Author: Dr Clemens

Uncategorized Published - 13 July, 2018    By - Dr Clemens
Benefits of Perioperative IV Lidocaine for Postsurgical Pain Unclear

Perioperative lidocaine delivered intravenously (IV) may not improve pain, gastrointestinal recovery, postoperative nausea, or opioid consumption in the early postoperative phase compared with placebo or no treatment, according to results published in Cochrane Database of Systematic Reviews. The review included 68 trials with 4525 participants. Two trials compared IV lidocaine with thoracic epidural analgesia, and the […]

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Uncategorized Published - 13 July, 2018    By - Dr Clemens
Labor Epidural Analgesia Linked to Reduced Likelihood of Successful Breastfeeding

Labor epidural analgesia may be associated with reduced likelihood of breastfeeding at 6 weeks, according to a study published in Anesthesia & Analgesia. The study included women intending to breastfeed who had delivered vaginally with or without labor epidural analgesia (n=1204). The researchers recorded breastfeeding at 3 days and 6 weeks postpartum. The primary outcome was breastfeeding at […]

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Uncategorized Published - 13 July, 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 published on June 6, 2018. Background: Neuraxial anesthesia is increasingly recommended for hip/knee replacements as some studies show improved outcomes on the individual level. With hospital-level studies lacking, we assessed the relationship between hospital-level neuraxial anesthesia utilization and outcomes. Methods: National data on 808,237 total knee and 371,607 […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Surgeries account for almost half of hospital costs

By Richard Franki MDedge News Hospital stays with surgeries made up just under 29% of all admissions in 2014 but accounted for over 48% of all hospital costs, according to the Agency for Healthcare Research and Quality (AHRQ). Of the 35.4 million inpatient stays in 2014 – the last full year of ICD-9-CM coding – 10.1 million […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Biogen reports positive results with Alzheimer’s drug, reviving hopes for once-failed treatment

I thought this was interesting so wanted to share. By DAMIAN GARDE JULY 5, 2018 Biogen is declaring success with a once-failed treatment for Alzheimer’s disease, pointing to positive secondary results from a mid-stage study in hopes of saving a drug many in the field had written off entirely. The treatment, BAN2401, failed its primary goal […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Vague Presenting Symptoms Are Associated with Increased Mortality in Septic Shock

Authors: Filbin MR et al.  Crit Care Med 2018 Jun 29 And not for the reasons you might think. Sepsis can be both deadly and difficult to recognize. It is not clear whether treatment delays, such as delayed antibiotic administration, reflect poor recognition, poor quality care, or something else. To examine whether absence of explicit infectious […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
A Case Report From the Anesthesia Incident Reporting System

ASA Monitor 7 2018, Vol.82, 40-42. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Anticonvulsants Don’t Seem to Ease Low Back Pain

Anticonvulsant medications like gabapentin and pregabalin don’t appear to improve low back pain, a meta-analysis in the Canadian Medical Association Journal finds. Researchers examined nine studies of nearly 900 patients with chronic low back pain or lumbar radicular pain. Patients received either anticonvulsants (gabapentinoids or topiramate) or placebo. Gabapentinoids had no effect on low back pain or […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Including family in ICU rounds could improve communication

Author: Carolyn Crist (Reuters Health) – Hospitals that allow family members of critically ill patients to attend doctors’ rounds in the intensive care unit (ICU) may improve healthcare quality by enhancing communication and satisfaction, a Canadian study suggests. Although family attendance could increase the time spent on rounds, it doesn’t affect the quality of rounds […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Planning Prevents Poor Performance: An Approach To Pediatric Airway Management

Author: Nicholas M. Dalesio, MD Anesthesia Patient Safety Foundation June 2018 Pediatric airway management remains a significant cause for perioperative morbidity and mortality. Emergencies arising from airway complications constitute 25 to 36% of all reported anesthesia closed-claims.1-3 Of those, respiratory events are more common in children (43%) than in adults (30%), and children suffer a higher […]

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