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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Improving Adherence to Intraoperative Lung-Protective Ventilation Strategies Using Near Real-Time Feedback and Individualized Electronic Reporting

AUTHORS: Parks, Dale A. PhD et al Anesthesia & Analgesia: May 2021 – Volume 132 – Issue 5 – p 1438-1449 BACKGROUND:  Postoperative pulmonary complications can have a significant impact on the morbidity and mortality of patients undergoing major surgeries. Intraoperative lung protective strategies using low tidal volume (TV) ventilation and positive end-expiratory pressure (PEEP) have […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Aspirin Use Is Associated With Decreased Mechanical Ventilation, Intensive Care Unit Admission, and In-Hospital Mortality in Hospitalized Patients With Coronavirus Disease 2019

AUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: April 2021 – Volume 132 – Issue 4 – p 930-941 BACKGROUND:  Coronavirus disease-2019 (COVID-19) is associated with hypercoagulability and increased thrombotic risk in critically ill patients. To our knowledge, no studies have evaluated whether aspirin use is associated with reduced risk of mechanical ventilation, intensive […]

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Uncategorized Published - 26 May, 2021    By - Dr Clemens
Seven-year follow up of Persistent Postsurgical Pain in cardiac surgery patients

DG Journal Club Suzanne R Harrogate, Jackie A Cooper et al. Eur J Pain. 2021 May BACKGROUND Our aim was to describe the long-term prevalence, risk factors and impact on quality of life of Persistent Postsurgical Pain (PPP) following cardiac surgery. METHODS All patients undergoing sternotomy in a single centre over a six-month period were […]

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Uncategorized Published - 25 May, 2021    By - Dr Clemens
Comparison between epidural and intravenous analgesia effects on disease-free survival after colorectal cancer surgery

DG Journal Club Wiebke Falk, Anders Magnuson et al. Br J Anaesth. 2021 May BACKGROUND Thoracic epidural analgesia (TEA) has been suggested to improve survival after curative surgery for colorectal cancer compared with systemic opioid analgesia. The evidence, exclusively based on retrospective studies, is contradictory. METHODS In this prospective, multicentre study, patients scheduled for elective […]

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Uncategorized Published - 25 May, 2021    By - Dr Clemens
Informed Consent: Substance and Signature

Robert Morton, CPHRM, CPPS, Assistant Vice President, Department of Patient Safety and Risk Management The Doctors Company For decades, consent documents have helped protect physicians against the claims of dissatisfied patients. Times have changed, however, and modern medicine requires a more complex and complete acknowledgment of both the patient’s and the physician’s rights and responsibilities […]

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