Author: Dr Clemens

Uncategorized Published - 29 November, 2019    By - Dr Clemens
‘Cyberchondria’: 40% of Americans have misdiagnosed themselves online

Author: Stephen Johnson Big Think A new survey highlights the side effects of using Google to self-diagnose. Summary A new survey of Americans suggests that online self-diagnosing often leads to stress and unreliable information. Forty percent of respondents said they had received inaccurate diagnoses online. Still, symptom-checkers can be useful, especially for determining when to go to […]

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Uncategorized Published - 28 November, 2019    By - Dr Clemens
HAPPY THANKSGIVING ENJOY YOUR FAMILY AND FRIENDS

No blogs today eat turkey and watch football!

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Airway Management Roundtable 2019: 7 Questions for an International Panel

Anesthesiology News This year Felipe Urdaneta, MD, the president-elect of the Society for Airway Management (SAM), presented seven questions to an international panel of airway experts. The panelists were chosen by Dr. Urdaneta, who also answered the questions. Lorraine J. Foley, MD, MBA Anesthesiologist Treasurer, Winchester Anesthesia Associates Clinical Assistant Professor, Tufts School of Medicine […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Metabolic Syndrome: Major Risk Factor for Morbidity and Mortality in Severely Injured Trauma Patients

Authors: Brett M. Tracy MD et al American College of Surgeons 105th Annual Clinical Congress, Scientific Forum, San Francisco, CA, October 2019. Background Metabolic syndrome (MetS) increases cardiovascular risk and is associated with poor patient outcomes. We hypothesized that MetS confers an increased risk of morbidity and mortality in severely injured trauma patients. Study Design We performed a […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
The haemostasis traffic light: a pragmatic tool for bleeding management

Authors: F. G. Mileo et al Anaethesia Perioperative Medicine, Critical Care and Pain Major bleeding is a critical scenario which can quickly develop into a crisis, thereby compromising patient safety. Controversy still exists regarding the best approach for haemostatic management with different initial coagulation resuscitation strategies receiving the same level of recommendation 1, 2. From a logistical […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Use of sugammadex in patients with neuromuscular disorders

Authors: Usha Gurunathan et al BMC Anesthesiology volume 19, Article number: 213 (2019) Background Sugammadex is a modified gamma-cyclodextrin that acts by selectively encapsulating free amino-steroidal neuromuscular relaxants. Several case reports have been published on the use of sugammadex in patients with neuromuscular disorders that include neuromuscular junction diseases, myopathies, neuropathies, and motor neurone disorders. The primary aim of this […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Preprocedural ultrasound versus landmark techniques for spinal anesthesia performed by novice residents in elderly

Authors: Aarwan S. Rizk et al BMC Anesthesiology volume 19, Article number: 208 (2019) Background Spinal anesthesia using the midline approach might be technically difficult in geriatric population. We hypothesized that pre-procedural ultrasound (US)-guided paramedian technique and pre-procedural US-guided midline technique would result in a different spinal anesthesia success rate at first attempt when compared with the conventional landmark-guided midline […]

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Uncategorized Published - 27 November, 2019    By - Dr Clemens
Trump says U.S. states will be able to buy prescription drugs abroad

Author: Alexandra Alper Reuters President Donald Trump said on Friday he would be giving U.S. states the right to buy prescription drugs from other countries, as part of a bid to boost consumer access to cheaper medicines. “I’m going to be giving governors the right very shortly to buy … their prescription drugs from other […]

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Uncategorized Published - 26 November, 2019    By - Dr Clemens
Endovascular Abdominal Aortic Aneurysm Repair: Does Anesthesia Type Matter?

Authors: Michael Cheng et al Annals of Vascular Surgery Oct 2019 Background Given the various types of anesthesia used for endovascular abdominal aortic aneurysm repair (EVAR), we sought to determine the effect of anesthesia type in the outcomes of elective EVAR in a large multiinstitutional healthcare maintenance organization. Methods A retrospective chart review was conducted […]

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Uncategorized Published - 26 November, 2019    By - Dr Clemens
Preoperative Vancomycin Administration for Surgical Site Prophylaxis Plasma and Soft-Tissue Concentrations in Pediatric Neurosurgical and Orthopedic Patients

Author: Peterson, Melissa Brooks MD et al Anesthesia & Analgesia: August 6, 2019 BACKGROUND: Vancomycin is used for antibiotic prophylaxis in pediatric surgical patients without a complete understanding of plasma and soft-tissue pharmacokinetics. Guidelines recommend incision within 60 minutes after administration; however, tissue vancomycin concentrations at that early time may not be therapeutic. We conducted a study […]

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