Author: Dr Clemens

Uncategorized Published - 15 December, 2020    By - Dr Clemens
Echocardiogram Utilization Patterns and Association With Mortality Following Severe Traumatic Brain Injury

AUTHORS: Chen, Fangyu BA et al Anesthesia & Analgesia: August 2020 BACKGROUND: Severe traumatic brain injury (TBI) can result in left ventricular dysfunction, which can lead to hypotension and secondary brain injuries. Although echocardiography is often used to examine cardiovascular function in multiple clinical settings, its use and association with outcomes following severe TBI are […]

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Uncategorized Published - 15 December, 2020    By - Dr Clemens
Oxygen Reserve Index

AUTHORS: Fleming, Neal W. MD, PhD et al Anesthesia & Analgesia: August 2020 Utility as an Early Warning for Desaturation in High-Risk Surgical Patients BACKGROUND: Perioperative pulse oximetry hemoglobin saturation (SpO2) measurement is associated with fewer desaturation and hypoxia episodes. However, the sigmoidal nature of oxygen–hemoglobin dissociation limits the accuracy of estimation of the partial […]

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Uncategorized Published - 15 December, 2020    By - Dr Clemens
Comparison of Chloroprocaine Versus Lidocaine With Epinephrine, Sodium Bicarbonate, and Fentanyl for Epidural Extension Anesthesia in Elective Cesarean Delivery

AUTHORS: Sharawi, Nadir MD, MSc, FRCA et al Anesthesia & Analgesia: August 2020 BACKGROUND:  For emergent intrapartum cesarean delivery (CD), the literature does not support the use of any particular local anesthetic solution to extend epidural analgesia to cesarean anesthesia. We hypothesized that 3% chloroprocaine (CP) would be noninferior to a mixture of 2% lidocaine, […]

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Uncategorized Published - 15 December, 2020    By - Dr Clemens
The upside of an ugly situation: COVID-19 may have led to fewer heart attacks

Author: Michael Walter Cardiovascular Business News Following social distancing guidelines and other policies related to the COVID-19 pandemic may have helped some people lower their risk of having a heart attack, according to new research out of Sweden. The findings, published in the Journal of Internal Medicine, included data from March 1 to May 7, 2020. […]

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Uncategorized Published - 15 December, 2020    By - Dr Clemens
As Hospitals Fill With COVID Patients, Medical Reinforcements Are Hard to Find

Kaiser Health News Hospitals in much of the country are trying to cope with unprecedented numbers of COVID-19 patients. As of Monday, 96,039 were hospitalized, an alarming record that far exceeds the two previous peaks in April and July of just under 60,000 inpatients. But beds and space aren’t the main concern. It’s the workforce. Hospitals are […]

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Uncategorized Published - 14 December, 2020    By - Dr Clemens
Factors Associated With Postadenotonsillectomy Unexpected Admissions in Children

AUTHORS: Subramanyam, Rajeev MBBS, MD, MS, FASA et al  Anesthesia & Analgesia: August 2020 BACKGROUND: Post adenotonsillectomy unexpected admission remains an important challenge. Unexpected admissions can be quite frightening, increase health care burden, and cause unnecessary suffering in children and families. Identifying factors associated with post adenotonsillectomy unexpected admissions using a pragmatic approach could lead to […]

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Uncategorized Published - 14 December, 2020    By - Dr Clemens
Misguided federal regulations are likely to cause more pain in people already living with it

By VANILA SINGH MD STAT Hidden in the shadows of the Covid-19 pandemic is the U.S.’s drug epidemic, which is getting worse. One group that is paying the price for it, but shouldn’t be, are people who live with chronic pain conditions. The opioid epidemic was initially fueled by the misuse of prescription opioids that were […]

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Uncategorized Published - 14 December, 2020    By - Dr Clemens
Peri-op Acute Kidney Injury Linked to Chronic Kidney Disease Following Noncardiac Surgery

Perioperative acute injury to the kidney is associated with the development and progression of chronic kidney disease in the year following noncardiac surgery, a study has concluded. The team of researchers at Duke University Medical Center did not observe a dose–response relationship between acute kidney injury (AKI) severity and subsequent risk for chronic kidney disease. […]

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Uncategorized Published - 14 December, 2020    By - Dr Clemens
A plastic surgeon explains the dangers of the Brazilian butt lift

Author: PATRICK HSU, MD KevinMD.com The Brazilian butt lift (BBL) is a procedure that enhances the buttocks through fat transfer. Excess fat is harvested from other areas of the body including the abdomen, hips, lower back and thighs through liposuction. BBL is a popular procedure for those seeking to enhance their bodies. However, with the […]

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Uncategorized Published - 14 December, 2020    By - Dr Clemens
Should Docs Who Had COVID Still Get the Vaccine?

Author: Amanda D’Ambrosio MedPage Today Healthcare workers are recommended to be first in line for COVID-19 vaccines once they’re authorized, but many have already been infected — leading to a debate about whether they should give up their place in line. Joel Zivot, MD, an anesthesiologist and critical care doctor at Emory University in Atlanta, tested positive […]

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