Author: Dr Clemens

Uncategorized Published - 26 December, 2018    By - Dr Clemens
VTE Prophylaxis: Orthopedic Versus Hospitalist Perspectives

Author: Chase Doyle Anesthesiology News Although prevention of venous thromboembolism (VTE) after major orthopedic surgery is considered a patient safety measure in most mandated quality initiatives, providers disagree on specific approaches for mechanical or pharmacologic prophylaxis. According to Linda A. Russell, MD, the director of perioperative medicine at the Hospital for Special Surgery, in New […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
Preferring Oral and Subcutaneous Over IV Opioids May Reduce Overall Use

Author: David Wild Anesthesiology News Educating inpatient prescribers on the benefits of oral and subcutaneous administration of opioids versus IV administration can markedly reduce the amount of opioids dispensed, researchers at Yale New Haven Hospital have found. Over a three-month period of rolling out a new standard of opioid administration and educating providers, they found […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
The Difficult Airway in Adults With Angioedema

Anesthesiology News Yvon F. Bryan, MD Anesthesiologist, Wake Forest Baptist Health Associate Professor, Anesthesiology Wake Forest School of Medicine Winston-Salem, North Carolina Kathleen N. Johnson, BS Clinical Research Assistant, Anesthesiology Wake Forest School of Medicine Winston-Salem, North Carolina   Angioedema is an immunologic disorder that results in the rapid progression of localized subcutaneous or submucosal […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
Randomized, Double-Blind, Placebo-Controlled Study of Intravenous Amisulpride as Treatment of Established Postoperative Nausea and Vomiting in Patients Who Have Had No Prior Prophylaxis

Authors: Candiotti K et al  Anesthesia & Analgesia (Aug 2018) BACKGROUND Postoperative nausea and vomiting (PONV) occurs commonly in surgical patients despite widespread prophylactic antiemetic use. Rescue options are currently limited. 5HT3 antagonists are most frequently used for prophylaxis, but if they fail, additional doses are not effective as rescue medication. Intravenous (IV) amisulpride, a […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
Physician Oversight Is Essential to Control the Health Care Bureaucracy

Anesthesiology News Just Because the Joint Commission Says It Is So, Does Not Make It So John G. Brock-Utne, MD, PhD Professor of Anesthesia, Emeritus Department of Anesthesiology, Perioperative and Pain Medicine Stanford University Medical Center Stanford, Calif. Richard A. Jaffe, MD, PhD Professor of Anesthesiology, Perioperative and Pain Medicine, and, by courtesy, of Neurosurgery […]

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Uncategorized Published - 25 December, 2018    By - Dr Clemens
MERRY CHRISTMAS TO OUR READERS, THEIR FAMILIES AND FRIENDS

There will be no blogs today enjoy the day off with your loved ones.

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Anesthetic Management of Patients With Idiopathic Intracranial Hypertension

Author: David Ermak, DO Reviewed by: Sonia Vaida, MD Anesthesiology News A 28-year-old woman, with a body mass index of 38 kg/m2, presents to the emergency department with a severe headache; she had delivered a healthy newborn 2 days earlier. The headache is exacerbated in the upright position and significantly improved in the recumbent position; the pain […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Cardiac Anesthesiologists Increasingly Requested for Noncardiac Cases

Author: Chase Doyle Anesthesiology News Case volume for cardiac anesthesiologists is on the rise, and it’s not limited to just cardiac surgical procedures. Rather, according to a recent retrospective analysis, cardiac anesthesiology care is increasingly requested for cases traditionally covered by general anesthesiologists. Over the course of six months at a single academic institution, the […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Adjunctive Methadone Use May Reduce Post-Spinal Fusion Opioid Requirements in Pediatric Patients

Methadone vs desflurane as an adjunct to remifentanil may help reduce perioperative opioid requirements in adolescents undergoing spinal surgery, according to a study published in the Journal of Anesthesia. The study included 60 adolescents scheduled to undergo posterior spinal fusion to treat idiopathic scoliosis. Participants were randomly assigned to receive desflurane plus remifentanil, remifentanil plus methadone (0.1 mg/kg […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
National Provider Identifiers Are Vulnerable to Theft

National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice. Thousands of health care providers’ NPIs are stolen each year and are used for further fraudulent schemes, including Medicaid and Medicare fraud. NPIs are vulnerable because they are not confidential and are publicly available on the National Plan and […]

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