Author: Dr Clemens

Uncategorized Published - 10 September, 2018    By - Dr Clemens
Co-Occurrence of Post-Intensive Care Syndrome Problems Among 406 Survivors of Critical Illness

Authors: Marra, Annachiara, MD, PhD et al Critical Care Medicine: September 2018 – Volume 46 – Issue 9 – p 1393–1401 Objectives: To describe the frequency of co-occurring newly acquired cognitive impairment, disability in activities of daily livings, and depression among survivors of a critical illness and to evaluate predictors of being free of post-intensive care syndromeproblems. Design: Prospective cohort study. Setting: Medical and surgical ICUs […]

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Uncategorized Published - 10 September, 2018    By - Dr Clemens
UBC researchers have found a way to make donated blood universal

A particular type of gut bacteria strips away antigens from human blood and effectively makes it type-O. Written by PATRICK JOHNSTON Researchers at the University of B.C. think they may have found a way to transform a very common type of human blood — type-A — in the universally usable type-O negative. This would make […]

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Uncategorized Published - 10 September, 2018    By - Dr Clemens
LDL >160 Tied to Increased Mortality in Low-Risk Patients

This one I wanted to share with readers because it is about their health but not anesthesia related. Patients deemed at low-risk for cardiovascular disease (CVD) but with LDL levels above 160 face increased mortality risks over the long term, a Circulation study suggests. Over 36,000 adults in Texas (median age, 42) with an estimated 10-year risk […]

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Uncategorized Published - 10 September, 2018    By - Dr Clemens
ASA President Presents Before National Academies Forum on Drug Shortages

On September 5 and 6, ASA President James Grant, M.D., M.B.A., FASA participated in a forum hosted by the National Academy of the Sciences, Engineering and Medicine in Washington, D.C., on “Medical Product Shortages during Disasters: Opportunities to Predict, Prevent, and Respond.” The forum arose from a request from the U.S. Department of Health and […]

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Uncategorized Published - 7 September, 2018    By - Dr Clemens
Cost-benefit Analysis of Maintaining a Fully Stocked Malignant Hyperthermia Cart versus an Initial Dantrolene Treatment Dose for Maternity Units

Authors: Phi T. Ho, M.D., M.B.A. et al   Anesthesiology 8 2018, Vol.129, 249-259. What We Already Know about This Topic: Prompt availability of dantrolene is important for treating malignant hyperthermia and has resulted in lowered mortality rates Maintaining a malignant hyperthermia cart and full treatment dose of dantrolene is expensive, particularly for locations with low incidence […]

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Uncategorized Published - 7 September, 2018    By - Dr Clemens
Less Blood Transfusion in Orthopedic Surgery Tied to Better Outcomes

A comprehensive blood management program for orthopedic surgery patients is not only effective in reducing overall blood utilization but is also associated with reduced length of stay (LOS) and readmissions, with no increase in adverse outcomes, a study has concluded. “One year ago, the AABB [American Association of Blood Banks] released its clinical practice guidelines […]

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Uncategorized Published - 7 September, 2018    By - Dr Clemens
The State of Drug Storage, Disposal Labeling Information for Opioid Analgesics

Package inserts for opioid analgesics may not consistently provide information regarding safe drug storage and/or disposal, according to a brief research report by investigators at the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, and Vanderbilt University Medical Center, Nashville, Tennessee. Misuse of prescription opioids represents the main source of diversion of medication, presumably […]

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Uncategorized Published - 7 September, 2018    By - Dr Clemens
Unintended Dural Puncture After Epidural Steroid Injection for Labor Analgesia: Case Report

Merrick Miles, MD Kimberley Nichols, MD Introduction Dural puncture after labor epidural placement occurs in up to 1.5% of parturients.1 Many factors have been hypothesized that might put a patient at risk for dural puncture, such as a large needle gauge and patient position during placement. However, a history of prior epidural steroid injections has not […]

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Uncategorized Published - 7 September, 2018    By - Dr Clemens
Comparison of Ramosetron and Ondansetron for Postoperative Nausea and Vomiting After Laparoscopic Surgery

Authors Choi YS et al Therapeutics and Clinical Risk Management » Volume 14 Background: Postoperative nausea and vomiting (PONV) is a common complication after surgery, which increases physical and psychological discomfort and delays recovery. The aim of this study was to test the hypothesis that ramosetron is comparable to ondansetron for the treatment of established PONV after laparoscopic surgery […]

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Uncategorized Published - 6 September, 2018    By - Dr Clemens
Chronic Opioids Linked to Increased Complications After Spinal Fusion Surgery

Patients who have been taking opioid pain relievers for several months before spinal fusion surgery are at increased risk of complications after their surgery, according to a study published in Spine. “With increasing emphasis on cost containment and quality improvement, our findings are intended to caution providers about chronic opioid therapy as a risk factor for […]

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