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Uncategorized Published - 28 February, 2019    By - Dr Clemens
Femoral Artery Dissection after Adductor Canal Block

Authors: Leon Vorobeichik, M.D. et al  Anesthesiology published on January 22, 2019. After an uneventful total knee arthroplasty under spinal anesthesia and ultrasound-guided continuous adductor canal block, the absence of distal pulses was noted in the operative leg. An arterial duplex scan (top image, panel A) demonstrated a femoral artery dissection flap (thin arrow) with a […]

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Uncategorized Published - 27 February, 2019    By - Dr Clemens
Driving Pressure during Thoracic Surgery: A Randomized Clinical Trial

Authors: MiHye Park, M.D. et al  Anesthesiology 3 2019, Vol.130, 385-393. What We Already Know about This Topic: Driving pressure (plateau minus end-expiratory airway pressure) is a target in patients with acute respiratory distress syndrome, and is proposed as a target during general anesthesia for patients with normal lungs. It has not been reported for thoracic […]

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Uncategorized Published - 27 February, 2019    By - Dr Clemens
Clonidine and Dexamethasone Added to Paravertebral Block Reduces Opioid Use After Reconstructive Mastectomy

Author: Ajai Raj Anesthesiology News The addition of clonidine and dexamethasone to paravertebral block (PVB) in cancer patients undergoing complex breast surgery resulted in “greater decreases in both opioid and antiemetic use” compared with PVB alone, according to preliminary findings. Researchers from Memorial Sloan Kettering Cancer Center’s (MSKCC’s) Josie Robertson Surgery Center presented a retrospective […]

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Uncategorized Published - 27 February, 2019    By - Dr Clemens
Studies Find Low Rates of Airway Complications When Anesthesiologists Administer Sedation

Author: Michael Vlessides Anesthesiology News A retrospective study at a rural community hospital has found a low incidence of airway complications when anesthesiologist-based teams administer sedation during gastrointestinal procedures. Nevertheless, their complication rate was markedly higher than that reported by nonanesthesiologists who perform similar procedures at other institutions, prompting the investigators to question why such […]

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Uncategorized Published - 27 February, 2019    By - Dr Clemens
Insurers Hand Out Cash and Gifts To Sway Brokers Who Sell Employer Health Plans

I thought you would like to know how the insurance industry works. The pitches to the health insurance brokers are tantalizing. “Set sail for Bermuda,” says insurance giant Cigna, offering top-selling brokers five days at one of the island’s luxury resorts. Health Net of California’s pitch is not subtle: A smiling woman in a business […]

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