Author: Dr Clemens

Uncategorized Published - 14 December, 2018    By - Dr Clemens
New Training Tool Designed for US-Guided, Needle-Based Procedures

Author: Deanna DePeau Anesthesiology News An engineering team in Pennsylvania is seeking to patent a haptic-force needle-insertion simulator, designed to provide proper training for ultrasound-guided, needle-based anesthesiology procedures. The simulator was designed with the steady rate of insertion required for those challenging, complex and delicate needle-based procedures, especially for those lacking experience. The hand-held device could […]

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Uncategorized Published - 14 December, 2018    By - Dr Clemens
DEA Proposal Will Significantly Cut Opioid Manufacturing in 2019

The Department of Justice (DOJ) and the US Drug Enforcement Administration (DEA) have proposed an average manufacturing reduction of 10%, compared to the amount manufactured in 2018, for the 6 most frequently misused opioids in the US. Last year, the DEA proposed a 20% reduction in the manufacturing of controlled substances for 2018 compared to 2017. […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Thiamine for Septic Shock?

 Authors: Woolum JA et al.  Crit Care Med 2018 Jul 18 A small provocative study suggests a mortality benefit. The metabolic demands of septic shock commonly lead to thiamine deficiency, and thiamine has therefore received attention as an adjunctive therapy for septic shock. In a retrospective single-center cohort study, investigators assessed outcomes in patients in septic shock […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
SHARE The Age That Women Have Babies: How a Gap Divides America

By QUOCTRUNG BUI and CLAIRE CAIN MILLER The Upshot Ages of first-time mothers in 1980 Becoming a mother used to be seen as a unifying milestone for women in the United States. But a new analysis of four decades of births shows that the age that women become mothers varies significantly by geography and education. The result is that […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Delirium Associated With Unplanned Extubations

Author: Thomas Rosenthal Anesthesiology News As in previous studies, unplanned extubation (UE) has been found in new research to be associated with delirium, a greater reintubation rate, and longer stays in the ICU and hospital. The researchers called for increased exploration into factors involved in UE. “The most important finding is that unplanned extubation was associated […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Cardiac Arrest During Emergency Intubation Outside the Operating Room: Incidence, Risk Factors, and Trends

Authors: Thomas C. Mort, MD et al Anesthesiology News The current rate of perioperative cardiac arrest (CA) is estimated to be between 1 and 1,400 to 1,800 anesthetic interventions (0.05%-0.07%).1 The number of CAs directly attributable to anesthesia as a primary causative factor has decreased over the last 5 decades, and is estimated to occur from 0.5 […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Tumor-Related Headache: Path to Diagnosis, Treatment Isn’t Always Obvious

Headaches are a common occurrence in the general population and are often present in patients with an underlying brain tumor, although it is not yet clear to what degree they are related.1 Contrary to conventional thinking, however, headache associated with a brain tumor may be essentially the same as headache without a brain tumor. The International Classification of […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
IV Lidocaine May Be Safe, Efficacious for Pediatric Status Migraine

Intravenous (IV) lidocaine may be safe and effective for the treatment of children and adolescents with status migraine, according to a study published in Pediatric Critical Care Medicine. Prospective studies are needed to further investigate effectiveness, safety, and duration of effects of the treatment after discharge. This study included 26 participants with status migraine whose average age was 14.9±2.4 […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Remifentanil During Labour Could Halve the Number of Women Needing an Epidural

Half as many women in labour given remifentanil to help manage their pain need a subsequent epidural, compared with women given pethidine — the current standard of care, according to a study published in The Lancet. “Previous studies have shown that at least 1 in 3 women given pethidine to manage pain during labour require a […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Peripheral Nerve Block Provides Relief for Severe Facial Pain

Use of peripheral nerve blocks in the treatment of trigeminal neuralgia may produce long-term pain relief, according to a study published in The American Journal of Emergency Medicine. For the study, Michael Perloff, MD, Boston University School of Medicine, Boston, Massachusetts, and colleagues examined 9 patients with intractable primary trigeminal neuralgia who underwent peripheral trigeminal nerve […]

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