Author: Dr Clemens

Uncategorized Published - 18 December, 2020    By - Dr Clemens
Women face a higher risk of heart failure, death after their first severe heart attack

Author: Michael Walter Cardiovascular Business News Women are more likely to die or develop heart failure within five years after their first ST-segment elevation myocardial infarction (STEMI) than men, according to new findings published in Circulation. The authors tracked data from more than 45,000 MI patients who received care in Alberta, Canada, from April 2002 to […]

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Uncategorized Published - 17 December, 2020    By - Dr Clemens
Anesthesia Emergencies in Hybrid Operating Rooms: Multidisciplinary Crisis Resource Management

Authors: Hedwig Schroeck, MD; M. Dustin Boone, MD, MPH; Lisa A. Rubenberg, MSN, CRNA; Yvon F. Bryan, MD Anesthesia Patient Safety Foundation SUMMARY: Procedures performed in non-operating room (NORA) locations or hybrid operating rooms are associated with well-known challenges, but little is known about effective crisis resource management in NORA locations. After a near miss […]

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Uncategorized Published - 17 December, 2020    By - Dr Clemens
MH Survival without Dantrolene

Authors: Wayne Simmons, DO; Dandan Feng, MD; Zhengliang Ma, MD; Xiaoping Gu, MD; Jeffrey Huang, MD Anesthesia Patient Safety Foundation   Treatment of intraoperative malignant hyperthermia (MH) usually involves administration of IV dantrolene, which reduces the mortality from over 80% if untreated to less than 10%.1 When dantrolene is simply not available, physical and metabolic treatments […]

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Uncategorized Published - 17 December, 2020    By - Dr Clemens
Tension Pneumothorax in the Operating Room: When Teamwork and Communication Save Patient Lives

Authors: Ashley V. Wells, M.D.; Andrea Luncheon-Hilliman, M.D.; Sabrina D. Bhagwan, M.D.; Elvera L. Baron, M.D., Ph.D. APSF Newsletter SUMMARY:A case report of intraoperative tension pneumothorax and review of chest tube management The intraoperative environment is a complex workplace, where the quality of patient care depends on effective teamwork and communication. Though often deferred to the […]

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Uncategorized Published - 17 December, 2020    By - Dr Clemens
Hackers Are Targeting the Covid-19 Vaccine ‘Cold Chain’

Author: Brian Barrett Wired As vaccines await US approval, a sophisticated global phishing campaign has tried to harvest credentials from companies involved in their distribution. SINCE THE COVID-19 pandemic began, hackers and scammers have focused extraordinary attention on it, whether for espionage or for grift. Now, as pharmaceutical companies prepare to ship long-awaited vaccines, a new round […]

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Uncategorized Published - 17 December, 2020    By - Dr Clemens
AFib patients should limit alcohol consumption—it might just save their life

Author: Michael Walter Cardiovascular Business News Drinking too much alcohol in a given week can put atrial fibrillation (AFib) patients at an increased risk of stroke, embolism and other significant health issues, according to new findings published in EP Europace. The authors examined outcomes from more than 9,000 AFib patients treated at one of 18 hospitals […]

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Uncategorized Published - 17 December, 2020    By - Dr Clemens
82% of AFib patients have undiagnosed sleep apnea, highlighting the importance of screening

Author: Michael Walter Cardiovascular Business News A significant number of atrial fibrillation (AFib) patients who are referred for ablation have undiagnosed sleep apnea, according to a new study published in JACC: Clinical Electrophysiology. “The growing number of patients with AFib have stimulated efforts in prevention strategies, targeting risk factors such as obesity, hypertension, diabetes and sleep […]

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Uncategorized Published - 16 December, 2020    By - Dr Clemens
ASA and APSF Joint Statement on Elective Surgery and Anesthesia for Patients after COVID-19 Infection

ASA and APSF Since hospitals are able to continue to perform elective surgeries while the COVID-19 pandemic continues, determining the optimal timing of procedures for patients who have recovered from COVID-19 infection and the appropriate level of preoperative evaluation are challenging given the current lack of evidence or precedent. The following guidance is intended to […]

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Uncategorized Published - 16 December, 2020    By - Dr Clemens
Inability to retract guidewire from catheter during lumbar CSF drain placement for TEVAR surgery

Anesthesia Patient Safety Foundation Cerebrospinal fluid (CSF) drainage is an important part of spinal cord ischemia prevention during a thoracic endovascular aortic repair (TEVAR) procedure. Use of an appropriate guidewire for CSF drain placement is crucial to success, while an inappropriate guidewire may hinder the placement, delay the patient’s surgery, and cause further complications. Guidewire […]

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Uncategorized Published - 16 December, 2020    By - Dr Clemens
The Effects of Nitroglycerin on the Oxytocin Dose–Response Profile in Oxytocin-Desensitized and Naïve Human Myometrium

AUTHORS: Jayasooriya, Gayani S. MBBS, BSc, FRCA et al Anesthesia & Analgesia: August 2020 BACKGROUND: Nitroglycerin is used for acute reduction in uterine tone. Prolonged oxytocin exposure causes desensitization of oxytocin receptors. It is unknown if nitroglycerin exposure impacts the subsequent action of oxytocin in the setting of oxytocin receptor desensitization. This study investigated the […]

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