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Uncategorized Published - 19 September, 2018    By - Dr Clemens
Pre-Hospital Laryngeal Tube Ups Cardiac Arrest Survival

Trials cast doubt on endotracheal intubation as preferred treatment Author: Salynn Boyles  Among patients suffering out-of-hospital cardiac arrest, laryngeal tube insertion was associated with significantly greater 72-hour survival compared with standard-of-care endotracheal intubation, researchers reported. In a randomized clinical trial involving 3,000 cases and 27 emergency medical service (EMS) agencies, statistically significant associations with survival […]

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Uncategorized Published - 19 September, 2018    By - Dr Clemens
Opioids May Carry Unique Risks for Patients on Haemodialysis

An analysis in the Clinical Journal of the American Society of Nephrology indicates that despite current recommendations, opioid pain medications may not be safe for patients undergoing haemodialysis. Individuals with kidney failure undergoing haemodialysis may be especially vulnerable to opioid-related complications due to factors such as their kidneys’ reduced ability to clear drugs from the body. To […]

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Uncategorized Published - 19 September, 2018    By - Dr Clemens
Bungled Perioperative Communications An Outsized Source of Liability

Poor physician communication contributes to liability—independent of injury—in almost a fifth of all perioperative anesthesia malpractice claims. In a review of malpractice cases, it was found that anesthesia payments were more common in claims with liability-related communication failures than in those with no communication failures. “Poor physician communication is known to contribute to malpractice,” said […]

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Uncategorized Published - 19 September, 2018    By - Dr Clemens
Predicted Difficult Mask Ventilation and Intubation Succeeds With Careful Planning: Case Report

Cassandra Wasson, DO Alice Tsao, MD Case Description A 76-year-old woman with a medical history of hypertension and oral cancer status post-left mandibulectomy, glossectomy and radiation required surgical correction of an olecranon fracture after a ground-level fall. During the patient’s preoperative evaluation, she was found to be edentulous, with a Mallampati classification of IV, and […]

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Uncategorized Published - 19 September, 2018    By - Dr Clemens
Mechanical Plus Chemical Adhesiolysis During Epiduroscopy After Failed Spine Surgery

Administration of hyaluronidase and corticosteroid methylprednisolone acetate to the epidural space during epiduroscopy for failed back surgery-related radicular pain may improve back pain and disability at 1 year, according to a study published in Pain Medicine. In this randomized double-blind trial (Clinicaltrials.gov identifier: NCT02459392), 45 patients (age ≥18 years; with permanent low back pain and >60% radicular pain) with failed […]

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