Author: Dr Clemens

Uncategorized Published - 15 November, 2018    By - Dr Clemens
Eye scan may detect Alzheimer’s disease in seconds

Two new studies now suggest that a noninvasive eye scan could soon be used to catch Alzheimer’s disease early. The world’s population is aging rapidly and the prevalence of Alzheimer’s disease is on the rise. For this reason, the need for efficient dementia screening methods that can be applied to millions of people is dire. Current diagnostic practices are either […]

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Uncategorized Published - 15 November, 2018    By - Dr Clemens
FDA approves red blood cell DNA genotype test for matching transfusions

The FDA approved its first diagnostic test that reports genotypes as a final result when evaluating blood compatibility for transfusions: a molecular assay that can be used to match donors with patient DNA. Grifols’ Progenika Biopharma unit, based in Spain, developed the ID Core XT test to determine red blood cell types beyond the common […]

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Uncategorized Published - 15 November, 2018    By - Dr Clemens
Recognizing differences in pain perception

Not all patients with pain are the same. But what makes them different? Two pain medicine experts addressed that question in Tuesday’s session “Pain Perception and Treatment: We Are Not All the Same.” Pain perception is influenced by a variety of factors, including sex, hormones, stress and the presence of centralized pain. Research suggests that […]

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Uncategorized Published - 15 November, 2018    By - Dr Clemens
Intubation and extubation

Intubation is a standard part of airway management in the O.R., ICU and other settings. At some point, every intubation will be followed by an extubation. But what if the extubation has complications? Few anesthesiologists think about strategies for reintubation until problems have already begun to escalate. “Extubation has percolated into most airway guidelines at […]

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Uncategorized Published - 15 November, 2018    By - Dr Clemens
Analgesic Effects of Hydromorphone versus Buprenorphine in Buprenorphine-maintained Individuals

Authors: Andrew S. Huhn, Ph.D. et al  Anesthesiology November 5, 2018. What We Already Know about This Topic: The prevalence of patients prescribed buprenorphine for treatment of opioid use disorder is increasing Managing acute pain in buprenorphine-maintained individuals can be challenging What This Article Tells Us That Is New: Large doses of intravenous hydromorphone can provide […]

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Uncategorized Published - 14 November, 2018    By - Dr Clemens
Hospital infections go down a little

By Maggie Fox American hospitals may have made a little progress in fighting one of the biggest problems threatening patients: infections they get while in the hospital. A new survey by the Centers for Disease Control and Prevention shows that the rate of hospital acquired infections has gone down a little bit. “We see things going […]

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Uncategorized Published - 14 November, 2018    By - Dr Clemens
Pain disruption therapy treats source of chronic back pain

Dorsal root ganglion stimulation provides long-term relief, research shows AMERICAN SOCIETY OF ANESTHESIOLOGISTS People with treatment-resistant back pain may get significant and lasting relief with dorsal root ganglion (DRG) stimulation therapy, an innovative treatment that short-circuits pain, suggests a study presented at the ANESTHESIOLOGY® 2018 annual meeting. Chronic pain – pain that lasts three months or more […]

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Uncategorized Published - 14 November, 2018    By - Dr Clemens
Mechanical Power: A Biomarker for the Lung?

Authors: Laurent Brochard, M.D. et al  Anesthesiology October 2018. “How can we determine when mechanical ventilation is harming the lung…?” VENTILATOR-INDUCED lung injury is a multifaceted problem that has progressively become a preoccupation for intensivists and anesthesiologists. It has taken many years to realize that mechanical ventilation, a life-saving technique, could also induce harm. The first […]

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Uncategorized Published - 14 November, 2018    By - Dr Clemens
SEE Question

ASA Monitor 11 2018, Vol.82, 52-55. A 48-year-old man with a history of severe depression, former heroin use and chronic low back pain presents for elective minor scar revision surgery. He is taking 8 mg of buprenorphine sublingually daily, and a recent urine screen was negative for illicit substances. Which of the following is the best course of […]

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Uncategorized Published - 14 November, 2018    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 11 2018, Vol.82, 50-51. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]

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