Author: Dr Clemens

Uncategorized Published - 11 January, 2017    By - Dr Clemens
For Breast Cancer Surgery, To Block or Not To Block?

To block or not to block during breast cancer surgery: That is the question two experts debated at the 2016 International Symposium of Ultrasound for Regional Anesthesia. “There is enough evidence of short- and long-term benefits with paravertebral block [PVB] to encourage this as standard practice,” said Faraj Abdallah, MD, assistant professor in the Department […]

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Uncategorized Published - 11 January, 2017    By - Dr Clemens
Costly Care for Surgical Complications Tied to Worse Outcomes

More costly care for postoperative complications is associated with worse patient outcomes, according to a study published October 5 in JAMA Surgery. Surgical complications are common and expensive adverse events, and have been increasingly targeted by quality initiatives, write Jason C. Pradarelli, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, and colleagues. Such initiatives often […]

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Uncategorized Published - 11 January, 2017    By - Dr Clemens
60% of Facilities Require Patients To Bring CPAP Device

When the Society for Ambulatory Anesthesia released its consensus statement on preoperative selection of patients with obstructive sleep apnea (OSA), it recommended that ambulatory surgery centers instruct patients on continuous positive airway pressure (CPAP) to bring their devices on their day of surgery (Anesth Analg 2012;115:1060-1068). Now, a survey by a Texas research team has shown […]

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Uncategorized Published - 11 January, 2017    By - Dr Clemens
Hospital—Not Neighborhood—Characteristics Have Greatest Effect on Maternal Morbidity

An analysis of labor and delivery data in the state of New York has revealed that hospital—but not neighborhood—characteristics are associated with severe maternal morbidity (SMM). The study identified several factors that predict SMM. Lead study author Jean Guglielminotti, MD, PhD, an anesthesiologist at Hôpital Bichat-Claude Bernard, in Paris, and a postdoctoral research fellow at […]

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Uncategorized Published - 11 January, 2017    By - Dr Clemens
Every patient changes their doctor

By JAMIE JONES, MD  My heart tells me I lost them.  My brain tells me I never had them to lose. One of my mentors has said that all trauma surgeons have their own personal graveyard, filled with patients we couldn’t save, and families’ hearts left broken.  A truer statement has never been said, and […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Intravenous Air: The Partially Invisible Phenomenon

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1149–1155 AUTHORS: Varga, Christopher PhD et al BACKGROUND: Air injection is carefully avoided during IV solution administration; however, ambient air is dissolved in all liquids used for intravenous (IV) therapy. A portion of this gas will come out of solution in the […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Spine Surgery and Blood Loss: Systematic Review of Clinical Evidence

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1307–1315 AUTHORS: Willner, Dafna MD et al Spine surgery has been growing rapidly as a neurosurgical operation, with an increase of 220% over a 15-year period. Intraoperative blood transfusion is a major outcome determinant of spine procedures. Various approaches, including pharmacologic and […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Massive Transfusion Protocols: A Survey of Academic Medical Centers in the United States

Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 277–281 AUTHORS: Treml, Angela B. MD et al BACKGROUND: Massive transfusion protocols (MTPs) have been adopted in many hospitals, and they may improve outcomes, as well as decrease the number of blood products transfused. However, there are no specific guidelines regarding the […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Cry Acoustics May Accurately Reveal Neonatal Pain

It may be feasible to use cry acoustics to identify neonatal pain. Although research is still very early, investigators from Vanderbilt University Medical Center, in Nashville, Tenn., hope their study evolves to the point at which health care personnel can use a hand-held device to identify the nature of neonatal pain. “We all know that […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Perioperative Surgical Home in Pediatric Settings: Preliminary Results

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1193–1200 AUTHORS: Thomson, Karen MD et al BACKGROUND: The Perioperative Surgical Home (PSH) is a patient-centered, team-based approach that aims to improve the value of perioperative care. We implemented a PSH for patients with adolescent idiopathic scoliosis who were undergoing posterior spinal […]

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