Author: Dr Clemens

Uncategorized Published - 18 January, 2017    By - Dr Clemens
Zika Virus Infection:

What Anesthesiologists Should Know Elizabeth A.M. Frost, MD Clinical Professor of Anesthesia Icahn Medical Center at Mount Sinai New York, New York Editorial Advisory Board Member Anesthesiology News Zika virus was first isolated in Uganda in the 1940s. Until recently, it was thought to be relatively innocuous. But that was then .… According to a recent […]

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Uncategorized Published - 18 January, 2017    By - Dr Clemens
Interactive App Helps Reduce Preoperative Anxiety in Peds

A simple, yet effective interactive app—dubbed “Story-Telling Medicine”—appears to effectively reduce preoperative anxiety in children. “Preoperative anxiety … is associated with many adverse postoperative outcomes,” said Cheryl Chow, MS, a doctoral candidate at McMaster University, in Hamilton, Ontario. “What’s more, children who are anxious have problems with anesthetic induction, postoperative emergence delirium, increased pain and […]

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Uncategorized Published - 18 January, 2017    By - Dr Clemens
Use of Pulse Oximetry Recommended to Monitor For Hypoxia During Transport From the OR to the PACU

With the physical footprint of American hospitals growing ever larger, the risk for patients developing hypoxia during transport from the operating room (OR) to the PACU is real. Recently, researchers found that nearly 7% of patients will develop hypoxia en route, prompting them to recommend the availability of portable pulse oximetry and supplemental oxygen in […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Randomized Evaluation of Fibrinogen vs Placebo in Complex Cardiovascular Surgery (REPLACE)

A Double-blind Phase III Study of Haemostatic Therapy Authors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Delayed Pushing Increases Cesarean Risk

Women who waited an hour after full cervical dilation to begin pushing out their babies were nearly twice as likely to require a cesarean delivery as women who began pushing in the first 30 minutes, according to an analysis of 21,034 women in 25 hospitals across the United States, published online October 6 and in […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Imaging for Low Back Pain Unnecessary, but Hard to Avoid

Nearly all clinicians agree that imaging is unnecessary for patients with nonspecific low back pain, but that does not mean they find it easy to follow the recommendations against such imaging, suggests a study published October 17 in JAMA Internal Medicine. The Choosing Wisely campaign, which aims to reduce unnecessary procedures to improve patient care, includes seven recommendations […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Bloodless Medicine and Surgery: Top 10 Things To Consider

Steven M. Frank, MD Medical Director, Center for Bloodless Medicine and Surgery Medical Director, Johns Hopkins Health System Blood Management Clinical Community Professor, Department of Anesthesiology/Critical Care Medicine The Johns Hopkins Medical Institutions Baltimore, Maryland Andrew V. Scott, BS Medical Student The Johns Hopkins Medical Institutions Baltimore, Maryland Linda M. S. Resar, MD Co-Director, Center […]

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Uncategorized Published - 17 January, 2017    By - Dr Clemens
Obstetricians balk at FDA warning on anesthesia in pregnant women

Repeated or lengthy use of general anesthetic and sedation drugs in infants, toddlers and pregnant women in their third trimester might damage children’s developing brains, the U.S. Food and Drug Administration warned this month. Upset that the warning about pregnant women was based solely on animal studies, the American College of Obstetricians and Gynecologists, or […]

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Uncategorized Published - 16 January, 2017    By - Dr Clemens
Happy MLK Day

No posts today in honor of it being a national holiday!  Enjoy your time off!

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Uncategorized Published - 13 January, 2017    By - Dr Clemens
Unused Opioids Pile Up in Medicine Cabinets, While Overprescribing Contributes to National Epidemic

Myron Yaster, MD Following on the heels of a 2015 inpatient study, researchers at the Johns Hopkins University School of Medicine have found that health care providers dispense far more medicine than is necessary to treat pain after pediatric outpatient surgery. They hypothesized that the tremendous amount of unused medications may be contributing to the […]

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