Author: Dr Clemens

Uncategorized Published - 23 June, 2016    By - Dr Clemens
Video Laryngoscopy Is Primary Choice for Initial and Backup ICU Airway Management

A multi-institutional survey of current practices in critical care airway management has found that, among other revelations, video laryngoscopy is the primary choice as both the initial and backup device for routine and difficult airway management. “Video laryngoscopy devices seem to be the primary modality chosen when it comes to airway management in the intensive […]

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Uncategorized Published - 23 June, 2016    By - Dr Clemens
Myocardial Injury Within Month of Surgery Is Third Leading Cause of Death

Among inpatients aged 45 years or older having noncardiac surgery, 9% will experience myocardial injury within the 30 days after the procedure. About 80% of these injuries are clinically silent, detected only by troponin elevation. Mortality, however, is nearly identical for symptomatic and asymptomatic troponin elevations. Within 30 days of surgery, 10% of patients with […]

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Uncategorized Published - 22 June, 2016    By - Dr Clemens
Prescription of Long-Acting Opioids Associated With Increased Risk of Death

Prescription of long-acting opioids for chronic non-cancer pain was associated with an increased risk of all-cause mortality, including deaths from causes other than overdose, compared with anticonvulsants or cyclic antidepressants, according to a study published in the June 14 issue of JAMA. The increase in prescribing opioid analgesics for chronic non-cancer pain has led to […]

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Uncategorized Published - 22 June, 2016    By - Dr Clemens
Three-dimensional Printing as an Aid to Airway Evaluation After Tracheotomy in a Patient With Laryngeal Carcinoma

BMC Anesthesiol. 2016;16(6) Authors: Bin Han et al Background: Difficult airway may result in significant morbidity and mortality. Proficient airway evaluation, therefore, is one of the key elements in the safe conduct of anesthesia. A three-dimensional (3D) printing model was recently introduced for medical application. 3D printing is a fast, convenient, and relatively affordable technique. We present […]

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Uncategorized Published - 22 June, 2016    By - Dr Clemens
Fat-to-Bone Ratio Promising New Measure of Obesity

A radiology-based measure of obesity more closely aligns with comorbidity risks than body mass index (BMI), according to a large retrospective study. “BMI is a flawed measurement of obesity” because body shape and fat distribution can modify risk for related adverse health outcomes, said Albert Roh, MD, from the Maricopa Medical Center in Phoenix. “We […]

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Uncategorized Published - 22 June, 2016    By - Dr Clemens
Nitrous Oxide in Modern Anaesthetic Practice

Authors: SM Brown FRCA; JR Sneyd FRCA BJA Education. 2016;16(3):87-91. Introduction Nitrous oxide (N2O) was first isolated by Joseph Priestly in 1772 and subsequently recognized for its analgesic properties by Humphrey Davy in 1799. Davy has actually invented a new pleasure, for which language has no name. Oh Tom! I am going for more this evening; […]

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Uncategorized Published - 22 June, 2016    By - Dr Clemens
Restrictive versus Liberal Transfusion Strategy in the Perioperative and Acute Care Settings: A Context-specific Systematic Review and Meta-analysis of Randomized Controlled Trials

Anesthesiology 7 2016, Vol.125, 46-61 Authors: Frédérique Hovaguimian, M.D. et al Background: Blood transfusions are associated with morbidity and mortality. However, restrictive thresholds could harm patients less able to tolerate anemia. Using a context-specific approach (according to patient characteristics and clinical settings), the authors conducted a systematic review to quantify the effects of transfusion strategies. Methods: The authors searched MEDLINE, […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
Preoperative Falls and Their Association with Functional Dependence and Quality of Life

Anesthesiology published on 6 2016 Authors: Vanessa L. Kronzer, B.A. et al Background: No study has rigorously explored the characteristics of surgical patients with recent preoperative falls. Our objective was to describe the essential features of preoperative falls and determine whether they are associated with preoperative functional dependence and poor quality of life. Methods: This was an observational […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
Ultrasound-Guided Subclavian Vein Catheterization: Evidence and Practice

By Carly C. Barron, MSc; Andre Y. Denault, PhD, ABIM-CCM; and Manoj M. Lalu MD, PhD Central venous catheterization is a common procedure with more than 5 million central venous catheters (CVC) implanted each year in the United States.1,2 Approximately 8% of hospitalized patients require central venous access during the course of their hospital stay.2 Appropriate […]

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Uncategorized Published - 21 June, 2016    By - Dr Clemens
HAIs: When in Doubt, Blame Anesthesia. Could They Be Right?

By Ian Yuan, MD, and Jeffrey M. Feldman, MD, MSE Two patients come into a hospital for elective knee replacements. Their surgeries are uneventful, but both are found to have surgical site infections in follow-up visits. In the first patient, the anesthesia professional forgets to give antibiotics prior to the start of the procedure. The […]

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