Author: Dr Clemens

Uncategorized Published - 14 February, 2020    By - Dr Clemens
Reintubation Incidence After Extubation of High-Risk Patients

Patricia Kritek, MD reviewing Thille AW et al. JAMA 2019 Oct 2 Telias I and Ferguson ND. JAMA 2019 Oct 2 Noninvasive ventilation plus high-flow oxygen during breaks is a promising strategy. Shortening the duration of mechanical ventilation has many benefits, including lowering risks for ventilator-associated pneumonia and delirium. Clinicians usually attempt extubation as soon as possible, with the knowledge that […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Effect of Sugammadex on Postoperative Myasthenic Crisis in Myasthenia Gravis Patients: Propensity Score Analysis of a Japanese Nationwide Database

AUTHORS: Mouri, Hideyuki MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 367-373 BACKGROUND:  In myasthenia gravis (MG) patients, postoperative myasthenic crisis, and residual neuromuscular blocking agent (NMBA) can cause respiratory failure that requires mechanical ventilation. However, it remains unclear whether the use of sugammadex for NMBA reversal […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Healthy Relationships Between Anesthesia Professionals and Surgeons Are Vital to Patient Safety

Jeffrey B. Cooper, PhD apsf Newsletter Febrauary 2020 Effective teamwork in perioperative teams is a prerequisite for patient safety. Yet, what is rarely discussed openly is the special importance of dyads in teams—the relationship between two individuals. If you’re an anesthesia professional, you likely are aware, at least subliminally, of the erosion of patient safety […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Blood Pressure Rises at a Faster Rate in Women than Men

By Amy Orciari Herman Women experience steeper increases in blood pressure (BP) than men as they age, according to a JAMA Cardiology study. Researchers examined data from four community-based cohorts, comprising nearly 33,000 participants in whom longitudinal BP measurements were taken over 40 years. They found that age-associated BP increases occurred at a faster rate in women […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
A Denver businessman wants to fix America’s health care system — by doing your knee replacement in Mexico

Author: John Ingold The Colorado Sun Part entrepreneur and part activist, North American Specialty Hospital CEO James Polsfut has carved out a business model from the dysfunction of U.S. health care James Polsfut cuts briskly through the sleek coworking space in Denver’s RiNo neighborhood where his company has its offices and angles toward a conference […]

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Uncategorized Published - 13 February, 2020    By - Dr Clemens
Number of Americans Headed to ER for Suicidal Thoughts, Self-Harm Keeps Rising

Author: Steven Reinberg HealthDay News Men and women are flooding America’s emergency rooms because of suicidal thoughts and injuries caused by harming themselves, federal health officials reported Thursday. In fact, these types of emergency room visits shot up 25.5% from 2017 to 2018, according to the U.S. Centers for Disease Control and Prevention. April Foreman, […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
A Patient With E-Cigarette Vaping Associated Lung Injury (EVALI)—Coming to an Operating Room Near You!

Authors: Todd Dodick, MD et al  apsf Newsletter February 2020 Introduction The use of e-cigarettes, commonly referred to as vaping, has increased exponentially in the past several years. E-cigarettes were initially marketed as a smoking cessation aid, but their use among adolescents and young adults doubled from 2017 to 2019. In early 2019, cases of […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
Epidural Anesthesia is associated with increased complications in Cystectomy Patients: A NSQIP Analysis

Authors: Kirtishri Mishra, MD et al Urology January 15, 2020 Objective To identify differences in short term outcomes and readmission rates in cystectomy patients managed with general anesthesia compared to those undergoing general anesthesia and adjuvant epidural anesthesia. Methods Utilizing the National Surgical Quality Inpatient Program database, patients who underwent a cystectomy with ileal conduit […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
Effect of Sevoflurane Versus Isoflurane on Emergence Time and Postanesthesia Care Unit Length of Stay

AUTHORS: Maheshwari, Kamal MD, MPH et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 360-366 BACKGROUND:  We previously reported that the duration of hospitalization was not different between isoflurane and sevoflurane. But more plausible consequences of using soluble volatile anesthetics are delayed emergence from anesthesia and prolonged stays in […]

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Uncategorized Published - 12 February, 2020    By - Dr Clemens
US drinking more now than just before Prohibition

By MIKE STOBBE Associated Press Americans are drinking more now than when Prohibition was enacted. What’s more, it’s been rising for two decades, and it’s not clear when it will fall again. That’s the picture painted by federal health statistics, which show a rise in per-person consumption and increases in emergency room visits, hospitalizations and […]

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