Author: Dr Clemens

Uncategorized Published - 16 January, 2023    By - Dr Clemens
‘Shoot to where the puck is going’: Hospital CEO looks to ASCs to drive margins

Author: Patsy Newitt  Becker’s ASC Review Hospitals and health systems faced formidable margin declines in 2022 amid labor shortages, skyrocketing operating costs and declining inpatient volumes. Many hospitals are looking to ASCs and outpatient surgery to offset these losses and boost revenue, particularly as surgery is increasingly migrating to the ASC setting. Mike Slubowski, president […]

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Uncategorized Published - 16 January, 2023    By - Dr Clemens
Stigma Adds to the Burden of Lived Chronic Pain

Author: Avery Hurt Practical Pain Management Jan 23 The World Health Organization describes stigma as “a mark of shame, disgrace, or disapproval that results in an individual being rejected, discriminated against, and excluded from participating in a number of different areas of society.”¹ Stigma can have very specific and detrimental effects when it is related […]

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Uncategorized Published - 16 January, 2023    By - Dr Clemens
How are poor sleep and lower back pain related?

Author: Clarisaa Brincat MedicalNewsToday Researchers assessed the causal relationship between different sleep disturbances — insomnia, short sleep duration, long sleep duration, and daytime sleepiness — and lower back pain. The findings suggest that insomnia could cause lower back pain and vice versa. This hypothesis needs to be supported by more studies with larger samples. Lower back […]

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Uncategorized Published - 16 January, 2023    By - Dr Clemens
More About As-Needed Inhaled Corticosteroids for Patients with Asthma

NEJM Journal Watch David J. Amrol, MD New studies show that inhaled steroids plus albuterol can be used as a rescue therapy for patients with moderate-to-severe asthma. Use of intermittent inhaled corticosteroids (ICS) for asthma now is recommended widely, but its uptake in the U.S. has been slow. According to both international and U.S. guidelines, […]

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Uncategorized Published - 16 January, 2023    By - Dr Clemens
American Society of Anesthesiologists CEO to retire

Author: Paige Haeffele  Becker’s ASC Review Paul Pomerantz, CEO of the American Society of Anesthesiologists, plans to retire after a 10-year tenure. In his time as CEO, Mr. Pomerantz’s leadership grew the group’s membership to more than 56,500 and increased its annual revenue to more than $50 million, according to a Jan. 3 news release from the […]

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Uncategorized Published - 13 January, 2023    By - Dr Clemens
Cold-stored Platelets for Bleeding Patients: Comment

Authors: Hilary P. Grocott, M.D., F.R.C.P.C., F.A.S.E.; Laurel Grant, M.D. Anesthesiology December 2022. To the Editor: In the recent pilot trial reported by Strandenes et al., the authors studied the use of the cold storage of platelets in the setting of complex cardiac surgery and “focused on feasibility and safety to provide preliminary data to evaluate hemostatic […]

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Uncategorized Published - 13 January, 2023    By - Dr Clemens
Segmental Tracheomalacia in a Patient with a Persistent Air Leak

Authors: Sean W. Powers, D.O. et al  Anesthesiology January 2023. Anesthesiology was consulted on an intubated 61-yr-old woman for difficulty ventilating secondary to a progressive air leak. A chest x-ray film that day (panel A) showed a circular area of lower density proximal to the endotracheal tube (ETT) tip. Computed tomographic scan revealed tracheal dilation of […]

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Uncategorized Published - 13 January, 2023    By - Dr Clemens
Cold-stored Platelets for Bleeding Patients: Comment

Authors: Warren Choi, M.D.; Yafen Liang, M.D. Anesthesiology December 2022. To the Editor: We read with great interest the recent article published in Anesthesiology by Strandenes et al., titled “A Pilot Trial of Platelets Stored Cold versus at Room Temperature for Complex Cardiothoracic Surgery.”  We congratulate the authors on their pioneering work in the field of transfusion medicine and efforts to identify methods […]

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Uncategorized Published - 13 January, 2023    By - Dr Clemens
Predicting Intensive Care Delirium with Machine Learning: Model Development and External Validation

Authors: Kirby D. Gong, MSE et al  Anesthesiology December 2022. Background Delirium poses significant risks to patients, but countermeasures can be taken to mitigate negative outcomes. Accurately forecasting delirium in ICU patients could guide proactive intervention. Our primary objective was to predict ICU delirium by applying machine learning to clinical and physiological data routinely collected […]

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Uncategorized Published - 13 January, 2023    By - Dr Clemens
Risk Factors for Early Appendectomy After Initial Antibiotic Treatment for Appendicitis

NEJM Journal Watch Thomas L. Schwenk, MD, reviewing Writing Group for the CODA Collaborative. JAMA Surg 2022 Jan 12 Feldman LS and Lee L. JAMA Surg 2022 Jan 12 The presence of an appendicolith doubled the likelihood of subsequent appendectomy. In a recent study, appendiceal diameter of ≥15 mm or fever >38°C predicted early failure of antibiotic therapy for uncomplicated […]

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