Author: Dr Clemens

Uncategorized Published - 10 February, 2020    By - Dr Clemens
Objective Epidural Space Identification Using Continuous Real-Time Pressure Sensing Technology: A Randomized Controlled Comparison With Fluoroscopy and Traditional Loss of Resistance

Author: Gebhard, Ralf E. MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1319-1327 BACKGROUND:  Performance of epidural anesthesia and analgesia depends on successful identification of the epidural space (ES). While multiple investigations have described objective and alternative methodologies to identify the ES, traditional loss of resistance (LOR) […]

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Uncategorized Published - 10 February, 2020    By - Dr Clemens
Comparison of Intermittent Intravenous Boluses of Phenylephrine and Norepinephrine to Prevent and Treat Spinal-Induced Hypotension in Cesarean Deliveries

Authors: Sharkey, Aidan M. MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1312-1318 BACKGROUND:  Phenylephrine (PE) is currently the vasopressor of choice to prevent and treat spinal-induced hypotension at cesarean delivery (CD). However, its use is often associated with reflex bradycardia. Norepinephrine (NE) has been put forward […]

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Uncategorized Published - 10 February, 2020    By - Dr Clemens
Culture-Negative and Culture-Positive Sepsis: A Comparison of Characteristics and Outcomes

Authors: Sigakis, Matthew J. G. MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1300-1309 BACKGROUND:  The primary objective of this study was to compare the characteristics of culture-positive and culture-negative status in septic patients. We also determined whether culture status is associated with mortality and whether unique variables […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
Intraoperative Awareness With Recall: A Descriptive, Survey-Based, Cohort Study

Authors: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1291-1297 BACKGROUND:  Unintended intraoperative awareness with recall (AWR) is a potential complication of general anesthesia. Patients typically report recollections of (1) hearing sounds or conversations, (2) being unable to breathe or move, (3), feeling […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
Perioperative Gabapentinoids Provide No Benefit in Arthroplasty

Authors: Michael Vlessides Anesthesiology News Administration of gabapentinoids on the day of arthroplasty is associated with several negative postoperative outcomes, including naloxone use, noninvasive ventilation, mechanical ventilation and ICU admission, according to a large database analysis. The study also found no improvement in hospital length of stay or opioid consumption with gabapentinoids. “Gabapentinoids have been […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
Chronic Opioid Therapy Discontinuation Increases Risk of Overdose Death

Discontinuation of chronic opioid therapy is associated with an increased risk of overdose death, according to a study published in the Journal of General Internal Medicine. “We are worried by these results, because they suggest that the policy recommendations intended to make opioid prescribing safer are not working as intended,” said Jocelyn James, MD, University of […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
Determination of Geolocations for Anesthesia Specialty Coverage and Standby Call Allowing Return to the Hospital Within a Specified Amount of Time

Authors: Epstein, Richard H. MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1265-1272 BACKGROUND:  For emergent procedures, in-house teams are required for immediate patient care. However, for many procedures, there is time to bring in a call team from home without increasing patient morbidity. Anesthesia providers taking […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
2 in 3 Americans Unaware That Heart Disease Is Leading Killer of Women

I wanted to share this with our readers. HealthDay News More than two-thirds of Americans don’t know that heart disease is the leading cause of death among U.S. women, a new survey reveals. Overall, 68% of respondents weren’t aware that heart disease is the top killer of women, but the rate was much higher (80%) […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
Preeminent Hospitals Penalized Over Rates Of Patients’ Injuries

Author: Jordan Rau Kaiser Health News Hundreds of hospitals across the nation, including a number with sterling reputations for cutting-edge care, will be paid less by Medicare after the federal government pronounced that they had higher rates of infections and patient injuries than others. The Centers for Medicare & Medicaid Services on Wednesday identified 786 hospitals that […]

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Uncategorized Published - 7 February, 2020    By - Dr Clemens
Cleveland Clinic’s Perez-Protto: Standardize Advance Care Planning

By Jim Parker Hospice News Anesthesiologist and intensivist Silvia Perez-Protto, M.D., is leading the charge to standardize advance care planning processes in her institution. At Cleveland Clinic, she is director of the Center for End of Life Care and a faculty member at the Center for Excellence in Healthcare Communication. The center’s objective is to standardize […]

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