Author: Dr Clemens

Uncategorized Published - 20 August, 2018    By - Dr Clemens
Exercise Tied to Better Mental Health, But More Isn’t Necessarily Better

Thought this was interesting so wanted to share with our readers. Adults who exercise have better mental health than those who do not, according to a cross-sectional study in the Lancet Psychiatry. Researchers examined data on 1.2 million adults who completed the CDC’s Behavioral Risk Factor Surveillance System survey between 2011 and 2015. Overall, participants reported […]

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Uncategorized Published - 20 August, 2018    By - Dr Clemens
Elective Labor Induction at 39 Weeks Might Not Reduce Neonatal Complications, Does Reduce C-Sections

Elective labor induction at 39 weeks’ gestation might not lower the risk for perinatal death or neonatal complications, but it does cut down on cesarean deliveries, according to a New England Journal of Medicinestudy. Over 6000 low-risk, nulliparous women were randomized to labor induction at 39 weeks or to expectant management. The primary composite outcome — […]

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Uncategorized Published - 17 August, 2018    By - Dr Clemens
Lung Cancer Mortality Rates Among Women Projected to Increase Worldwide By Over 40 Percent By 2030

This is shocking so I wanted to share with our readers. The global age-standardized lung cancer mortality rate among women is projected to increase by 43 percent from 2015 to 2030, according to an analysis of data from 52 countries reported in Cancer Research, a journal of the American Association for Cancer Research. The global age-standardized […]

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Uncategorized Published - 17 August, 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 the […]

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Uncategorized Published - 17 August, 2018    By - Dr Clemens
Effectiveness of Lumbar Facet Joint Blocks and Predictive Value before Radiofrequency Denervation: The Facet Treatment Study (FACTS), a Randomized, Controlled Clinical Trial

Authors: Steven P. Cohen, M.D. et al  Anesthesiology 9 2018, Vol.129, 517-535. What We Already Know about This Topic: Facet blocks, including intraarticular and medial branch blocks, are frequently used before radiofrequency ablation, but their validity as a predictive tool is unproven Recently, the evidence supporting radiofrequency ablation has come under great scrutiny What This Article […]

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Uncategorized Published - 17 August, 2018    By - Dr Clemens
Respiratory Muscle Effort during Expiration in Successful and Failed Weaning from Mechanical Ventilation

Authors: Jonne Doorduin, Ph.D. et al  Anesthesiology 9 2018, Vol.129, 490-501. What We Already Know about This Topic: Inspiratory muscle weakness delays weaning from mechanical ventilation, but the contributions of expiratory muscles activity are less well understood. What This Article Tells Us That Is New: Twenty adult patients receiving mechanical ventilation (more than 72 h) performed […]

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Uncategorized Published - 17 August, 2018    By - Dr Clemens
Maternal Body Mass Index and Use of Labor Neuraxial Analgesia: A Population-based Retrospective Cohort Study

Authors: Alexander J. Butwick, M.B.B.S., F.R.C.A., M.S. et al  Anesthesiology 9 2018, Vol.129, 448-458. What We Already Know about This Topic: Neuraxial labor analgesia for parturients is often recommended to avoid airway instrumentation in case of urgent surgical delivery The extent to which neuraxial use varies by maternal body mass index using modern, national data remains […]

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Uncategorized Published - 16 August, 2018    By - Dr Clemens
Postnatal Depression Nearly as Common in Dads as in Moms

I thought this was interesting so I wanted to share it with our readers. Fathers are nearly as likely as mothers to screen positive for depression in the postpartum period, according to findings reported in JAMA Pediatrics. The American Academy of Pediatrics currently recommends that clinicians screen both mothers and fathers for perinatal depression. Researchers studied […]

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Uncategorized Published - 16 August, 2018    By - Dr Clemens
Defining an Intraoperative Hypotension Threshold in Association with Stroke in Cardiac Surgery

Authors: Louise Y. Sun, M.D., S.M. et al  Anesthesiology 9 2018, Vol.129, 440-447. What We Already Know about This Topic: Ischemic stroke after cardiac surgery is a devastating complication affecting approximately 2% of patients The relationship between hypotension occurring before, during, and after cardiopulmonary bypass and stroke remains unclear What This Article Tells Us That Is […]

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Uncategorized Published - 16 August, 2018    By - Dr Clemens
Do Hospitals Performing Frequent Neuraxial Anesthesia for Hip and Knee Replacements Have Better Outcomes?

Authors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al  Anesthesiology 9 2018, Vol.129, 428-439. What We Already Know about This Topic: Neuraxial anesthesia is being used more frequently for elective hip and knee replacements It is unclear whether increasing rates of hospital-level use of neuraxial anesthesia are associated with beneficial medical or economic outcomes What This […]

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