Author: Dr Clemens

Uncategorized Published - 12 September, 2018    By - Dr Clemens
ACE Question

Exposure to which of the following is most likely to deactivate the color indicator in soda lime absorbent? (A) Fluorescent lights (B) Compound A (C) Water (D) Heat Ethyl violet is a pH-activated color indicator that is added to the soda lime used in the carbon dioxide (CO2) absorbent canister in the anesthesia circuit. It causes the […]

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Uncategorized Published - 12 September, 2018    By - Dr Clemens
Opioids after surgery can, paradoxically, prolong pain

Giving opioids to animals to quell pain after surgery prolongs pain for more than three weeks and primes specialized immune cells in the spinal cord to be more reactive to pain, according to a new study by CU Boulder. The authors say the paradoxical findings, if replicated in humans, could have far-reaching implications for patient […]

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Uncategorized Published - 12 September, 2018    By - Dr Clemens
Burn and Trauma Anesthesia: Thinking Outside the NPO Guideline Box

Authors: Jessica Lovich-Sapola, M.D., M.B.A., FASA et al ASA Monitor 9 2018, Vol.82, 22-24. ASA has developed practice guidelines for preoperative fasting, most recently updated in 2017, with the goal of reducing the risk of pulmonary aspiration for healthy patients undergoing elective procedures.  These current ASA “Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents […]

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Uncategorized Published - 12 September, 2018    By - Dr Clemens
Yes, cuddles can help ease babies’ pain from needle sticks

Babies have long been offered a bit of sugar water or breast milk to comfort them during needle sticks, and a new study suggests these methods of pain relief may work even better when babies are also nestled in their mothers’ arms. Researchers randomly assigned 80 healthy three-day-old infants getting a needle stick in their […]

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Uncategorized Published - 11 September, 2018    By - Dr Clemens
Dental care before cancer surgery might be good idea

Patients undergoing major cancer surgery might reduce their risk of complications by seeing a dentist beforehand, a study from Japan suggests. Patients who visited a dentist were slightly less likely to have post-surgery pneumonia or die within 30 days of surgery, the study authors found. “Oral care is one option for preventing postoperative pneumonia as […]

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Uncategorized Published - 11 September, 2018    By - Dr Clemens
Nearly 20% of US hospitals weak or at risk of closing, analysis finds

This is scary. By Rebecca Pifer Dive Brief: About 18% of U.S. hospitals are at risk of closure or performing weakly, according to a Morgan Stanley analysis of more than 6,000 facilities. The highest concentrations of “at-risk” facilities are in Texas, Oklahoma, Louisiana, Kansas, Tennessee and Pennsylvania. Morgan Stanley determined 8% (about 450 hospitals) as at risk […]

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Uncategorized Published - 11 September, 2018    By - Dr Clemens
Widespread Impact of Reducing Opioids, Adding IV Acetaminophen for Postsurgical Pain Management

Postoperative pain management that combines a reduction in opioid medications with the use of intravenous acetaminophen (IV APAP) may shorten hospital length of stay, reduce the rate of complications related to opioids, and lower related costs, according to a study in Advances in Therapy. Investigators retrospectively evaluated de-identified data from 2,238,433 inpatient encounters across 297 hospitals during […]

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Uncategorized Published - 11 September, 2018    By - Dr Clemens
Is Whole Blood Poised for a Return in Civilian Trauma?

ASA Monitor 9 2018, Vol.82, 26-27. Authors: Evan G. Pivalizza, M.B.Ch.B., FFASA et al    Key Points: ■ Retrospective evidence exists for successful use of whole blood (WB) in military scenarios. ■ Early reports of civilian center experience with WB are encouraging. ■ Implementation of a WB program requires education, coordination between stakeholders and compliance with […]

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Uncategorized Published - 11 September, 2018    By - Dr Clemens
University of Michigan Health System to pay record drug diversion settlement

The University of Michigan Health System has agreed to pay the United States $4.3 million as part of a settlement resolving allegations that it violated certain provisions of the Controlled Substances Act. The United States Attorney’s Office for the Eastern District of Michigan announced the settlement Thursday, Aug. 30. The settlement resulted from a years-long Drug Enforcement Administration […]

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Uncategorized Published - 10 September, 2018    By - Dr Clemens
Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial

AUTHORS: Matthias Behrends, M.D. et al    Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to […]

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