Author: Dr. Clemens

Uncategorized Published - 8 December, 2014    By - Dr. Clemens
Anesthesia Management: Reducing Unplanned Hospital Admissions Following Outpatient Laparoscopic Cholecystectomy

The most common factors for unplanned admission following outpatient laparoscopic cholecystectomy are surgical observations, pain, and postoperative and post-discharge nausea and vomiting (PONV), according to results of a retrospective study. Careful selection of patients, increased use of anaesthesia techniques, and more aggressive pain control may help to reduce these admissions, stated lead author Deepak Subramanian, […]

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Uncategorized Published - 8 December, 2014    By - Dr. Clemens
Anesthesia Management: Ultrasound-Guided Supraclavicular Block Highly Effective for Pain Control Following Upper-Extremity Surgery

Ultrasound-guided supraclavicular block for upper extremity surgery has a high degree of analgaesic efficacy postoperatively, according to the results of a retrospective. Supraclavicular block using ultrasound-guided technique successfully controlled 4-hour postoperative pain in 94% of procedures evaluated in this study of the records of 259 patients, noted lead author and anaesthesiologist Warren J. Choi, MD, […]

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Uncategorized Published - 8 December, 2014    By - Dr. Clemens
Anesthesia Management: Sevoflurane Causes More Complications Than Propofol in Children Undergoing Sedation

Sevoflurane is associated with a higher incidence of complications than propofol in paediatric patients undergoing sedation (13.46% vs 7.03%), according to results of a cohort. While procedure and recovery times were similar for both the sevoflurane and propofol groups, the duration of anaesthesia time was significantly shorter in the propofol group (56.6 ± 41.6 vs […]

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Uncategorized Published - 8 December, 2014    By - Dr. Clemens
Anesthesia Management: Efficacy and Safety of Oral Oxycodone Comparable to Oral Morphine for Postoperative Pain

Oral oxycodone could be an important analgaesic agent for the management of postoperative pain in hospitalised patients with moderate to severe pain ( greater than 40 mm on the visual analog scale [VAS]), according to results of a double-blind study. When oxycodone hydrochloride capsules and morphine sulfate tablets were compared at a dose ratio of […]

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Uncategorized Published - 8 December, 2014    By - Dr. Clemens
Anesthesia Management: Noninvasive Vagus Nerve Stimulation Slows Cluster Headache

A novel, noninvasive neurostimulator targeting the vagus nerve improves on treatment of chronic cluster headaches over the current standard of care, according to a new study. “Patients who used this device for 6 minutes, two times per day had the number of cluster headache attached reduced by 40% per week,” said lead author Eric J. […]

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Uncategorized Published - 5 December, 2014    By - Dr. Clemens
Anesthesia Management: New standard pushing healthcare payments to EFT

The cost reductions and improved efficiencies afforded by the new healthcare EFT standards could save providers up to $4.5 billion. A new healthcare electronic funds transfer (EFT) standard went into effect at the beginning of 2014, and many healthcare professionals are reaping the benefits of time and money saved. For example, —Performance Pediatrics, a small […]

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Uncategorized Published - 5 December, 2014    By - Dr. Clemens
Anesthesia Management: 10 leadership lessons from “The Front-Line Leader”

Chris Van Gorder, CEO of Scripps Health, has been a remarkable leader for the San Diego-based, five-hospital system. After joining the system in 2000, at a time when the medical staff had voted no confidence in the previous administration and the system was losing millions, Chris led its remarkable $150 million turnaround. And he did […]

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Uncategorized Published - 5 December, 2014    By - Dr. Clemens
Anesthesia Management: Top 10 insurers according to physicians

Insurers play a huge role in the professional lives of physicians but working together isn’t always easy, according to the Medscape Insurer Ratings Report 2014. When asked to rate insurers on overall performance on a scale of one to five, physicians rated only four insurers “above average” with a score of more than three. The […]

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Uncategorized Published - 5 December, 2014    By - Dr. Clemens
Anesthesia Management: Survey: Top 1% of patients account for 22% of costs

I read this and wanted to share it with our readers. In 2012, United States healthcare expenditures totaled $1.35 trillion, though medical care expenses are predominantly concentrated among a relatively small portion of individuals, according to a recent report by the Medical Expenditure Panel Survey. In 2012, the top 1 percent of the population ranked […]

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Uncategorized Published - 5 December, 2014    By - Dr. Clemens
Anesthesia Management: Average Affordable Care Premiums Going up in 2015

Many people covered under President Barack Obama’s health care law will face higher premiums next year, the administration acknowledged Thursday. While the average increases are modest, it’s more fodder for the nation’s political battles over health care. Officials stressed that millions of current HealthCare.gov customers can mitigate the financial hit if they’re willing to shop […]

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