Author: Dr Clemens

Uncategorized Published - 12 June, 2020    By - Dr Clemens
Early Detection of Heart Failure With Reduced Ejection Fraction Using Perioperative Data Among Noncardiac Surgical Patients: A Machine-Learning Approach

AUTHORS: Mathis, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1188-1200 BACKGROUND:  Heart failure with reduced ejection fraction (HFrEF) is a condition imposing significant health care burden. Given its syndromic nature and often insidious onset, the diagnosis may not be made until clinical manifestations prompt […]

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Uncategorized Published - 12 June, 2020    By - Dr Clemens
Intraoperative Electronic Alerts Improve Compliance With National Quality Program Measure for Perioperative Temperature Management

AUTHORS: Lakha, Sameer MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1167-1175 BACKGROUND:  Reimbursement for anesthesia services has been shifting from a fee-for-service model to a value-based model that ties payment to quality metrics. The Centers for Medicare & Medicaid Service’s (CMS) value-based payment program includes a […]

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Uncategorized Published - 12 June, 2020    By - Dr Clemens
Legal Cannabis hemp oil effectively treats chronic neuropathic pain: study

by University of New Mexico Researchers examine the effectiveness of consuming hemp oil extracted from the whole Cannabis plant using a chronic neuropathic pain animal model. Researchers at The University of New Mexico (UNM) showed that legal Cannabis hemp oil reduced mechanical pain sensitivity 10-fold for several hours in mice with chronic post-operative neuropathic pain. Distinguished […]

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Uncategorized Published - 12 June, 2020    By - Dr Clemens
With emergency visits down 42%, US hospitals reeling from COVID-19

Author: Stephanie Soucheray Center for Infectious Disease Research and Policy In April, 42% less people visited emergency departments (EDs) across the United States than in April last year, according to data published today in Morbidity and Mortality Weekly Report. This significant drop-off, which took place while most states had stay-at-home orders, translates to millions of dollars lost […]

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Uncategorized Published - 12 June, 2020    By - Dr Clemens
More Patients Turning to Medical Marijuana for Arthritis Pain

Author: Dennis Thompson HealthDay News Lots of people are using medical marijuana to treat their arthritis and other muscle aches and pains, often without consulting their doctor, a new study reports. As many as 1 in 5 patients who consult an orthopedic surgeon for chronic musculoskeletal pain are using a cannabis product to treat them, […]

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Uncategorized Published - 11 June, 2020    By - Dr Clemens
Prediction of an Acute Hypotensive Episode During an ICU Hospitalization With a Super Learner Machine-Learning Algorithm

AUTHORS: Cherifa, Ményssa MSc et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1157-1166 BACKGROUND:  Acute hypotensive episodes (AHE), defined as a drop in the mean arterial pressure (MAP) <65 mm Hg lasting at least 5 consecutive minutes, are among the most critical events in the intensive care unit […]

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Uncategorized Published - 11 June, 2020    By - Dr Clemens
Parsimony of Hemodynamic Monitoring Data Sufficient for the Detection of Hemorrhage

AUTHORS: Pinsky, Michael R. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1176-1187 BACKGROUND:  Individualized hemodynamic monitoring approaches are not well validated. Thus, we evaluated the discriminative performance improvement that might occur when moving from noninvasive monitoring (NIM) to invasive monitoring and with increasing levels of featurization […]

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Uncategorized Published - 11 June, 2020    By - Dr Clemens
Forecasting a Crisis: Machine-Learning Models Predict Occurrence of Intraoperative Bradycardia Associated With Hypotension

AUTHORS: Solomon, Stuart C. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1201-1210 BACKGROUND:  Predictive analytics systems may improve perioperative care by enhancing preparation for, recognition of, and response to high-risk clinical events. Bradycardia is a fairly common and unpredictable clinical event with many causes; it may […]

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Uncategorized Published - 11 June, 2020    By - Dr Clemens
COVID-19: Guidance on Antibody Tests / N95 Sterilization / Loss of Smell & Taste / Prevalence in OB Patients

NEJM Journal Watch By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Some of the latest developments in novel coronavirus disease (COVID-19): CDC guidance on antibody testing: The CDC has issued interim guidance on testing for SARS-CoV-2 antibodies. Among the recommendations: serologic assays that have received emergency use authorization […]

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Uncategorized Published - 11 June, 2020    By - Dr Clemens
Electronic health records fail to detect up to 33% of medication errors

By University of Utah Health Sciences Despite improvements in their performance over the past decade, electronic health records (EHRs) commonly used in hospitals nationwide fail to detect up to one in three potentially harmful drug interactions and other medication errors, according to scientists at University of Utah Health, Harvard University, and Brigham and Women’s Hospital […]

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