Author: Dr Clemens

Uncategorized Published - 29 May, 2020    By - Dr Clemens
CDC: Antibody tests not to be used for decisions on returning to work

Author: Peter Sullivan The Hill Antibody tests that determine if someone has had the coronavirus in the past should not be used for making decisions about people returning to work, the Centers for Disease Control and Prevention (CDC) says in new guidance. The CDC raised concerns with the accuracy of the tests and said that […]

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Uncategorized Published - 29 May, 2020    By - Dr Clemens
How Health Care Workers Can Take Care of Themselves

Authors: David P. Fessell and Daniel Goleman Harvard Business Review The anesthesiologist’s beeper goes off — it’s an emergency call to place a breathing tube in a patient critically ill with coronavirus, a dangerous procedure due to the risk of viral transmission. Because of Covid-19, these calls are increasingly frequent; the intensity level in the […]

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Uncategorized Published - 28 May, 2020    By - Dr Clemens
Introduction of a Novel System for Quantitating Blood Loss After Vaginal Delivery: A Retrospective Interrupted Time Series

AUTHORS: Lumbreras-Marquez, Mario I. MBBS, MMSc et al Anesthesia & Analgesia: April 2020 – Volume 130 – Issue 4 – p 857-868 BACKGROUND:  Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide. While volumetric and gravimetric blood loss measurement techniques have been shown to increase PPH detection compared to visual estimation of blood […]

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Uncategorized Published - 28 May, 2020    By - Dr Clemens
Recommendations for Endotracheal Intubation of COVID-19 Patients

AUTHOR: Orser, Beverley A. MD, PhD Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1109-1110 Health care workers are committed to learning from each other to optimize the management of coronavirus disease 2019 (COVID-19) patients. The World Health Organization (WHO) and the International Committee on Taxonomy of Viruses recently called […]

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Uncategorized Published - 28 May, 2020    By - Dr Clemens
Surgery Better Than Conservative Treatment for Chronic Sciatica-Related Leg Pain

Editors NEJM Journal Watch Diskectomy improves leg pain better than nonsurgical care in patients with chronic sciatica caused by lumbar disk herniation, according to a New England Journal of Medicine study. Nearly 130 patients with sciatica lasting 4 to 12 months were randomized to undergo microdiscectomy or standardized nonoperative care (followed by surgery as needed). At 6 […]

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Uncategorized Published - 28 May, 2020    By - Dr Clemens
In a Global Survey, Almost All Respondents Said They’d Go to Work Sick

Author: Peter Dockrill Science Alert Before we go any further, it’s worth pointing out the survey was conducted between late 2018 and early 2019 – nearly a year before the current COVID-19 pandemic gripping the world showed up, inevitably affecting how most of us think and feel about transmissible infections. Nonetheless, the findings make particularly sobering reading […]

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Uncategorized Published - 28 May, 2020    By - Dr Clemens
Cardiovascular Complications from COVID-19

Author: Eric Raible docwirenews A new report highlights some of the potential cardiovascular complications a practitioner is likely to encounter when treating patients with the coronavirus disease of 2019 (COVID-19). “COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2),” the researchers wrote. “While systemic inflammation and pulmonary complications can result in significant morbidity […]

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Uncategorized Published - 27 May, 2020    By - Dr Clemens
McGrath Video Laryngoscope Versus Macintosh Direct Laryngoscopy for Intubation of Morbidly Obese Patients

AUTHORS: Ruetzler, Kurt MD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Two-thirds of the US population is considered obese and about 8% morbidly obese. Obese patients may present a unique challenge to anesthesia clinicians in airway management. Videolaryngoscopes may provide better airway visualization, which theoretically improves intubation success. However, previous work in morbidly obese […]

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Uncategorized Published - 27 May, 2020    By - Dr Clemens
Analgesic Effect of Intraoperative Intravenous S-Ketamine in Opioid-Naïve Patients After Major Lumbar Fusion Surgery Is Temporary and Not Dose-Dependent

AUTHORS: Brinck, Elina C. V. MD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Severe pain often accompanies major spine surgery. Opioids are the cornerstone of postoperative pain management but their use can be limited by numerous side effects. Several studies claim that adjuvant treatment with intravenous (IV) ketamine reduces opioid consumption and pain after […]

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Uncategorized Published - 27 May, 2020    By - Dr Clemens
Hypertension Drugs Tied to Lower Risk for Dementia

By Kelly Young Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Antihypertensive treatment is associated with slightly lower risk for dementia or cognitive impairment, according to a JAMA meta-analysis. Researchers examined data from 12 randomized trials that compared cognitive outcomes between participants assigned to antihypertensive drugs and those randomized to controls (placebo, alternative […]

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