Author: Dr Clemens

Uncategorized Published - 21 August, 2020    By - Dr Clemens
Predicting factors for pulmonary embolism in non-critically ill COVID-19 patients

DG Alerts A Spanish study published in the Journal of Thrombosis and Thrombolysis reported a high rate of pulmonary embolism (PE) in non-critically ill hospitalised patients with coronavirus disease 2019 (COVID-19) despite use of standard thromboprophylaxis. B. Mestre-Gómez, Internal Medicine Department, Infanta Leonor University Hospital, Madrid, Spain, and colleagues said “we found 29 patients with proven PE and COVID-19 pneumonia out […]

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Uncategorized Published - 21 August, 2020    By - Dr Clemens
FDA Requires Opioid Labels to Carry Info on Naloxone

By Kelly Young Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH NEJM Journal Watch The FDA is now requiring the prescribing labels of opioid medications to include recommendations about naloxone. The requirements also apply to drugs used to treat opioid use disorder. When prescribing or renewing an opioid prescription, clinicians should discuss naloxone availability with […]

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Uncategorized Published - 20 August, 2020    By - Dr Clemens
Pain Redefined: Inside the IASP’s Updated Definition

By Angie Drakulich, MA, PPM Executive Editor Practical Pain Management For decades, pain management has revolved around tissue damage and nociception, but the pain experience is so much more than that. With neuropathic, social, and cognitive factors also at play, “pain” now accounts for function and more. A Q&A. In July 2020, the International Association for […]

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Uncategorized Published - 20 August, 2020    By - Dr Clemens
How a Zoom forum is changing the way ICU doctors treat desperately ill Covid-19 patients

Author: Ron Winslow STAT It was late April, near the height of the Covid-19 pandemic in the big cities in the northeastern U.S., and anesthesiologist Joseph Savino was puzzled. In two months, an unexpectedly high number of coronavirus patients had died in his intensive care unit at the Hospital of the University of Pennsylvania after […]

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Uncategorized Published - 20 August, 2020    By - Dr Clemens
Many covid-19 survivors will be left traumatized by their ICU experience

Author: Charlotte Jee MIT Technology News People who survive intensive care and the process of being put on a ventilator often suffer depression, anxiety, and post-traumatic stress disorder. There’s a phrase to describe what we’re experiencing: collective trauma. We are all grieving—whether it’s for the deaths of loved ones, the loss of our way of […]

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Uncategorized Published - 20 August, 2020    By - Dr Clemens
FDA approves emergency use of Impella heart pumps to provide unloading therapy for COVID-19 patients

Author: Michael Walter Cardiovascular Business News The FDA has issued an emergency use authorization (EUA) for Abiomed’s left-sided Impella heart pumps, approving their use as a tool to provide unloading therapy for COVID-19 patients undergoing extracorporeal membrane oxygenation (ECMO). “The early clinical evidence continues to accrue in favor of including left ventricular unloading in many patients […]

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Uncategorized Published - 20 August, 2020    By - Dr Clemens
Exploring the connection between obesity & severe COVID-19 infections

Author: Michael Walter Cardiovascular Business News Obesity is associated with a greater risk of a severe COVID-19 infection, according to a new analysis published in Circulation. It may not necessarily be an independent risk factor, the authors noted, but it appears to be a consistent indicator that serious complications may arise. “We suggest obesity or excess […]

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Uncategorized Published - 19 August, 2020    By - Dr Clemens
COVID-19 and Neuroinvasion

Authors: Prabhakar, Hemanshu MD, PhD; Mahajan, Charu MD, DM; Kapoor, Indu MD Anesthesia & Analgesia: August 2020 – Volume 131 – Issue 2 – p e91-e92 To the Editor The pandemic coronavirus disease 19 (COVID-19) is rapidly spreading across the world, and the numbers of affected and those deceased are increasing at an alarming rate. […]

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Uncategorized Published - 19 August, 2020    By - Dr Clemens
Determination of Length of Time for “Postaerosol Pause” for Patients Under Investigation or Positive for COVID-19

Authors: Wald, Samuel H. MD, MBA; Arthofer, Rudolph RN, MHA; Semple, Amy K. RN; Bhorik, Avi MHA; Lu, Amy C. MD, MPH Anesthesia & Analgesia: August 2020 – Volume 131 – Issue 2 – p e94-e96 To the Editor Both aerosol and droplet precautions have been recommended for the care of patients with suspected or […]

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Uncategorized Published - 19 August, 2020    By - Dr Clemens
Noninvasive Ventilation and High-Flow Nasal Cannula Might Help Avoid Intubation for Hypoxemic Respiratory Failure

Author:Patricia Kritek, MD reviewing Ferreyro BL et al. JAMA 2020 Jun 4 NEJM Journal Watch A meta-analysis showed lower mortality with noninvasive ventilation compared with standard oxygen therapy. Comparisons of effectiveness among noninvasive ventilation (NIV), high-flow nasal cannula (HFNC), and standard oxygen therapy have yielded conflicting results in patients with respiratory failure who do not require immediate endotracheal intubation. […]

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