Author: Dr Clemens

Uncategorized Published - 3 June, 2020    By - Dr Clemens
How the COVID-19 pandemic is traumatizing health care professionals

Author: Rebecca Elia MD KevinMD.com Many of us (especially psychiatrists and physician coaches) have been warning the medical profession at large for weeks now that we are headed for unprecedented numbers of physicians, nurses, other health care workers, and first responders suffering from PTSD. A free support group of psychiatrists for physicians formed rapidly. Several […]

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Uncategorized Published - 3 June, 2020    By - Dr Clemens
Adding to the Tool Chest: Virtual Visits for Chronic Pain

Author: Tony Mira F1rst News                                                                        Summary Pain practitioners are in a unique position to utilize the new waivers and changes […]

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Uncategorized Published - 3 June, 2020    By - Dr Clemens
U.S. awards new $628 million contract to boost output of potential COVID-19 vaccine

Author: Vishwadha Chander Reuters The U.S. government on Monday entered into a $628 million contract with drugmaker Emergent BioSolutions (EBS.N) to boost manufacturing capacity for a potential COVID-19 vaccine. As drugmakers race to develop vaccines, tests and therapies for the disease, the United States is looking to secure manufacturing capacity under its “Operation Warp Speed” […]

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Uncategorized Published - 3 June, 2020    By - Dr Clemens
Remdesivir most beneficial in COVID-19 patients who require supplemental oxygen

DG Alerts The US National Institutes of Health (NIH) announced that preliminary results from the Adaptive COVID-19 Treatment (ACTT) trial, testing remdesivir in hospitalised adults with COVID-19 who have generally moderate-to-severe disease, indicate that the experimental antiviral was most beneficial in those who required supplemental oxygen. Early data from the trial, which have now been published in […]

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Uncategorized Published - 2 June, 2020    By - Dr Clemens
COVID-19: Evidence on Physical Distancing / Remdesivir & Moderate Disease

NEJM Journal Watch By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Physical distancing of at least 1 meter (3.3 feet) is associated with lower risk for spread of coronaviruses, according to a meta-analysis in the Lancet. Researchers examined 44 studies on the effects of nonpharmaceutical interventions on the risk for transmitting […]

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Uncategorized Published - 2 June, 2020    By - Dr Clemens
The Effects of a Shoulder Roll During Laryngoscopy in Infants

AUTHORS: Alfahel, Waseem MD et al Anesthesia & Analgesia: April 2020 BACKGROUND: The use of a shoulder roll to view the glottic opening during direct laryngoscopy in infants has been recommended but is not evidence based. METHODS: Twenty infants with normal airways, <6 months of age undergoing elective surgery under general anesthesia were randomized to […]

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Uncategorized Published - 2 June, 2020    By - Dr Clemens
In Pursuit of an Opioid-Free Pediatric Ambulatory Surgery Center

AUTHORS: Franz, Amber M. MD, MEng et al Anesthesia & Analgesia: April 2020 BACKGROUND: Opioids have been a central component of routine adult and pediatric anesthesia for decades. However, the long-term effects of perioperative opioids are concerning. Recent studies show a 4.8%–6.5% incidence of persistent opioid use after surgery in older children and adults. This […]

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Uncategorized Published - 2 June, 2020    By - Dr Clemens
The safe return to elective surgeries during the COVID-19 pandemic is vital for the economic viability of health systems

Author: Mary Dale Peterson A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. It is the ultimate irony that health care professionals on the front lines of the COVID-19 pandemic are among the highest risk, not only for exposure to the deadly virus, but economically. Whether they are inundated with COVID-19 patients […]

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Uncategorized Published - 2 June, 2020    By - Dr Clemens
1% Propofol Shortage due to COVID-19; Double Concentration 2% Propofol Becoming Available

apsf The unanticipated increased use of propofol as a sedative for ventilated patients has strained the nation’s propofol supply for intensive care units. As a result, the FDA has issued an Emergency Use Authorization (EUA) for emergency use of the Fresenius Kabi Propoven 2% Emulsion to maintain sedation via continuous infusion in patients 16 years and older who require […]

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Uncategorized Published - 2 June, 2020    By - Dr Clemens
Staffing with disease-based epidemiologic indices may reduce shortage of intensive care unit staff during the COVID-19 pandemic

AUTHORS: Mascha, Edward J. PhD et al Anesthesia & Analgesia: April 2020 Purpose: Healthcare worker (HCW) safety is of pivotal importance during a pandemic such as Coronavirus Disease 2019 (COVID-19), and employee health and well-being ensures functionality of healthcare institutions. This is particularly true for an intensive care unit (ICU) where highly specialized staff cannot be readily […]

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