Author: Dr Clemens

Uncategorized Published - 23 October, 2020    By - Dr Clemens
Dr. Alok Sharan: Coronavirus, cost savings will speed adoption of awake spine surgery

Author: Alan Condon  Becker’s Spine Review Alok Sharan, MD, was recently appointed director of spine and orthopedics at NJ Spine and Wellness in East Brunswick, N.J. An early adopter of the spine surgery that doesn’t require general anesthesia, Dr. Sharan has completed 130 cases since he started performing the procedure in 2017. He spoke to Becker’s […]

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Uncategorized Published - 23 October, 2020    By - Dr Clemens
Face masks have negligible negative effect on CO2 and O2 levels

Author: Timothy Huzar MedicalNewsToday A new study suggests that face masks have a negligible negative effect on the levels of carbon dioxide and oxygen that a person breathes. The findings even hold true for individuals with chronic obstructive pulmonary disease (COPD). The research, which appears in the journal Annals of the American Thoracic Society, contributes to […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Residual Neuromuscular Blockade: A Continuing Patient Safety Issue

Author: Glenn Murphy, MD Anesthesia Patient Safety Foundation Careful intraoperative management of neuromuscular blockade may optimize patient recovery and improve postoperative outcomes. Four important articles in the February 2016 APSF Newsletter described why postoperative residual neuromuscular blockade (PRNB) was an important patient safety issue, and how appropriate dosing, monitoring, and reversal of neuromuscular blocking agents could reduce […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Frailty Is Associated With Postoperative Delirium But Not With Postoperative Cognitive Decline in Older Noncardiac Surgery Patients

AUTHORS: Mahanna-Gabrielli, Elizabeth MD et al Anesthesia & Analgesia: June 2020 – Volume 130 – Issue 6 – p 1516-1523 BACKGROUND:  Postoperative cognitive dysfunction (POCD) and delirium are the most common perioperative cognitive complications in older adults undergoing surgery. A recent study of cardiac surgery patients suggests that physical frailty is a risk factor for […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Clinical Evaluation of a High-fidelity Upper Arm Cuff to Measure Arterial Blood Pressure during Noncardiac Surgery

Authors: Josef Briegel, M.D. et al  Anesthesiology November 2020, Vol. 133, 997–1006. Background In most patients having noncardiac surgery, blood pressure is measured with the oscillometric upper arm cuff method. Although the method is noninvasive and practical, it is known to overestimate intraarterial pressure in hypotension and to underestimate it in hypertension. A high-fidelity upper arm […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
COVID-19 symptoms are prolonged during and after pregnancy, but disease course is mild for most

Author: Denise Baez DG Alerts Coronavirus disease 2019 (COVID-19) has a prolonged and nonspecific disease course during pregnancy and in the 6 weeks after pregnancy, according to a study published in Obstetrics & Gynecology. Although the majority of the symptomatic women in the study who tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had […]

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Uncategorized Published - 22 October, 2020    By - Dr Clemens
Patients with mild, moderate COVID-19 unlikely to be infectious after day 10 of symptom onset

Author: Denise Baez DG Alert Patients with mild to moderate coronavirus disease 2019 (COVID-19) are highly unlikely to be infectious after day 10 of symptom onset, however, patients with severe disease may shed the virus for a longer period of time, according to a study published in the Journal of Infection. The findings come from […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
Why Worry About Blood Pressure During Surgery in the Beach Chair Position?

Author: David J. Cullen MD, MS Anesthesia Patient Safety Foundation SUMMARY:In patients who are anesthetized for surgery in the beach chair position, brain blood pressure can fall to levels below the brain’s ability to autoregulate. This can result in brain damage, but an understanding of cerebral autoregulation is essential to prevent this occurrence. Cerebral blood […]

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Uncategorized Published - 21 October, 2020    By - Dr Clemens
Recommendations for Endotracheal Intubation of COVID-19 Patients

Authors: 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 - 21 October, 2020    By - Dr Clemens
Labor Epidurals Do Not Cause Autism; Safe for Mothers and Infants, say Anesthesiology, Obstetrics, and Pediatric Medical Societies

ASA Joint Statement of the Society for Obstetric Anesthesia and Perinatology, American Society of Anesthesiologists, Society for Pediatric Anesthesia, American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine The Society for Obstetric Anesthesia and Perinatology (SOAP), the American Society of Anesthesiologists (ASA), the Society for Pediatric Anesthesia (SPA), the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal […]

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