Author: Dr Clemens

Uncategorized Published - 20 February, 2020    By - Dr Clemens
1 in 4 drug OD involves kids or teens

Author: Alan Mozes HealthDay  More than a quarter of all opioid overdoses in the United States involve teenagers, and a full fifth of those cases were likely suicide attempts, new research shows. The findings follow an in-depth analysis of nearly 754,000 American opioid poisoning cases that occurred between 2005 and 2018. All had been reported […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Characteristics of Dexmedetomidine Postconditioning in the Field of Myocardial Ischemia–Reperfusion Injury

AUTHORS: Bunte, Sebastian MD et al Anesthesia & Analgesia: January 2020 – Volume 130 – Issue 1 – p 90-98 BACKGROUND:  Timing and onset of myocardial ischemia are mostly unpredictable. Therefore, postconditioning could be an effective cardioprotective intervention. Because ischemic postconditioning is an invasive and not practicable treatment, pharmacological postconditioning would be a more suitable […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Assessment of Fluid Responsiveness in Prone Neurosurgical Patients Undergoing Protective Ventilation: Role of Dynamic Indices, Tidal Volume Challenge, and End-Expiratory Occlusion Test

AUTHORS: Messina, Antonio MD, PhD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 752-761 BACKGROUND:  In patients in the prone position, the reliability of pulse pressure variation and stroke volume variation (PPV and SVV) and the use of functional hemodynamic tests to predict fluid responsiveness have not previously […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Why health care AI can’t replace medicine’s human component

Author: Andis Robeznieks AMA The AMA deliberately uses the term augmented intelligence (AI)—rather than the more common term “artificial intelligence”—when referring to machine-learning computer algorithms that hold the potential to produce dramatic breakthroughs for health care research, population health risk-stratification and diagnostic support. HIT trends in health care And there’s a good reason for that. “In health […]

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Uncategorized Published - 19 February, 2020    By - Dr Clemens
Orthopedic Surgeons’ Estimates of Opioid Consumption Following TKA Found Highly Variable

Author: Michael Vlessides Anesthesiology News A survey has uncovered wide variability in how orthopedic surgeons interpret their patients’ postoperative opioid consumption after total knee arthroplasty (TKA). The survey, performed at Stanford Health Care, also found that, on average, surgeons are quite accurate when estimating their patients’ true perioperative opioid use. “This research originated from a […]

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Uncategorized Published - 18 February, 2020    By - Dr Clemens
Network Meta-Analysis: Scant Evidence That Migraine-Prevention Meds Work in Kids

By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD There’s very little evidence that any migraine-prevention medication is effective in children, according to a network meta-analysis in JAMA Pediatrics. Researchers examined data from 23 randomized trials that compared different migraine-prevention medications with each other or with placebo in roughly 2200 children […]

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Uncategorized Published - 18 February, 2020    By - Dr Clemens
Maintaining Competence in Airway Management

Authors: Ebbe L. Bessmann et al Anaesthesiologica Scandiravica March 2020 Background Airway management is a defining skill for anaesthesiologists. Anaesthesiologists must maintain and update these crucial skills throughout their career, but how this is best achieved remains unclear. This study aimed to clarify anaesthesiologists´ procedural volume, confidence in airway management, and their current and preferred […]

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Uncategorized Published - 18 February, 2020    By - Dr Clemens
Effect of sex differences in remifentanil requirements for inhibiting the response to a CO2 pneumoperitoneum during propofol anesthesia

Authors: Chengwei Yang et al BMC  Anesthesiology volume 20, Article number: 35 (2020) Background A CO2 pneumoperitoneum during a laparoscopic procedure causes violent hemodynamic changes. However, the remifentanil required to inhibit the cardiovascular response to a CO2 pneumoperitoneum combined with propofol remains unknown. Moreover, the sex of the patient may influence the response to opioids, which can affect this requirement. The main […]

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Uncategorized Published - 18 February, 2020    By - Dr Clemens
Deep neuromuscular blockade during spinal surgery reduces intra-operative blood loss

AUTHORS: Kang, Woon-Seok et al European Journal of Anaesthesiology: March 2020 – Volume 37 – Issue 3 – p 187-195 BACKGROUND  Spinal surgery is usually performed in the prone position using a posterior approach. However, the prone position may cause venous engorgement in the back and thus increase surgical bleeding with interruption of surgery. The prone […]

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Uncategorized Published - 18 February, 2020    By - Dr Clemens
GE Healthcare Recalls Carestation 600 Series Anesthesia Systems Due to Loss of Mechanical Ventilation

The FDA has identified this as a Class I recall, the most serious type of recall.  Use of these devices may cause serious injuries or death. Recalled Product GE Carestation 600 series anesthesia systems Model numbers 620/650/650c, A1 Serial numbers: 1012-9620-000, 1012-9620-002, 1012-9650-000, 1012-9650-002, 1012-9655-000, 1012-9655-002 Manufacturing Dates: August 2018 to July 2019 Distribution Dates: […]

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