Author: Dr Clemens

Uncategorized Published - 15 August, 2016    By - Dr Clemens
One-Year Mortality, Causes of Death, and Cardiac Interventions in Patients with Postoperative Myocardial Injury

Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 29–37 AUTHORS: van Waes, Judith A. R. MD et al BACKGROUND: To evaluate the role of routine troponin surveillance in patients undergoing major noncardiac surgery, unblinded screening with cardiac consultation per protocol was implemented at a tertiary care center. In this study, […]

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Uncategorized Published - 15 August, 2016    By - Dr Clemens
Association of Selective Serotonin Reuptake Inhibitors with Transfusion in Surgical Patients

Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 21–28 AUTHORS: Sajan, Farrah MD et al BACKGROUND: The clinical relevance of chronic exposure to selective serotonin reuptake inhibitors (SSRIs) to transfusion in surgical patients is unclear. METHODS: We conducted a prospective cohort study involving patients undergoing cardiac, vascular, spinal, and intracranial […]

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Uncategorized Published - 15 August, 2016    By - Dr Clemens
Appeals court rules on $1B claim against Anesthesia Associates

Anesthesia Associates of KC avoids $1 billion claim The 8th U.S. Court of Anesthesia Associates of KC avoids $1 billion claimAppeals affirmed a lower court ruling that threw out a whistleblower case seeking $1 billion in damages against Anesthesia Associates of Kansas City. The claimant had accused Anesthesia Associates of submitting false claims for reimbursement to […]

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Uncategorized Published - 12 August, 2016    By - Dr Clemens
Opioid Dependence Leads To ‘Tsunami’ Of Medical Services, Study Finds

The primary diagnosis of opioid dependency kicks off a number of medical services, including office visits, lab tests and other related treatments. The number of such services rendered to patients with a dependency diagnosis went from about 217,000 in 2007 to about 7 million in 2014. This article first appeared August 1, 2016 on the Kaiser […]

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Uncategorized Published - 12 August, 2016    By - Dr Clemens
Who’s watching the children at the dentist’s office?

You may have read about the recent tragic deaths of two healthy children –Marvelena Rady, age 3, and Caleb Sears, age 6 – in California dental offices. Unfortunately, they aren’t the first children to die during dental procedures, and unless things change, they probably won’t be the last. State Senator Jerry Hill has asked the Dental […]

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Uncategorized Published - 12 August, 2016    By - Dr Clemens
Propofol vs. Ketofol for Procedural Sedation in the ED

Authors: Ferguson I et al., Ann Emerg Med 2016 Jul 22; A large high-quality randomized trial finds these regimens to be equivalent. Investigators randomized 573 adults from three emergency departments (EDs) in Australia to receive ketofol (a 1:1 mixture of ketamine and propofol) or propofol prior to a painful procedure. The main outcome was occurrence of a […]

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Uncategorized Published - 12 August, 2016    By - Dr Clemens
The Incidence and Risk of Herpes Zoster in Patients With Sleep Disorders: A Population-Based Cohort Study

Authors: Chung, Wei-Sheng MD, PhD et al Abstract: Lack of sleep can compromise the immune system, which may reactivate latent varicella-zoster virus. Studies on sleep disorders and the risk of herpes zoster (HZ) are scant. We conducted a population-based cohort study to evaluate the risk of HZ in patients with sleep disorders and potential risk […]

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Uncategorized Published - 12 August, 2016    By - Dr Clemens
Trends in Ambulatory Surgery Centers: A Result of Myriad Forces

Jennifer Rock-Klotz, M.B.A.; Nicholas M. Halzack, M.P.H. ASA Monitor 08 2016, Vol.80, 14-17. Jennifer Rock-Klotz, M.B.A., is ASA Health Policy Analyst. Nicholas M. Halzack, M.P.H., is ASA Senior Health Policy Analyst ASC Locations and Consolidation Three states with the most ASCs per capita (Medicare fee-for-service beneficiaries) are Maryland, Wyoming and Georgia (with the least are Vermont, District […]

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Uncategorized Published - 11 August, 2016    By - Dr Clemens
Feds: CRNA Group Offered Free Drugs to ASCs for Exclusive Contracts

The group denies any wrongdoing, calling the pay-to-play claims “meritless” and the product of a “disgruntled” ex-employee. Did an anesthesia group give its ASCs free propofol in exchange for lucrative contracts? An anesthesia group that allegedly offered free medications to ambulatory surgery centers in exchange for the facilities granting the group exclusive contracts has agreed […]

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Uncategorized Published - 11 August, 2016    By - Dr Clemens
Transforming Anesthesiology: How the Specialty Can Become a Vibrant Contributor to Improve Public Health and Patient Safety

James C. Eisenach, M.D. ASA Monitor 07 2016, Vol.80, 32-33. James C. Eisenach, M.D., is F.M. James III Professor of Anesthesiology and Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, North Carolina. In April, Harold Varmus, Nobel Prize laureate for the discovery of oncogenes and former director of the National Institutes of Health, commented […]

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