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Uncategorized Published - 24 December, 2020    By - Dr Clemens
Poor Physician Sleep Associated with More Medical Errors

By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD NEJM Journal Watch Physicians who report insufficient sleep are more likely to report medical errors, according to a JAMA Network Open study. Over 11,000 physicians across 11 U.S. institutions completed a questionnaire that assessed tiredness, alertness, and functional impairment related to insufficient sleep. […]

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Uncategorized Published - 24 December, 2020    By - Dr Clemens
PULSE PRESSURE

Cardiac Anesthesiologist blog Pulse pressure mathematically  is the difference between systolic and diastolic blood pressure. Pulse pressure reflects the stroke volume and compliance of the arterial system. PULSE PRESSURE > 50 % of Systolic Blood Pressure (or > 40 mmHg): Hypertension ; Age; Aortic regurgitation; Patent ductus arteriosus; Ruptured aneurysm of the sinus of Valsalva; Fever; Anemia; Hyperthyroidism; Pregnancy; Arteriovenous fistula; Paget’s disease […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Is Surgical Tracheostomy Better Than Percutaneous Tracheostomy in COVID-19–Positive Patients?

AUTHORS: Bassi, Massimiliano MD et al Anesthesia & Analgesia: October 2020 – Volume 131 – Issue 4 – p 1000-1005 During the past decades, percutaneous tracheostomy (PT) has gained popularity over surgical tracheostomy (ST) for its safety and technique; several studies were performed to compare these 2 options with conflicting results. PT appears to be […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Pharmacokinetics and Pharmacodynamics of 3 Doses of Oral-Mucosal Dexmedetomidine Gel for Sedative Premedication in Women Undergoing Modified Radical Mastectomy for Breast Cancer

AUTHORS: Mohamed, Sahar Abdel-Baky MD et al Anesthesia & Analgesia: September 1, 2020  BACKGROUND: Buccal dexmedetomidine (DEX) produces adequate preoperative sedation and anxiolysis when used as a premedication. Formulating the drug as a gel decreases oral losses and improves the absorption of buccal DEX. We compared pharmacokinetic and pharmacodynamic properties of 3 doses of buccal […]

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Uncategorized Published - 23 December, 2020    By - Dr Clemens
Surgical Smoke Evacuators as a Method for Reducing Risk to Personnel of COVID-19 During Endotracheal Intubation and Extubation

Author: Rene’ Miguel Gonzalez, M.D. Anesthesia Patient Safety Foundation   In the midst of the COVID-19 pandemic, anesthesia providers, intensive care unit and emergency room staff, and other health care workers (HCW’s) often find themselves in close proximity to patients’ airways. In many geographic areas in the US and worldwide, there is a shortage of […]

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