Author: Dr Clemens

Uncategorized Published - 12 May, 2020    By - Dr Clemens
COVID-19: Early Self-Proning / Out-of-Hospital Cardiac Arrest / Breast-Feeding Guidelines

By Amy Orciari Herman Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM Here are some of the latest developments on novel coronavirus disease (COVID-19): Early self-proning: Having COVID-19 patients self-prone in the emergency department could help improve oxygen saturation, suggests a study in Academic Emergency Medicine. Fifty patients presenting to a New York City ED […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
Dapagliflozin OK’ed for Heart Failure with Low EF, Regardless of Type 2 Diabetes Status

By Kristin J. Kelley The FDA has approved the sodium-glucose co-transporter 2 (SGLT2) inhibitor dapagliflozin (Farxiga) to lower the risk for cardiovascular death and heart failure hospitalization in patients with heart failure with reduced ejection fraction. The indication is for adults, regardless of whether they have type 2 diabetes. Approval was based on results from […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
Mitigation Strategies for COVID-19

Author: Michael Vlessides Anesthesiology News In a little more than four months, the novel coronavirus has disrupted lives, financial markets, medical meetings and travel plans around the world. So how can anesthesiologists and the institutions in which they work protect themselves and other patients from the novel virus? In a recent communication, the Anesthesia Patient […]

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Uncategorized Published - 11 May, 2020    By - Dr Clemens
Comparing Nasal End-Tidal Carbon Dioxide Measurement Variation and Agreement While Delivering Pulsed and Continuous Flow Oxygen in Volunteers and Patients

AUTHORS: Burk, Kyle M. MS et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 715-724 BACKGROUND:  Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort […]

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Uncategorized Published - 11 May, 2020    By - Dr Clemens
OSA, OIRD and Airway Obstruction: Vigilance Required

Authors:  Davide Cattano, MD, PhD, FASA et al Anesthesiology News Opioid-induced respiratory depression (OIRD) has been recognized as one of the most dramatic and serious complications from the perioperative use of opioid analgesics. Current international efforts to publicize to the lay public the potential effects of misusing opioids, such as the risk for addiction, have […]

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Uncategorized Published - 11 May, 2020    By - Dr Clemens
Association Between Perioperative Hypotension and Delirium in Postoperative Critically Ill Patients

AUTHORS: Maheshwari, Kamal MD et al  Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 636-643 BACKGROUND: Postoperative delirium is common in critically ill patients, with a reported incidence of 11%–43%, and is associated with significant morbidity and cost. Perioperative hypotension and consequent brain hypoperfusion may contribute. We, therefore, tested the […]

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Uncategorized Published - 11 May, 2020    By - Dr Clemens
Remdesivir Trials Suggest Potential Benefit in COVID-19; FDA Expected to Authorize the Drug

By Amy Orciari Herman Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM Findings from several trials of remdesivir for novel coronavirus disease (COVID-19) were announced on Wednesday. The National Institutes of Health reported preliminary findings from a randomized, placebo-controlled trial of intravenous remdesivir in nearly 1100 patients hospitalized with COVID-19 with lung involvement, […]

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Uncategorized Published - 11 May, 2020    By - Dr Clemens
Do ACEIs/ARBs Affect Severity, Mortality Risk in Hospitalized COVID-19 Patients with Hypertension?

Author: Kaitlyn D’Onofrio docwirenews The effects of COVID-19 range from presenting no symptoms at all to death. As experts try to determine what patient factors may affect disease severity and mortality risk from patient to patient, a new study assessed the association between angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) and severity of […]

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Uncategorized Published - 8 May, 2020    By - Dr Clemens
Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy

AUTHORS: Park, Sun-Kyung MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 787-795 BACKGROUND:  Spinal anesthesia using a surface landmark–guided technique can be challenging in patients with anatomical alterations of the lumbar spine; however, it is unclear whether using ultrasonography can decrease the technical difficulties in these populations. […]

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Uncategorized Published - 8 May, 2020    By - Dr Clemens
Practical Training of Anesthesia Clinicians in Electroencephalogram-Based Determination of Hypnotic Depth of General Anesthesia

AUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 777-786 BACKGROUND:  Electroencephalographic (EEG) brain monitoring during general anesthesia provides information on hypnotic depth. We hypothesized that anesthesia clinicians could be trained rapidly to recognize typical EEG waveforms occurring with volatile-based general anesthesia. METHODS: […]

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