Author: Dr Clemens

Uncategorized Published - 25 August, 2017    By - Dr Clemens
Many Operations Could Be Unnecessary, Says Leading Surgeon

The Guardian · June 11, 2017 Thousands of people could be undergoing unnecessary, risky and expensive surgeries as most procedures have never been subjected to the rigorous testing drugs are required to have, a leading surgeon has said. Prof Andy Carr, an orthopaedic surgeon at Oxford University Hospitals, said there is emerging evidence that for certain types […]

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Uncategorized Published - 24 August, 2017    By - Dr Clemens
Persistent Pain Linked With Greater Memory Decline & Dementia Probability

Older adults with chronic pain have been found to have poorer memory and executive function than their younger counterparts. In a population-based cohort study described in JAMA Internal Medicine, older adults with persistent pain showed more rapid memory decline and greater dementia probability compared with adults without persistent pain.1 The prevalence of chronic pain in older […]

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Uncategorized Published - 24 August, 2017    By - Dr Clemens
No Increased Risk Seen for CLABSIs With Internal Jugular Catheter and Tracheostomy

Having an internal jugular (IJ) catheter with a concurrent tracheostomy did not increase the risk for central line–associated bloodstream infections (CLABSIs) among ICU patients. “Our data challenges what seems to be the standard when placing lines in patients with tracheostomy,” said Dana L. Russell, MPH, the lead author of the single-center, retrospective, matched case-control study […]

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Uncategorized Published - 24 August, 2017    By - Dr Clemens
Obese Have Less Respiratory Insufficiency Than Nonobese During Endoscopy

Obese patients showed less respiratory insufficiency (RI) than their nonobese counterparts during endoscopic surgery, according to a new study. The result was counterintuitive. Because of their higher rates of obstructive sleep apnea, pulmonary hypertension and other cardiopulmonary disorders, obese patients generally are thought to be at increased risk for sedation-related complications, such as RI. Consequently, […]

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Uncategorized Published - 24 August, 2017    By - Dr Clemens
Timing of PEG Placement Related to Mortality In Traumatic Brain Injury

Scientists have observed that standard timing for percutaneous endoscopic gastrostomy (PEG) placement in patients with traumatic brain injury (TBI), between seven and 14 days after the injury, is best for minimizing related mortality. However, further study is needed. PEG placement, a frequently performed procedure providing patients with nutrients via enteral feeding, comes with risks. Short-term […]

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Uncategorized Published - 24 August, 2017    By - Dr Clemens
Companies Collaborate To Reduce Postsurgical Opioid Dependence

A new initiative to identify preoperative patients who may be predisposed to developing dependence on opioid analgesics could facilitate treatment plans that reduce their exposure to opioids and mitigate that risk. The joint endeavor by specialty pharmaceutical manufacturer Pacira Pharmaceuticals and therapeutic management firm GeneAlign has incorporated behavioral histories and pharmacogenetic and pharmacogenomic testing into […]

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Uncategorized Published - 24 August, 2017    By - Dr Clemens
BP, Fluid Management Improve With Robotic Laparoscopic Prostatectomy

The benefits of robot-assisted laparoscopic prostatectomy (RALP) have been clouded by doubts about its effect on blood pressure and fluid management, but a new study has found that RALP reduced the volume of fluids and alleviated the need for blood transfusion compared with open radical prostatectomy. According to Hidehisa Saito, MD, a resident at the […]

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Uncategorized Published - 23 August, 2017    By - Dr Clemens
Pain Management Still a Constraint to Outpatient Procedures

Surgery is on the move: With enhanced recovery protocols, procedures that once required several days of in-hospital recovery are shifting to the outpatient setting without compromising patient care. However, there are still major barriers to consider. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Tong Joo (T.J.) Gan, MD, FRCA, MHS, assessed the feasibility of […]

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Uncategorized Published - 23 August, 2017    By - Dr Clemens
Strategies for In-Hospital Falls Prevention: First, Break Down the Silos

Patient falls pose a significant risk in hospitals, resulting in bone fracture, traumatic head injury and visceral organ contusion, among other serious complications. “Implementation of preventive strategies for in-hospital falls is an important issue in health care,” said Colleen R. Walsh, DNP, RN, president of the National Association of Orthopaedic Nurses and clinical assistant professor […]

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Uncategorized Published - 23 August, 2017    By - Dr Clemens
Get Better at Anesthesia—or Get Out!

By Keith Chamberlin, MD, MBA Excuse me, doctor. Are you any good? I mean, are you any good at anesthesia stuff? If your answer is yes, how do you know, and why should I believe you? Have you collected any outcome data you can show me, or that you’ve published? What? Who am I to […]

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