Author: Dr Clemens

Uncategorized Published - 9 October, 2018    By - Dr Clemens
Perianesthetic and Anesthesia-Related Mortality in a Southeastern United States Population: A Longitudinal Review of a Prospectively Collected Quality Assurance Data Base

Authors: Pollard R et al Anesthesia & Analgesia (May 2018) BACKGROUND Perianesthetic mortality (death occurring within 48 hours of an anesthetic) continues to vary widely depending on the study population examined. The authors study in a private practice physician group that covers multiple anesthetizing locations in the Southeastern United States. This group has in place […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
National Survey Finds No Clear Consensus On Patient Selection Criteria for ASCs

A recent survey of anesthesiologists across the United States found a lack of consensus on appropriate patient selection criteria at ambulatory surgery centers (ASCs). The study’s authors said the survey results call attention to an urgent need to obtain a consensus on evidence-based inclusion and exclusion criteria for these facilities. Researchers at the University of […]

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Uncategorized Published - 9 October, 2018    By - Dr Clemens
More Doctor Visits Lead to Less Suicide Attempts for Patients With Fibromyalgia

Patients with fibromyalgia who regularly visit their physicians are much less likely to attempt suicide than those who do not, according to a study published in Arthritis Care & Research. Patients who did not attempt suicide were at the doctor an average of 50 hours per year versus less than 1 hour per year for the […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Nonpharmacologic analgesia for L&D

Additional well-designed studies are warranted to further clarify the effectiveness of nonpharmacologic techniques on maternal pain relief and fetal outcomes. However, women who wish to use nonpharmacologic techniques during labor should be supported by all her providers including the anesthesiologist. At present, none of the techniques discussed have strong scientific evidence for their benefit but […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Intraoperative Hypothermia is Common, but not Associated With Blood Loss or Transfusion in Pediatric Posterior Spinal Fusion

Authors: Schur M et al Journal of Pediatric Orthopaedics 38 (9), 450-454 (Oct 2018) BACKGROUND Intraoperative hypothermia may be associated with increased blood loss due to the effects of temperature on clotting but this has not been evaluated in the setting of pediatric posterior spinal fusion (PSF). The purpose of this study was to determine […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Clinical Characteristics of Tracheobronchopathia Osteochondroplastica

Authors: Luo T et al Respiratory Care (Sep 2018) BACKGROUND Tracheobronchopathia osteochondroplastica (TO) consists of benign lesions of tracheal and bronchial mucosa with multiple nodular hyperplasia of bone or cartilage protruding into the lumen. METHODS We diagnosed 73 subjects with TO with the use of bronchoscopy in the Department of Respiratory and Critical Care Medicine […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Continuous Neuromuscular Blockade and Mortality in Subjects With Exacerbation of Idiopathic Interstitial Pneumonias

Authors: Mouri H et al Respiratory Care (Aug 2018) BACKGROUND Exacerbation of idiopathic interstitial pneumonias (IIPs) requiring mechanical ventilation is associated with high mortality. However, evidence for the optimal management strategy in patients on mechanical ventilation for exacerbation of IIPs is scarce. This study aimed to evaluate the association between continuous rocuronium infusion and in-hospital […]

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Uncategorized Published - 8 October, 2018    By - Dr Clemens
Pregabalin Not Effective for Chronic Pain After Traumatic Nerve Injury

Pregabalin (Lyrica) is not effective in controlling the chronic pain that sometimes develops following traumatic nerve injury, according to a study published in the Journal of Neurology. The results of the international study, which was driven by an effort to identify effective non-opioid pain medications, did show potential in relieving in pain that sometimes lingers after […]

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Uncategorized Published - 5 October, 2018    By - Dr Clemens
Paralyzed Patients Able to Walk Following Epidural Stimulation

Two separate studies on Monday report successes with epidural electrical stimulation in helping paralyzed patients regain the ability to walk. As reported in the New England Journal of Medicine, researchers enrolled four patients who experienced spinal cord injuries roughly 3 years earlier. The patients had no motor abilities below the level of their injuries; two of […]

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Uncategorized Published - 4 October, 2018    By - Dr Clemens
80,000 people died of flu last winter in US

An estimated 80,000 Americans died of flu and its complications last winter — the disease’s highest death toll in at least four decades. The director of the Centers for Disease Control and Prevention, Dr. Robert Redfield, revealed the total in an interview Tuesday night with The Associated Press. Flu experts knew it was a very […]

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