanism makes it suited to situations where an IV cannot be placed and a patient cannot […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
Patients’ Consciousness May Persist Under General Anesthesia

What happens in a brain under anesthesia? Researchers at the University of Turku, in Finland, are curious to find out, diving into brain waves and dreaming. In a series of studies—the first batch of which was published in Anesthesiology and the British Journal of Anaesthesia in July—the researchers found interesting patterns of brain activity and responses to stimuli using […]

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Uncategorized Published - 16 November, 2018    By - Dr Clemens
Appendix removal is linked to lower risk of Parkinson’s

By LAURAN NEERGAARD Scientists have found a new clue that Parkinson’s disease may get its start not in the brain but in the gut — maybe in the appendix. People who had their appendix removed early in life had a lower risk of getting the tremor-inducing brain disease decades later, researchers reported Wednesday. Why? A […]

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Uncategorized Published - 16 November, 2018    By - Dr Clemens
Opioid Prescription Size Strongest Predictor of Number of Pills Consumed

Clinicians commonly overprescribe opioids — and the larger the opioid prescription, the more pills a patient uses — a JAMA Surgery study suggests. Using a Michigan surgery database, researchers studied 2400 adults who received opioid prescriptions after 12 common surgical procedures in 2017. At 30 days after surgery, patients reported how many opioid pills they had taken; […]

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Uncategorized Published - 16 November, 2018    By - Dr Clemens
Cognitive Impairment, Anesthesia, and Critical Illness: Learning From the Past to Gain Perspective on the Future

Mayo Clinic Proceedings November 2018 Volume 93, Issue 11, Pages 1537–1539 Author: Ian J. Barbash, MD, MS Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA Every year in the United States, more than 4 million patients are admitted to the intensive care unit (ICU), and more […]

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Uncategorized Published - 16 November, 2018    By - Dr Clemens
Anesthesia in Kids Not Tied to Developmental Problems

Sibling analysis shows no difference in early cognitive outcomes after a single surgery Authors: Dori F Zaleznik, MD, Associate Clinical Professor of Medicine (Retired), Harvard Medical School, Boston, Reviewer; and Dorothy Caputo, MA, BSN, RN, Written by Judy George, Contributing Writer, MedPage Young children who had surgical procedures with general anesthesia prior to primary school entry did […]

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Uncategorized Published - 16 November, 2018    By - Dr Clemens
New guidance recommends minimal oxygen use for most people in hospital

Giving oxygen is often unnecessary and can cause harm BMJ Routine oxygen therapy is not recommended for hospital patients because the benefit is uncertain and there are clear harms, say a panel of international experts in The BMJ today. Their advice is based on new evidence that too much oxygen increases risk of death and is part […]

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