Author: Dr Clemens

Uncategorized Published - 15 January, 2020    By - Dr Clemens
Less than perfect kidneys safe for transplant, study shows

Author: Ed Adamczyk UPI Some kidneys that are currently discarded as unusable can be safely and effectively used for transplants, a new study says. In the study, published in JAMA Network Open, researchers indicate that deceased donor kidneys with acute kidney injury should no longer be rejected outright, noting a shortage of transplant organs in the United States. […]

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Uncategorized Published - 15 January, 2020    By - Dr Clemens
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good

This is important for anesthesia due to the fact we often ordered additional lab tests. Author: Ishani Ganguli, MD  Washington Post My pager emits the same urgent beep no matter the occasion. That afternoon, it was the local preoperative clinic to say my 80-something patient, Lily, had been given an electrocardiogram (EKG) “just to be […]

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Uncategorized Published - 14 January, 2020    By - Dr Clemens
McGrath MAC Videolaryngoscope Versus Optiscope Video Stylet for Tracheal Intubation in Patients With Manual Inline Cervical Stabilization

AUTHORS: Yoon, Hyun-Kyu MD et al Anesthesia & Analgesia: September 18, 2019 BACKGROUND: Manual inline stabilization of the head and neck is a recommended maneuver for tracheal intubation in patients with a suspected cervical injury. However, because applying this maneuver inevitably restricts neck flexion and head extension, indirect intubating devices such as a videolaryngoscope or […]

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Uncategorized Published - 14 January, 2020    By - Dr Clemens
Association Between Postoperative Body Temperature and All-Cause Mortality After Off-Pump Coronary Artery Bypass Graft Surgery

AUTHORS: Nam, Karam MD et al Anesthesia & Analgesia: September 18, 2019 BACKGROUND: Inadvertent perioperative hypothermia is common in patients undergoing off-pump coronary artery bypass grafting (OPCAB). We investigated the association between early postoperative body temperature and all-cause mortality in patients undergoing OPCAB. METHODS: We reviewed the electronic medical records of 1714 patients who underwent […]

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Uncategorized Published - 14 January, 2020    By - Dr Clemens
Anxiety, Depression Linked to More Opioid Use After Surgery

A study published in the Annals of Surgery could help clinicians mitigate that risk by identifying which patients are more likely to continue to use opioids after their immediate recovery period. “There is not much research on which surgical patients require more or less opioids, despite a push in the field for personalised medicine,” said Daniel Larach, […]

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Uncategorized Published - 14 January, 2020    By - Dr Clemens
U.S. Cancer Death Rate Shows Biggest Annual Decline Ever

This is great news so I wanted to share with our readers and providers. By Amy Orciari Herman Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM The mortality rate from cancer in the U.S. had its largest 1-year decline ever from 2016 to 2017 — a 2.2% decrease — according to the latest […]

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Uncategorized Published - 14 January, 2020    By - Dr Clemens
ACP Offers Guidance on Testosterone Therapy to Improve Sexual Function in Men

This is a very interesting article not dealing directly with anesthesia however I think it is important for our readers and providers to have this knowledge. By Kelly Young Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD The American College of Physicians suggests that clinicians discuss whether to start testosterone therapy with men […]

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Uncategorized Published - 13 January, 2020    By - Dr Clemens
Fascia Iliaca Block for Geriatric Hip Fracture Reduces Length of Hospital Stay, Compared With Opioid Protocol

Author: Bob Kronemyer Anesthesiology News Administering early preoperative and perioperative fascia iliaca blocks in geriatric patients with hip fractures resulted in one less day of hospitalization compared with a standard opioid protocol, according to a new study. “While taking care of these patients, we noticed that their opioid intake can be quite high, both before […]

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Uncategorized Published - 13 January, 2020    By - Dr Clemens
How Rude! Incivility Can Cause OR Woes

Author: Victoria Stern Anesthesiology News Study Shows Rudeness Disrupts Physician Performance Both Diagnostically and Technically During a routine procedure, something goes awry. The patient is bleeding, but not at the surgical site. The OR team needs to act quickly to make a differential diagnosis and stabilize the patient. Problem solving in a crisis situation like […]

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Uncategorized Published - 13 January, 2020    By - Dr Clemens
Chronic Opioid Therapy Discontinuation Increases Risk of Overdose Death

This is important for our providers and readers who work in a pain clinics. 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 […]

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