Author: Dr Clemens

Uncategorized Published - 31 May, 2016    By - Dr Clemens
Superbugs Threaten Hospital Patients

Health care–associated infections (HAIs) remain a leading cause of morbidity and mortality in the United States. Although the United States is doing a better job of preventing HAIs, more work is needed, especially in fighting antibiotic-resistant bacteria, public health officials said. The Centers for Disease Control and Prevention’s latest Vital Signs report urges health care […]

Read More
Uncategorized Published - 31 May, 2016    By - Dr Clemens
Highest-CMS-Paid Surgeons Bill for Far More Services Than Lowest

I thought this would had been obvious but someone decided they had to perform a study to document it. Surgeons who are paid the most by Centers for Medicare & Medicaid services (CMS) bill for five times the number of services as the lowest-paid surgeons, according to a study published online February 26 in Surgery. […]

Read More
Uncategorized Published - 30 May, 2016    By - Dr Clemens
Modeling Shows Potential Cost Savings With Capnography Monitoring

The addition of capnography monitoring to standard of care during procedural sedation for endoscopic procedures provides a patient safety benefit, a study has found. According to the study, capnography reduced the proportion of patients experiencing greater than one adverse event (AE) by more than 27%. “Reductions in adverse events result in a reduced cost of […]

Read More
Uncategorized Published - 30 May, 2016    By - Dr Clemens
Update on the Intraoperative Management of Adult Cadaveric Renal Transplantation

BJA Education. 2016;16(2):53-57. Authors: D Mayhew MBBS BSc (Hons) FRCA et al Renal transplantation is increasing with 1930 transplants undertaken in the UK in 2013 compared with 1308 in 2005. This increase follows the NHS Blood and Transplant (NHSBT) ‘Organs for Transplant’ initiative, and should continue rising as part of their ‘Taking Organ Transplant to […]

Read More
Uncategorized Published - 30 May, 2016    By - Dr Clemens
The High-risk Surgical Patient

A Role for a Multi-disciplinary Team Approach? Authors: A. R. Whiteman; J. K. Dhesi; D. Walker Br J Anaesth. 2016;116(3):311-314. Introduction There is a growing cohort of multimorbid, often frail and elderly patients who disproportionally suffer predictable complications, as a consequence of seeking surgical intervention.[1] A strong case for better Multi-Disciplinary Team (MDT) care during […]

Read More
Uncategorized Published - 30 May, 2016    By - Dr Clemens
HHS Releases National Pain Strategy

A National Pain Strategy that outlines the federal government’s first coordinated plan for reducing the burden of chronic pain has been released. The report, issued by the Office of the Assistant Secretary for Health at the Department of Health and Human Services (HHS), comes on the heels of new opioid prescribing guidelines released recently by […]

Read More
Uncategorized Published - 30 May, 2016    By - Dr Clemens
Syringe Pump Performance Maintained with IV Filter Use During Low Flow Rate Delivery for Pediatric Patients

Anesthesia & Analgesia: April 2016 AUTHORS: Chau, Destiny F. MD et al BACKGROUND: Complex surgical and critically ill pediatric patients rely on syringe infusion pumps for precise delivery of IV medications. Low flow rates and in-line IV filter use may affect drug delivery. To determine the effects of an in-line filter to remove air and/or […]

Read More
Uncategorized Published - 27 May, 2016    By - Dr Clemens
Obesity is associated with more disability at presentation and after treatment in low back pain but not in neck pain: findings from the OIOC registry

BMC Musculoskeletal Disorders 17 (1), 140 (2016) AUTHORS: Wertli M et al BACKGROUND The influence on the treatment response in patients with low back pain (LBP) and neck pain (NP) is unknown. The aim of the study was to investigate the influence of body weight in patients with low back pain (LBP) and neck pain […]

Read More
Uncategorized Published - 27 May, 2016    By - Dr Clemens
Meta-analysis of the Cardioprotective Effect of Sevoflurane Versus Propofol During Cardiac Surgery

BMC Anesthesiol. 2015;15(128) Authors: Feng Li et al Background: To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. Methods: Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. Results: As a […]

Read More
Uncategorized Published - 27 May, 2016    By - Dr Clemens
Biological Inflammatory Markers Mediate the Effect of Preoperative Pain-related Behaviours on Postoperative Analgesics Requirements

BMC Anesthesiol. 2015;15(183) Authors: Myriam Daoudia et al Background: The predictive value of an individual’s attitude towards painful situations and the status of his immune system for postoperative analgesic requirements are not well understood. These may help the clinician to anticipate individual patient’s needs. Methods: Sixty patients, who underwent a laparoscopic cholecystectomy under standardised general […]

Read More