Author: Dr Clemens

Uncategorized Published - 21 July, 2020    By - Dr Clemens
Black kids die more often after surgery, new research shows

Associated Press Black children were more likely than whites to die after common surgeries, a U.S. study found, echoing evidence seen in adults. The researchers examined national data on nearly 173,000 operations from 2012 through 2017. Appendix removal and orthopedic operations were among the most common surgeries. And while there were few deaths, the disparities […]

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Uncategorized Published - 21 July, 2020    By - Dr Clemens
Reliability and Validity of Performance Evaluations of Pain Medicine Clinical Faculty by Residents and Fellows Using a Supervision Scale

Authors: Dexter, Franklin MD, PhD, FASA et al Anesthesia & Analgesia: April 22, 2020 BACKGROUND: Annual and/or semiannual evaluations of pain medicine clinical faculty are mandatory for multiple organizations in the United States. We evaluated the validity and psychometric reliability of a modified version of de Oliveira Filho et al clinical supervision scale for this […]

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Uncategorized Published - 21 July, 2020    By - Dr Clemens
Using Social Media for Rapid Information Dissemination in a Pandemic #PedsICU and Coronavirus Disease 2019

Authors: Kudchadkar, Sapna R. MD, PhD, FCCM et al Pediatric Critical Care Medicine: May 27, 2020 Objective: To describe the impact of a strategy for international collaboration and rapid information dissemination on Twitter among the pediatric critical care community during a global pandemic. Design: Analysis of #PedsICU and coronavirus disease 2019 Twitter data in the Symplur Signals Database between February 1, 2020, and May 1, 2020. Setting: […]

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Uncategorized Published - 21 July, 2020    By - Dr Clemens
Dexamethasone in Hospitalized Patients with Covid-19 — Preliminary Report

New England Journal of Medicine July 17, 2020 BACKGROUND Coronavirus disease 2019 (Covid-19) is associated with diffuse lung damage. Glucocorticoids may modulate inflammation-mediated lung injury and thereby reduce progression to respiratory failure and death. METHODS In this controlled, open-label trial comparing a range of possible treatments in patients who were hospitalized with Covid-19, we randomly assigned […]

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Uncategorized Published - 20 July, 2020    By - Dr Clemens
Electroencephalogram Burst-suppression during Cardiopulmonary Bypass in Elderly Patients Mediates Postoperative Delirium

Authors: Juan C. Pedemonte, M.D. et al  Anesthesiology 8 2020, Vol.133, 280-292. Background: Intraoperative burst-suppression is associated with postoperative delirium. Whether this association is causal remains unclear. Therefore, the authors investigated whether burst-suppression during cardiopulmonary bypass (CPB) mediates the effects of known delirium risk factors on postoperative delirium.Methods: This was a retrospective cohort observational substudy of the Minimizing […]

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Uncategorized Published - 20 July, 2020    By - Dr Clemens
Perioperative Use of Gabapentinoids for the Management of Postoperative Acute Pain: A Systematic Review and Meta-analysis

Authors: Michael Verret, M.D., M.Sc. et al Anesthesiology 8 2020, Vol.133, 265-279. Background: Widely used for acute pain management, the clinical benefit from perioperative use of gabapentinoids is uncertain. The aim of this systematic review was to assess the analgesic effect and adverse events with the perioperative use of gabapentinoids in adult patients.Methods: Randomized controlled trials studying the […]

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Uncategorized Published - 20 July, 2020    By - Dr Clemens
Starkman: Why Attorney General Dana Nessel Must Investigate Beaumont Health

By Eric Starkman Deadline Detroit In writing about Beaumont Health these past few months, I’ve wrestled using the word “imploding.” It’s a very strong reference, as it means headed for collapse or failure. The time has come to use that word to characterize what’s going on at Beaumont, at least with regard to the hospital […]

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Uncategorized Published - 20 July, 2020    By - Dr Clemens
Delirium may cause long term cognitive decline

Authors: Chen Chen, MS et al EurekAlert Meta-analysis shows delirum may have lasting effects on mental health A new meta-analysis of 24 observational studies from researchers at Columbia University Vagelos College of Physicians and Surgeons found that delirium may cause significant long-term cognitive decline. The findings were published in JAMA Neurology. Delirium is the most common […]

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Uncategorized Published - 20 July, 2020    By - Dr Clemens
COVID-19: Tocilizumab / Risk in Young Adults / TB, Malaria, HIV Risk

By Kelly Young NEJM Journal Watch Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Have a look at some of the latest research news on COVID-19: Tocilizumab: Among patients with COVID-19 who required mechanical ventilation, receipt of tocilizumab was associated with a 45% lower mortality risk relative to not receiving it, according to an […]

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Uncategorized Published - 17 July, 2020    By - Dr Clemens
Remdesivir shortages force doctors to make “heart-wrenching” choices

BY Kate Gibson CBS News Some U.S. states facing a surge in coronavirus cases are now running low on remdesivir, the only drug approved to treat COVID-19, while other parts of the country have ample supplies of the potentially life-saving medication. The regional shortages are forcing doctors already struggling with an onslaught of cases of the disease […]

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