Author: Dr Clemens

Uncategorized Published - 3 February, 2020    By - Dr Clemens
Comparison of incidence of anaphylaxis between sugammadex and neostigmine

Authors: Masaki Oriharan et al British Journal of Anesthesia Background Although cases of anaphylaxis caused by sugammadex have been reported, its incidence remains uncertain. Conversely, no studies have evaluated the incidence of anaphylaxis to neostigmine. Methods This was a retrospective multicentre observational study of patients who underwent surgery under general anaesthesia between 2012 and 2016 […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
U.S. opioid epidemic driving an increase in infectious diseases

Author: Joanne Finnegan Fierce Healthcare The opioid epidemic has fueled a second epidemic of an increase in infectious diseases, according to a new report. There’s another epidemic that’s accompanied the country’s opioid crisis, according to a new report. The opioid epidemic is driving a simultaneous epidemic of infectious diseases, according to a report from the National […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
Coming clean: Your anesthesiologist needs to know about marijuana use before surgery

Author: David Hepner, MD, MPH Harvard Health Blog Given the increasing prevalence and legalization of marijuana, many patients have come to think that marijuana use is not worth mentioning to their physicians. After all, they reason, I would not necessarily tell my doctor that I had a glass of wine last night, so why should […]

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Uncategorized Published - 3 February, 2020    By - Dr Clemens
‘Donation after cardiac death’: New heart transplant method being tested for the first time in the U.S.

Author: SHRADDHA CHAKRADHAR Morning Rounds More than 250,000 people in the U.S. are currently at the end stages of heart failure, up to 15% of whom are in desperate need of a transplant. A new method of “reanimating” donor hearts from those who have died from cardiac failure is currently being tested in the U.S., […]

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Uncategorized Published - 2 February, 2020    By - Dr Clemens
No Reason for 45% of Antibiotic Prescriptions

By Robert Preidt HealthDay Nearly half of antibiotic prescriptions for Medicaid patients appear to be inappropriate, new research suggests. That kind of overprescribing raises risks for everyone, experts say, as bacteria gain more chances to mutate around the life-saving drugs. For the study, researchers analyzed 298 million antibiotic prescriptions filled by 53 million Medicaid patients between 2004 and […]

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Uncategorized Published - 31 January, 2020    By - Dr Clemens
Respiratory complications after adenotonsillectomy in high-risk children with obstructive sleep apnea

AUTHORS: Ekstein M et al Acta Anaesthesiol Scand. 2019 Oct 6. BACKGROUND: Obstructive sleep apnea (OSA) occurs in 1%-4% of children; adenotonsillectomy is an effective treatment. Mortality/severe brain injury occurs among 0.6/10 000 adenotonsillectomies; in children, 60% are secondary to airway/respiratory events. Earlier studies identified that children aged <2 years, extremes of weight, with co-morbidities of craniofacial, neuromuscular, […]

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Uncategorized Published - 31 January, 2020    By - Dr Clemens
Learning curve of ultrasound measurement of subglottic diameter for endotracheal tube selection in pediatric patients

Authors: Mukadder Orhan‐Sungur et al Pediatric Anesthesia Oct 2019 Background Endotracheal tube size can be predicted according to ultrasound measurement of subglottic airway diameter. The learning curve for this method is not yet established. The aim was to evaluate the learning curve of anesthesiology residents in ultrasound measurement of subglottic airway diameter for prediction of […]

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Uncategorized Published - 31 January, 2020    By - Dr Clemens
Sedation with Propofol During Catheter-Directed Thrombolysis for Acute Submassive Pulmonary Embolism Is Associated with Increased Mortality

Authors: Barbara Manchec, MD et al Journal of Vascular and Interventional Radiology November 2019 Volume 30, Issue 11, Pages 1719–1724 Purpose To evaluate if sedation with propofol during catheter-directed thrombolysis (CDT) in patients with acute submassive pulmonary embolism (PE) affects survival. Materials and Methods This single-institution, retrospective study identified 136 patients from 2011–2017 who underwent CDT […]

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Uncategorized Published - 31 January, 2020    By - Dr Clemens
Optimizing Contact Precautions to Curb the Spread of Antibiotic-resistant Bacteria in Hospitals: A Multicenter Cohort Study to Identify Patient Characteristics and Healthcare Personnel Interactions Associated With Transmission of Methicillin-resistant Staphylococcus aureus

AUTHORS: O’Hara LM et al Clin Infect Dis. 2019 Sep 13;69(Supplement_3):S171-S177 BACKGROUND: Healthcare personnel (HCP) acquire antibiotic-resistant bacteria on their gloves and gowns when caring for intensive care unit (ICU) patients. Yet, contact precautions for patients with methicillin-resistant Staphylococcus aureus (MRSA) remains controversial despite existing guidelines. We sought to understand which patients are more likely to […]

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Uncategorized Published - 31 January, 2020    By - Dr Clemens
High blood pressure research: 2019 overview

I wanted to share this because many of our readers and their families have HTN. Author: Tim Newman Medical News Today Today, in the United States, around 1 in 3 adults has high blood pressure, which doctors also call hypertension. Hypertension increases the risk of cardiovascular events, such as stroke and coronary disease, and, if doctors don’t treat it, it can reduce lifespan. Because […]

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