Author: Dr Clemens

Uncategorized Published - 13 June, 2018    By - Dr Clemens
Does Lactate Affect the Association of Early Hyperglycemia and Multiple Organ Failure in Severely Injured Blunt Trauma Patients?

AUTHORS: Richards, Justin, E., MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 904–910 BACKGROUND: Early hyperglycemia is associated with multiple organ failure (MOF) after traumatic injury; however, few studies have considered the contribution of depth of clinical shock. We hypothesize that when considered simultaneously, glucose and lactate are associated […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
Heating and Cooling Rates With an Esophageal Heat Exchange System

AUTHORS: Kalasbail, Prathima, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1190–1195 BACKGROUND: The Esophageal Cooling Device circulates warm or cool water through an esophageal heat exchanger, but warming and cooling efficacy in patients remains unknown. We therefore determined heat exchange rates during warming and cooling. METHODS: Nineteen patients completed the […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
High Risk for Prescription Opioid, Heroin Overdose in Baby Boomer Generation

Individuals born between 1947 and 1964 have a significantly increased risk for prescription opioid overdose death and heroin overdose death, and those born from 1979 to 1992 also have an increased risk for heroin overdose death, according to a study published online in the American Journal of Public Health. Xiwen Huang, MPH, from Columbia University in […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
As Many as 1 in 5 Deaths Among Millennials Involve Opioids

I thought this was interesting so I wanted to share it with our readers. An estimated 20% of deaths among U.S. adults aged 25 to 34 years are related to opioid use, according to an analysis in JAMA Network Open. Researchers examined trends in opioid-related deaths using death certificates from 2001 to 2016. Among their findings: […]

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Uncategorized Published - 13 June, 2018    By - Dr Clemens
New Feeding and Warming Device Gains FDA Clearance

A new model of the EnsoETM, capable of enteral fluid administration while also managing body temperature through a patient’s core, was granted 510(K) clearance from the FDA, according to a release from Attune Medical. The new model will provide food, medication, and warming or cooling to a patient through the esophagus in conjunction with the […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Anesthetic Management and Procedural Outcomes of Patients Undergoing Off-Pump Transapical Implantation of Artificial Chordae to Correct Mitral Regurgitation: Case Series of 76 Patients

AUTHORS: Samalavicius, Robertas, Stasys, MD, PhD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 776–784 BACKGROUND: Transapical implantation of artificial chordae using the NeoChord system (NeoChord Inc, Minneapolis, MN) is an emerging beating-heart technique for correction of mitral regurgitation (MR) through a minimally invasive left minithoracotomy. The purpose of the […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Clinical Utility of Intraoperative Motor-Evoked Potential Monitoring to Prevent Postoperative Spinal Cord Injury in Thoracic and Thoracoabdominal Aneurysm Repair: An Audit of the Japanese Association of Spinal Cord Protection in Aortic Surgery Database

AUTHORS: Yoshitani, Kenji, MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 763–768 BACKGROUND: Spinal cord ischemic injury is the most devastating sequela of descending and thoracoabdominal aortic surgery. Motor-evoked potentials (MEPs) have been used to intraoperatively assess motor tract function, but it remains unclear whether MEP monitoring can decrease […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Rehab Expert: Pain Patients Denied Needed Opioids in Palliative Care

David, a 38-year-old father of four and five-year survivor of fungal meningitis, experiences the long-term effects of contaminated epidural injections that have left him with headaches, visual disturbances, tinnitus, adhesive arachnoiditis and fibromyalgia. His story exemplifies the gap between state and federal health care laws and treatment protocols for those with chronic pain requiring high-dose […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Digital Ambulance Chasers? Law Firms Send Ads To Patients’ Phones Inside ERs

What is happening to our country?  I can’t believe this. Author: BOBBY ALLYN Patients sitting in emergency rooms, at chiropractors’ offices and at pain clinics in the Philadelphia area may start noticing on their phones the kind of messages typically seen along highway billboards and public transit: personal injury law firms looking for business by casting […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Postop delirium management proposed as hospital performance measure

Author: Alicia Gallegos FROM ANNALS OF SURGERY Publish date: May 25, 2018 A study suggests that delirium in older adults is a postoperative variable that should be included in surgical quality registries, outcome measures, and assessment of hospital performance. Lead author Julia R. Berian, MD, of the University of Chicago Medical Center and her colleagues wrote, “Postoperative delirium has been associated […]

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