Author: Dr Clemens

Uncategorized Published - 4 January, 2019    By - Dr Clemens
What to D.O.: Low-Dose Propofol Safe for Headache (Yes, Headache)

Author: Pescatore, Richard, DO Emergency Medicine News: February 2018 – Volume 40 – Issue 2 – p 1,31–31 Hardly a shift goes by where I don’t see one or more patients complaining of headache. All too often these patients are no strangers to the ED; they’ve been seen multiple times for similar complaints. Depending on who […]

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Uncategorized Published - 4 January, 2019    By - Dr Clemens
Decontaminants Don’t Cut Bloodstream Infection Risk in Ventilated ICU Patients

Author:  ALEXANDRA WARD Contagion Live Infectious Disease Today The use of digestive and oral decontaminants in patients in the intensive care unit (ICU) who are mechanically ventilated and who have moderate to high antibiotic resistance is not associated with a reduction in ICU-acquired bloodstream infections caused by multidrug-resistant gram-negative bacteria. According to the results of […]

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Uncategorized Published - 4 January, 2019    By - Dr Clemens
Opioids Exact Another Toll on Newborns: smaller heads

Authors: Dennis Thompson HealthDay News Infants born addicted to opioids may be more likely to have smaller heads that might hinder their development, new research suggests. “Babies chronically exposed to opiates [during pregnancy] had a head size about a centimeter smaller” than babies born to moms not using drugs, said lead researcher Dr. Craig Towers. […]

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Uncategorized Published - 4 January, 2019    By - Dr Clemens
Pneumoperitoneum after Cardiopulmonary Resuscitation

Authors: Tanya Keverian, M.D. et al  Anesthesiology 1 2019, Vol.130, 153. A 71-yr-old female with a complicated medical history, most notable for laryngeal stenosis, was transferred from an outside hospital after an emergent cricothyroidotomy during cardiopulmonary resuscitation. Upon her arrival to our hospital, a chest tube was inserted for suspected tension pneumothorax in the setting of […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Stress from using electronic health records is linked to physician burnout

 Author: Mollie Rappe    Researchers found that health information technology-related stress was most common among primary care doctors. While electronic health records (EHRs) improve communication and access to patient data, researchers found that stress from using EHRs is associated with burnout, particularly for primary care doctors such as pediatricians, family medicine physicians and general internists. […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Low nurse staffing levels directly linked to higher patient mortality, study finds

Dive Brief: A new study on nurse staffing in BMJ found that the hazard of death increased by 3% for every day a patient experienced nurse staffing levels below England’s ward mean. Researchers looked at over 138,000 patient stays in English hospitals between 2012 and 2015. Relatively, researchers found that each additional hour of nurse care made available […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Dementia risk increased in female vets with brain injury, PTSD

Author: Linda Carroll Female military veterans with traumatic brain injury, post-traumatic stress disorder or depression are more likely to develop dementia later in life than peers without those conditions, a U.S. study suggests. Each of those conditions was associated with an increased risk for dementia, and if a female vet was diagnosed with more than […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Analgesic Effects of Hydromorphone versus Buprenorphine in Buprenorphine-maintained Individuals

Authors: Andrew S. Huhn, Ph.D. et al  Anesthesiology 1 2019, Vol.130, 131-141. What We Already Know about This Topic: The prevalence of patients prescribed buprenorphine for treatment of opioid use disorder is increasing Managing acute pain in buprenorphine-maintained individuals can be challenging What This Article Tells Us That Is New: Large doses of intravenous hydromorphone can provide analgesia in […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Blood Pressure and End-tidal Carbon Dioxide Ranges during Aneurysm Occlusion and Neurologic Outcome after an Aneurysmal Subarachnoid Hemorrhage

Authors: Annemarie Akkermans, M.D. et al  Anesthesiology 1 2019, Vol.130, 92-105. What We Already Know about This Topic: It remains unknown what end-tidal carbon dioxide and mean arterial pressure are optimal for surgical management of patients with an aneurysmal subarachnoid hemorrhage What This Article Tells Us That Is New: The investigators retrospectively evaluated 1,099 patients who had endovascular […]

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Uncategorized Published - 2 January, 2019    By - Dr Clemens
Major Adverse Cardiac Events and Mortality Associated with Electroconvulsive Therapy: A Systematic Review and Meta-analysis

Authors: Andreas Duma, M.D., M.Sc. et al  Anesthesiology 1 2019, Vol.130, 83-91. What We Already Know about This Topic: The incidence of major adverse cardiac events after electroconvulsive therapy is not knownWhat This Article Tells Us That Is New: Major adverse cardiac events and death after electroconvulsive therapy are infrequent and occur in about 1 of 50 patients […]

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