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Uncategorized Published - 15 March, 2019    By - Dr Clemens
Long-term Impact of Crystalloid versus Colloid Solutions on Renal Function and Disability-free Survival after Major Abdominal Surgery

Authors: Alexandre Joosten, M.D. et al Anesthesiology 2 2019, Vol.130, 227-236. What We Already Know about This Topic: Balanced hydroxyethyl starch solution, as part of intraoperative goal-directed fluid therapy, is associated with better short-term outcomes than administration of a balanced crystalloid solution in patients having major open abdominal surgery The safety of modern hydroxyethyl starch solutions […]

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Uncategorized Published - 15 March, 2019    By - Dr Clemens
Pediatric Central Line–associated Acute Deep Vein Thrombosis

Authors: T. Wesley Templeton, M.D. et al Anesthesiology 4 2019, Vol.130, 617. Central venous access in pediatric patients, although necessary in some critically ill patients and patients undergoing cardiac or other major surgical procedures, can be associated with acute and/or chronic deep venous thrombosis.1  While acute deep venous thromboses are rare in children, they can lead to […]

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Uncategorized Published - 15 March, 2019    By - Dr Clemens
Aberrant Right Subclavian Artery: An Important Variant of the Aortic Arch

Authors: Rohesh J. Fernando, M.D., F.A.S.E. Anesthesiology 4 2019, Vol.130, 615-616. Aberrant right subclavian artery is an uncommon congenital anomaly of the aortic arch with incidence of 0.02 to 1.7%.1  Aberrant right subclavian artery is generally the last branch of the arch, originating distal to the left subclavian artery.2  Aberrant right subclavian artery can be diagnosed using computed […]

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Uncategorized Published - 15 March, 2019    By - Dr Clemens
The 282 hospitals with 1 star from CMS

CMS updated its Overall Hospital Quality Star Ratings recognizing 282 hospitals with one star. CMS’ Hospital Compare website reports on quality measures for more than 4,500 hospitals nationwide. Here is a breakdown of the updated star ratings: One star: 282 hospitals Two stars: 800 hospitals Three stars: 1,264 hospitals Four stars: 1,086 hospitals Five stars: […]

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Uncategorized Published - 15 March, 2019    By - Dr Clemens
Delays in Cardiopulmonary Resuscitation, Defibrillation, and Epinephrine Administration All Decrease Survival in In-hospital Cardiac Arrest

Authors: Nicholas G. Bircher, M.D. et al Anesthesiology 3 2019, Vol.130, 414-422. What We Already Know about This Topic: Rapid response to witnessed, pulseless cardiac arrest is associated with increased survival. What This Article Tells Us That Is New: Assessment of witnessed, pulseless cardiac arrests occurring at 538 hospitals during a 9-yr period indicates that CPR […]

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