Author: Dr Clemens

Uncategorized Published - 15 March, 2021    By - Dr Clemens
Experimental Treatment Shows Promise in Treating Traumatic Brain Injury

Author: Mallory Olson  University Of Kentucky Dr. Kevin Hatton, the division chief of Anesthesiology Critical Care Medicine at UK HealthCare, explains the use of HBO (hyperbaric oxygen treatment) as an experimental treatment for traumatic brain injury. The University of Kentucky Department of Emergency Medicine, in collaboration with the University of Kentucky Departments of Neurosurgery and […]

Read More
Uncategorized Published - 12 March, 2021    By - Dr Clemens
Dexmedetomidine vs. Propofol for Sedation During Mechanical Ventilation

Patricia Kritek, MD, reviewing Hughes CG et al. N Engl J Med 2021 Feb 2 NEJM Journal Watch Key clinical outcomes were similar with either drug. Current best practice in the intensive care unit (ICU) is to use the least medication necessary to keep patients alert, interactive, and comfortable while they receive mechanical ventilation. Compared with propofol and […]

Read More
Uncategorized Published - 12 March, 2021    By - Dr Clemens
Using Intraoperative EEG to Predict Post-operative Delirium at Duke

Author: Sandra Gordon ASA “Both intraoperative EEG monitoring and preoperative cognitive testing should become more standard.” In this Q&A, Miles Berger, MD, PhD, Associate Professor, Anesthesiology Dept (Neuroanesthesiology Division) and Senior Fellow at the Center for the Study of Aging & Human Development at Duke University Medical Center in Durham, North Carolina, discusses his team’s work […]

Read More
Uncategorized Published - 12 March, 2021    By - Dr Clemens
New lung cancer screening guidelines double the number of smokers eligible for annual scans

By The Associated Press Anyone between ages 50 and 80 who has smoked at least 20 “pack-years” and still smokes or quit within the last 15 years is eligible for annual lung scans. More Americans now qualify for yearly scans to detect lung cancer, according to guidelines released Tuesday that may help more Black smokers […]

Read More
Uncategorized Published - 12 March, 2021    By - Dr Clemens
Pulse oximeters may be inaccurate on people of color, FDA warns

BY KATE GIBSON CBS News Pulse oximeters — viewed as a critical in the fight against COVID-19 — may not work as advertised for people of color. “The devices may be less accurate in people with dark skin pigmentation,” the U.S. Food and Drug Administration stated in a safety notice posted on Friday. The FDA’s warning offers a toned-down […]

Read More
Uncategorized Published - 12 March, 2021    By - Dr Clemens
Study shows economic impact of post-op delirium

Authors: Hebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research Medical X Press Results of a study published today in JAMA Surgery reveal the impact post-operative delirium has on health care costs in the U.S. Data from the study shows that if delirium were prevented or made less severe for patients, it could reduce health care […]

Read More
Uncategorized Published - 11 March, 2021    By - Dr Clemens
On the test – not in life – there’s only one right answer

by Karen A Penned Point  How the ACGME and ABA are infantilizing resident training Not long ago, my patient in a complex thoracic case developed progressive bradycardia followed by a malignant-looking multifocal atrial arrhythmia that didn’t generate any blood pressure. “Get out some epinephrine!” I said to my resident, who was standing closer than I […]

Read More
Uncategorized Published - 11 March, 2021    By - Dr Clemens
When employers adopt bundled payments, surgical costs can drop by 11%, study finds

Advisory Board Implementing bundled payments for several types of surgery helped health plans save nearly 11% on those services compared with previous payment models, and the plans were able to pass those savings along to employers and patients, according to a new study published in Health Affairs. Bundled payments saved an average of $4,229 per procedure, researchers find […]

Read More
Uncategorized Published - 11 March, 2021    By - Dr Clemens
Tips and techniques for migraine prevention

Author: Zawn Villines Medical News Today It may be possible to prevent migraine by avoiding triggers, adjusting dietary or lifestyle factors, or taking supplements. Preventive migraine medications are also available. The methods of migraine prevention that work best can vary depending on the individual. Sometimes, a person may need to try several approaches to see […]

Read More
Uncategorized Published - 11 March, 2021    By - Dr Clemens
Study Finds Lower Dose of Ketamine Equally Effective in Reducing Pain

DG News Reducing the standard dose of IV-administered ketamine in half is as effective as the larger, standard dose in reducing pain in adults with acute pain, according to a study published in the journal Academic Emergency Medicine. Ketamine is known to provide pain relief comparable to opioid medications, which are highly addictive. For the current […]

Read More