Author: Dr Clemens

Uncategorized Published - 13 March, 2018    By - Dr Clemens
1 in 14 U.S. Women Smoke While Pregnant

I just thought this was interesting so I wanted to share it with our readers Some 7% of U.S. women who gave birth in 2016 smoked while they were pregnant, according to new data from the CDC’s National Center for Health Statistics. The analysis was based on birth certificate data for all U.S. births that […]

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Uncategorized Published - 13 March, 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 March, 2018    By - Dr Clemens
Postoperative Complications Affecting Survival After Cardiac Arrest in General Surgery Patients

AUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 858–864 BACKGROUND: Postoperative cardiac arrest is uncommon but associated with a high mortality risk in general surgery patients and is often preceded by postoperative complications. The relationships between previous complications and mortality after cardiac arrest in general […]

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Uncategorized Published - 13 March, 2018    By - Dr Clemens
Characteristics of Desaturation and Respiratory Rate in Postoperative Patients Breathing Room Air Versus Supplemental Oxygen: Are They Different?

AUTHORS: Taenzer, Andreas H. MS, MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 826–832 BACKGROUND: Routine monitoring of postoperative patients with pulse oximetry–based surveillance monitoring has been shown to reduce adverse events. However, there is some concern that pulse oximetry is limited in its ability to detect deterioration quickly […]

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Uncategorized Published - 13 March, 2018    By - Dr Clemens
Usability and Legal Pitfalls of Electronic Health Records

Author: Peter J. Papadakos, MD, FCCM, FAARC Practitioners and health facilities have invested billions of dollars to meet the edicts of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which was signed into law in February 2009. Its mandates encouraging providers to adopt electronic health records (EHRs) have led to widespread adaptation […]

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Uncategorized Published - 13 March, 2018    By - Dr Clemens
Photoplethysmography and Heart Rate Variability for the Diagnosis of Preeclampsia

AUTHORS: Euliano, Tammy Y. MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 913–919 BACKGROUND: The goal of this study was to determine a set of timing, shape, and statistical features available through noninvasive monitoring of maternal electrocardiogram and photoplethysmography that identifies preeclamptic patients. METHODS: Pregnant women admitted to Labor and […]

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Uncategorized Published - 12 March, 2018    By - Dr Clemens
For all their risks, opioids had no pain-relieving advantage in a yearlong clinical trial

By KAREN KAPLAN LA Times March 6, 2018 Although opioid medications have been go-to drugs for treating certain kinds of chronic pain, they performed no better than other kinds of painkillers in a yearlong clinical trial. (Sue Ogrocki / Associated Press) For years, doctors turned to opioid painkillers as a first-line treatment for chronic back pain […]

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Uncategorized Published - 12 March, 2018    By - Dr Clemens
Don’t Ignore the Feedback in Nonverbal Cues

This is from Harvard Business Review In an ideal world, your colleagues would give you direct, honest feedback. But if they’re not forthcoming, often you can find out what someone really thinks by watching their nonverbal cues. Learn to read facial expressions and body language to understand how your words and actions are being received. […]

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Uncategorized Published - 12 March, 2018    By - Dr Clemens
Perioperative Steroid Use for Tonsillectomy and Its Association With Reoperation for Posttonsillectomy Hemorrhage: A Retrospective Cohort Study

AUTHORS: Miyamoto, Yoshihisa MD, MPH et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 806–814 BACKGROUND: Steroids reduce postoperative complications after tonsillectomy such as nausea and vomiting, pain, and delayed recovery. However, steroids may also increase the risk of severe posttonsillectomy bleeding requiring reoperation. METHODS: To evaluate the risk of postoperative bleeding […]

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Uncategorized Published - 12 March, 2018    By - Dr Clemens
Impact of Inhalational Anesthetics on Liver Regeneration After Living Donor Hepatectomy: A Propensity Score-Matched Analysis

AUTHORS: Jung, Kyeo-Woon MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 796–804 BACKGROUND: Although desflurane and sevoflurane, the most commonly used inhalational anesthetics, have been linked to postoperative liver injury, their impact on liver regeneration remains unclear. We compared the influence of these anesthetics on the postoperative liver regeneration […]

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