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Uncategorized Published - 20 May, 2019    By - Dr Clemens
Cardiac Risk of Noncardiac Surgery After Percutaneous Coronary Intervention With Second-Generation Drug-Eluting Stents

Anesth Analg. 2019 Apr;128(4):621-628. Authors: Smith BB et al BACKGROUND: Noncardiac surgery (NCS) following percutaneous coronary intervention (PCI) with stenting is sometimes associated with major adverse cardiac events (MACEs). Second-generation drug-eluting stents (DES) were developed to decrease the incidence of MACE seen with bare metal and first-generation DES. METHODS: The medical records of all adult […]

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Uncategorized Published - 20 May, 2019    By - Dr Clemens
Malpractice suits are less frequent – but more costly

By Alicia Gallegos MD Edge Lawsuits against physicians declined across virtually all specialties by more than a quarter over a 10-year span, but the cost to manage legal challenges went up, a recent analysis finds. From 2007 to 2016, the rate of claims dropped by 27% per 100 doctors from 5.1 to 3.7, according to […]

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Uncategorized Published - 20 May, 2019    By - Dr Clemens
Sex differences in postoperative cognitive functioning in older patients

Author: Dr. Katie Schenning Elderly adults are known to be at higher risk of cognitive dysfunction following surgical procedures, and there are known sex differences in cognitive decline rates in Alzheimer’s disease, but no studies have really examined how sex as a biological variable may contribute to post-operative cognitive dysfunction. This blog, written by the […]

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Uncategorized Published - 20 May, 2019    By - Dr Clemens
Do We Need Procalcitonin for Sepsis in 2019?

Author: Саrdiac Anesthesiologist  Procalcitonin (PCT)  is the peptide precursor of calcitonin, a hormone that is synthesized by the parafollicular C cells of the thyroid. The reference value of procalcitonin in adults and children older than 72 hours is 0.15 ng/mL or less. Severe bacterial infection, bacterial sepsis is associated with elevated serum procalcitonin levels (>2 ng/mL). Early […]

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Uncategorized Published - 20 May, 2019    By - Dr Clemens
Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden

Authors: Amber Sieja, MD et al Mayo Clinic Proceedings Objective To evaluate a novel clinic-focused Sprint process (an intensive team-based intervention) to optimize electronic health record (EHR) efficiency. Methods An 11-member team including 1 project manager, 1 physician informaticist, 1 nurse informaticist, 4 EHR analysts, and 4 trainers worked in conjunction with clinic leaders to […]

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