Author: Dr Clemens

Uncategorized Published - 1 June, 2016    By - Dr Clemens
Patient Wakes Up, Makes Death Threats to Connecticut Surgery Center Staff

Police say she hit and punched staff members, yelled “I’m one of those bad people!” Talk about a rude awakening. Police say a patient at a Connecticut surgery center became “verbally combative” and later began “hitting and punching staff” and threatened to return with a gun after she emerged from anesthesia last week. Was it […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Cataract Surgeon Can’t Be Blamed for Failure of Anesthesia Providers, Jury Finds

Suit was brought by patient who moved twice during cataract surgery, causing complications. CLEARED A jury agreed that keeping the patient still during cataract surgery wasn’t ophthalmologist Michael DellaVecchia’s responsibility. A Philadelphia-area ophthalmologist who was accused of negligence has been cleared, thanks to a simple defense often heard outside the courtroom: It’s not my job. The job […]

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Uncategorized Published - 1 June, 2016    By - Dr Clemens
Anesthesiologist gets 8 years for fraud that led to patient death

Jaime Guerrero, MD, has been sentenced to 100 months in prison for distribution of controlled substances, including prescription opioid hydrocodone, without a legitimate medical purpose, according to the Department of Justice. Dr. Guerrero admitted to distributing and dispensing Schedule II and III controlled substances without a medical purpose and beyond the bounds of professional medical practice […]

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Uncategorized Published - 31 May, 2016    By - Dr Clemens
Ganglion Block Beats Blood Patch for Dural Puncture Headache

A noninvasive, easy-to-administer sphenopalatine ganglion block relieves postdural puncture headache (PDPH) faster than an epidural blood patch in obstetric patients and has fewer adverse effects, new research shows. The block works so well in patients with PDPH that it should the considered the first line treatment in this population, said Preet Patel, MD, Department of […]

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Uncategorized Published - 31 May, 2016    By - Dr Clemens
Dexamethasone Does Not Inhibit Sugammadex Reversal After Rocuronium-Induced Neuromuscular Block

Anesthesia & Analgesia: March 2016 AUTHORS: Buonanno, Pasquale MD, PhD et al BACKGROUND: Sugammadex is a relatively new molecule that reverses neuromuscular block induced by rocuronium. The particular structure of sugammadex traps the cyclopentanoperhydrophenanthrene ring of rocuronium in its hydrophobic cavity. Dexamethasone shares the same steroidal structure with rocuronium. Studies in vitro have demonstrated that […]

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Uncategorized Published - 31 May, 2016    By - Dr Clemens
Prevalence of Dementia 7.5 Years after Coronary Artery Bypass Graft Surgery

Authors: Lisbeth A. Evered, B.Sc. et al Anesthesiology published on 4 2016 Background:: Although postoperative cognitive dysfunction (POCD) is well described after coronary artery bypass graft (CABG) surgery, a major concern has been that a progressive decline in cognition will ultimately lead to dementia. Since dementia interferes with the ability to carry out daily functions, the impact […]

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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 […]

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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. […]

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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 […]

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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 […]

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