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Uncategorized Published - 17 October, 2019    By - Dr Clemens
WASTEFUL SPENDING IN U.S. HEALTHCARE ESTIMATED AT $760 BILLION TO $935 BILLION

BY CHRISTOPHER CHENEY Health Leaders Researchers focus on six categories of waste: failure of care delivery, failure of care coordination, overtreatment or low-value care, pricing failure, fraud and abuse, and administrative complexity. KEY TAKEAWAYS This new research updates earlier estimates of wasteful spending that focus on six categories identified by the Institute of Medicine. In the […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
ERAS Protocols, Although Challenging, Proliferate at U.S. Hospitals

Author: Bob Kronemyer Anesthesiology News Patients undergoing colorectal surgical procedures are by far the most likely to be enrolled in an adult enhanced recovery after surgery (ERAS) protocol in the United States, according to a survey. “Early ERAS efforts focused mainly on colorectal patients, but recently have expanded to other surgical specialties,” said presenting author […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
Gabapentinoid Medications Might Not Be as Benign as You Think

 Authors: Molero Y et al.  BMJ 2019 Jun 12 Multiple adverse behavioral and psychomotor associations are found with these drugs although the effects might be confined to pregabalin. Clinicians often prescribe gabapentin and pregabalin for pain, sleep, and anxiety symptoms, and some view these drugs as safe alternatives to benzodiazepines and opioids in, for example, patients […]

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Uncategorized Published - 17 October, 2019    By - Dr Clemens
Buzzy Device Versus EMLA for Pain Control in Pediatric IV Placement

 Authors: Bourdier S et al.  Pediatr Emerg Care 2019 Jun 6 Although the Buzzy device was less effective for pain control than an EMLA patch, it works much faster, so don’t throw the “buzzy” out with the bathwater. Researchers compared pain scores during IV placement and venipuncture between children randomized to treatment with an EMLA patch […]

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Uncategorized Published - 16 October, 2019    By - Dr Clemens
Profound Lip and Tongue Swelling After Anesthesia Induction

Author: Stephen Richardson, MD and Ratan K. Banik, MD, PhD Anesthesiology News Abstract We report profound lip and tongue swelling and hypotension in a 71-year-old woman after anesthesia induction. There was no bronchospasm, urticaria, or rash, so anaphylaxis was not initially suspected. She was treated with phenylephrine, ephedrine and boluses of fluid. When hypotension was […]

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