Author: Dr Clemens

Uncategorized Published - 13 October, 2016    By - Dr Clemens
Neuromas as the cause of pain in the residual limbs of amputees. An ultrasound study

Clinical Radiology (Jul 2016) AUTHORS: O’Reilly M et al AIM To explore the morphology of neuromas and to determine the differences, if any, between asymptomatic and symptomatic neuromas using ultrasound. MATERIALS AND METHODS Eighty patients with symptomatic neuromas were included in this retrospective review. High-resolution ultrasound examination was performed. Transducer pressure allowed real-time analysis of […]

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Uncategorized Published - 13 October, 2016    By - Dr Clemens
Sucrose for analgesia in newborn infants undergoing painful procedures

The Cochrane Database of Systematic Reviews 7 CD001069 (Jul 2016) AUTHORS: Stevens B et al BACKGROUND Administration of oral sucrose with and without non-nutritive sucking is the most frequently studied non-pharmacological intervention for procedural pain relief in neonates. OBJECTIVES To determine the efficacy, effect of dose, method of administration and safety of sucrose for relieving […]

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Uncategorized Published - 13 October, 2016    By - Dr Clemens
Physician-owned practices paid more than $32,500 per doctor to meet IT demands

A study says MIPs and APM payment rules under MACRA will lead to higher IT costs, medical association says. The cost to implement information technology needed to meet federal mandates for value-based care is taking a financial toll on physician-owned multispecialty practices, according to the Medical Group Management Association. Transitioning to electronic health records, the […]

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Uncategorized Published - 12 October, 2016    By - Dr Clemens
Video Laryngoscopy and The Pediatric Airway

Cheryl K. Gooden, MD North American Partners in Anesthesia Pediatric Anesthesiologist Children’s Pavilion Bronx-Lebanon Hospital Center Bronx, New York The past decade has seen many anesthesiologists embrace the use of video laryngoscopy in pediatric patients. A review of their use is presented, as is information on some of the devices themselves. Introduction The use of […]

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Uncategorized Published - 12 October, 2016    By - Dr Clemens
Nasal Ventilation: Oxygenation, NO DESAT, and THRIVE

Anil Patel, MD, FRCA Consultant Anaesthetist Royal National Throat, Nose and Ear Hospital University College London Hospitals NHS Foundation Trust London, United Kingdom S.A. Reza Nouraei, MBBChir, PhD, FRCS Ear, Nose, and Throat Surgeon Honorary Senior Lecturer in Otolaryngology, University College London London, United Kingdom High-flow nasal oxygen optimizes preoxygenation and apnea time compared with […]

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Uncategorized Published - 12 October, 2016    By - Dr Clemens
Majority of physicians experience burnout, extreme frustration with stacks of paperwork

Problem is so intense, more than half of the physicians surveyed have considered leaving medical field altogether in recent years, study shows. Nearly two-thirds of physicians feel more overworked now compared to when they first started their careers, according to a new national study from locumstory.com. Only 13 percent say they are less overworked now. […]

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Uncategorized Published - 12 October, 2016    By - Dr Clemens
CMS to cut hospital payments by 1.5% to recoup losses tied to coding

The agency is distributing close to $6 billion in uncompensated care payments over the next fiscal year, a decrease of about $400 million. The Centers for Medicare and Medicaid Services announced a 1.5 percent cut to the amount it pays hospitals, a move designed to recover $11 billion in overpayments. The American Taxpayer Relief Act […]

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Uncategorized Published - 12 October, 2016    By - Dr Clemens
Closed-Loop Delivery Systems Versus Manually Controlled Administration of Total IV Anesthesia: A Meta-Analysis of Randomized Clinical Trials

Anesthesia & Analgesia: August 2, 2016 AUTHORS: Pasin, Laura MD et al BACKGROUND: Bispectral Index Scale (BIS)-guided closed-loop delivery of anesthetics has been extensively studied. We performed a meta-analysis of all the randomized clinical trials comparing efficacy and performance between BIS-guided closed-loop delivery and manually controlled administration of total IV anesthesia. METHODS: Scopus, PubMed, EMBASE, […]

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Uncategorized Published - 11 October, 2016    By - Dr Clemens
Emergency Manual Uses During Actual Critical Events and Changes in Safety Culture From the Perspective of Anesthesia Residents: A Pilot Study

Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 641–649 AUTHORS: Goldhaber-Fiebert et al BACKGROUND: Emergency manuals (EMs), context-relevant sets of cognitive aids or crisis checklists, have been used in high-hazard industries for decades, although this is a nascent field in health care. In the fall of 2012, Stanford clinically implemented […]

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Uncategorized Published - 11 October, 2016    By - Dr Clemens
Diabetes Predicts Post-op Complications in Cardiac Patients

Diabetes has been found to be an independent predictor of several postoperative complications, including superficial surgical site infections (SSIs), sepsis and 30-day readmission, in patients who underwent coronary artery bypass graft (CABG) surgery. According to the researchers, further investigation of the results may aid surgical planning and prevention of these adverse outcomes. “Diabetic patients are […]

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