Author: Dr Clemens

Uncategorized Published - 18 February, 2016    By - Dr Clemens
Vaginal Delivery Preferred for Women With Pulmonary Hypertension

Pregnant women with pulmonary hypertension (PHT) have better postpartum outcomes with vaginal delivery, a new study suggests. There is a high risk for mortality during pregnancy among women with PHT, and the incidence of most cardiovascular disease is increasing among women of childbearing age, according to researchers from Columbia University, in New York City. They […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
AAP Guidelines Address Perioperative Anesthesia Environment

New American Academy of Pediatrics (AAP) guidelines, published November 30 in Pediatrics, identify key components for the pediatric perioperative anesthesia environment to optimize anesthetic care and reduce adverse events. “[T]he pediatric perioperative anesthesia environment is defined as areas of a patient care facility in which the patient preparation for, performance of, and recovery from surgical procedures occur […]

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Uncategorized Published - 18 February, 2016    By - Dr Clemens
Liberal Transfusion Strategy Improves Survival in Perioperative but not in Critically Ill Patients A Meta-Analysis of Randomised Trials

Br J Anaesth. 2015;115(4):511-519. Authors: E. Fominskiy et al Background: Guidelines support the use of a restrictive strategy in blood transfusion management in a variety of clinical settings. However, recent randomized controlled trials (RCTs) performed in the perioperative setting suggest a beneficial effect on survival of a liberal strategy. We aimed to assess the effect of liberal […]

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Uncategorized Published - 17 February, 2016    By - Dr Clemens
As Non-OR Procedures Soar, New Guidelines Are Needed

Given the growing number of patients and increased complexity of anesthesia cases occurring outside the operating room (OR), better strategic planning and improved financial infrastructure are needed. While ORs have long had revenue and cost management control measures, consistent preprocedural guidelines are often lacking in the non-OR space, creating a strategic imperative for anesthesiologists. “If […]

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Uncategorized Published - 17 February, 2016    By - Dr Clemens
Medical Malpractice Claims Against Anesthesiologists Decrease and Shift to Outpatient Anesthesia Services

Cumulative spending on malpractice payments against anesthesiologists has fallen dramatically in recent years, from $174.4 million in 2005 to $91.1 million in 2013, a new study shows. With data obtained from the National Practitioner Data Bank (NPDB), the research also demonstrated an increase in the proportion of claims occurring in the outpatient setting, consistent with […]

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Uncategorized Published - 17 February, 2016    By - Dr Clemens
Asthma Appears to Double Chronic Migraine Risk

A history of asthma may predict chronic migraine in individuals who have episodic migraine, according to a study published November 19 in Headache. Because both conditions are prevalent — about 11.6% of the US population has migraine and 7.5% has asthma — comorbidity is likely, but a risk relationship has not been established. “Links between asthma […]

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Uncategorized Published - 17 February, 2016    By - Dr Clemens
Risk Factors for Acute Kidney Injury in Patients Undergoing Orthopedic Surgery

Authors: Bell S et al. BMJ 2015 Nov 11. Predictors of postoperative AKI include older age, male sex, and use of ACE inhibitors and ARBs. Acute kidney injury (AKI) after surgery is associated with excess risk for death. In this study, researchers developed and validated a model for predicting AKI following orthopedic surgery. Analysis involved 10,600 adults […]

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Uncategorized Published - 17 February, 2016    By - Dr Clemens
Persistent Lack of Opioid Knowledge Found Among Primary Prescribers—And Anesthesiologists

There is a major deficiency in opioid knowledge among primary prescribers that may be driving inappropriate prescription practices, a new study suggests. According to the results from a 20-question survey, test scores showed no significant improvement in understanding between medical students and attending physicians, and no group, either by position or department—including anesthesiology—received a passing […]

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Uncategorized Published - 16 February, 2016    By - Dr Clemens
Does Ondansetron Modify Sympathectomy Due to Subarachnoid Anesthesia?: Meta-analysis, Meta-regression, and Trial Sequential Analysis

Anesthesiology published on 2 2016 Authors: Abdullah S. Terkawi, M.D. et al Background: Disagreement among many underpowered studies has led to an equivocal understanding of the efficacy of the 5-HT3 antagonist ondansetron in preventing the consequences of sympathectomy after subarachnoid anesthesia. The authors assessed the efficacy of ondansetron with respect to the overall quality and statistical power […]

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Uncategorized Published - 16 February, 2016    By - Dr Clemens
Opioid Abuse and the Media: Attitude Adjustment Required

The news media frames the prescription opioid abuse crisis largely as a criminal issue rather than as a public health problem or treatable health condition, new research suggests. And that’s a problem, lead investigator Emma E. McGinty, PhD, of Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland said. “The way that the news media […]

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