Author: Dr Clemens

Uncategorized Published - 17 July, 2018    By - Dr Clemens
Excerpt From ‘Counting Backwards,’ on Medical Errors

Henry Jay Przybylo, MD, a pediatric anesthesiologist and associate professor of anesthesiology at Northwestern University Feinberg School of Medicine, in Chicago, recently published “Counting Backwards: A Doctor’s Notes on Anesthesia,” which is available through W. W. Norton & Company. Dr. Przybylo’s more than three decades of professional experience provides ample material for this look at […]

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Uncategorized Published - 17 July, 2018    By - Dr Clemens
Combined Colloid Preload and Crystalloid Coload Versus Crystalloid Coload During Spinal Anesthesia for Cesarean Delivery: A Randomized Controlled Trial

AUTHORS: Tawfik, Mohamed Mohamed, MD et al Anesthesia & Analgesia: February 14, 2018 – BACKGROUND: The optimal strategy of fluid administration during spinal anesthesia for cesarean delivery is still unclear. Ultrasonography of the inferior vena cava (IVC) has been recently used to assess the volume status and predict fluid responsiveness. In this double-blind, randomized controlled study, we […]

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Uncategorized Published - 17 July, 2018    By - Dr Clemens
Digital Quality Improvement: Leveraging Active Technology for Best Perioperative Outcomes

A transition is underway from technology that passively monitors patients to those that actively trigger interventions and even follow patients after discharge. According to Maxime Cannesson, MD, PhD, professor of anesthesiology at the University of California, Los Angeles (UCLA), the days when medical devices simply provided measurements for clinicians are over as physicians collaborate with […]

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Uncategorized Published - 17 July, 2018    By - Dr Clemens
New study: Seeing the same doctor for years means lower death rates

By BRANDON A. WEBER A doctor holds a patient’s hand during surgery at the University of Miami Miller school of Medicine hospital-Haiti as they help the people injured during the massive earthquake on January 26, 2010 in Port-au-Prince, Haiti. In a meta-analysis of 22 studies, researchers at the University of Exeter, UK found what many of us […]

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Uncategorized Published - 16 July, 2018    By - Dr Clemens
Wide spectrum of patients see better outcomes at academic medical centers, study finds

I thought this was interesting so I wanted to share it. By: Les Masterson Published on June 11, 2018 Medicare patients who received treatment at an academic medical center (AMC) had lower 30-day mortality rates compared to those at nonteaching hospitals, according to a recent Health Affairs study. This was the case not just for the […]

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Uncategorized Published - 16 July, 2018    By - Dr Clemens
In Data-Driven Health Care Milieu, Accuracy and Context Can Be Deceptive

Health care providers have access to more data than ever, but the challenge is how to draw meaningful conclusions from this information to deliver better care. According to Julian M. Goldman, MD, an anesthesiologist at Massachusetts General Hospital and Harvard Medical School, and medical director of Partners HealthCare Systems Biomedical Engineering, all in Boston, this […]

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Uncategorized Published - 16 July, 2018    By - Dr Clemens
Perioperative Peripheral Nerve Injury After General Anesthesia: A Qualitative Systematic Review

AUTHORS: Chui, Jason, MBChB, FANZCA et al Anesthesia & Analgesia: July 2018 – Volume 127 – Issue 1 – p 134–143 Perioperative peripheral nerve injury (PNI) is a well-recognized complication of general anesthesia that continues to result in patient disability and malpractice claims. However, the multifactorial etiology of PNI is often not appreciated in malpractice claims […]

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Uncategorized Published - 16 July, 2018    By - Dr Clemens
Risk Factors for Neurodevelopmental Delay In Children Mirror Those for Overall Mortality

Although several studies have identified possible risk factors for poor neurodevelopmental outcomes in children undergoing anesthesia and surgery, few have been able to make definitive associations, given the complex nature of neurodevelopment and the many potential factors that affect it. “The FDA has highlighted some risk factors for neurodevelopmental delay in children,” said George M. […]

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Uncategorized Published - 16 July, 2018    By - Dr Clemens
Musculoskeletal procedures predominate in top 20 surgeries

By Richard Franki MDedge News The 20 most frequent surgeries in 2014 represented almost 55% of the 14.2 million operating room procedures performed during inpatient stays in the United States, according to the Agency for Healthcare Research and Quality (AHRQ). More than 1.2 million of those procedures involved cesarean sections, making it the most frequently performed in-hospital surgery […]

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Uncategorized Published - 13 July, 2018    By - Dr Clemens
Multivitamins Don’t Appear to Boost Cardiovascular Health

Article I wanted to share with our readers. By Kelly Young Edited by David G. Fairchild, MD, MPH Taking a daily multivitamin is not associated with lower risk for adverse cardiovascular outcomes, according to a meta-analysis in Circulation: Cardiovascular Quality and Outcomes. Researchers examined use of multivitamin supplements (containing at least three vitamins and minerals) and cardiovascular […]

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