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Uncategorized Published - 24 July, 2018    By - Dr Clemens
More Doctor Pay Tied To Patient Satisfaction And Outcomes

Author at Forbes Bruce Japsen  As insurance companies shift more reimbursement away from fee-for-service medicine, doctors and their practices are seeing more of their bonuses and pay hikes based on “value-based metrics such as patient satisfaction and outcome measures,” new reports on physician compensation indicate. Physician staffing firm MerrittHawkins said 43% of its clients offering physicians […]

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Uncategorized Published - 24 July, 2018    By - Dr Clemens
Incidence of Venous Air Embolism During Endoscopic Retrograde Cholangiopancreatography

AUTHORS: Afreen, Lubana K., BS et al Anesthesia & Analgesia: August 2018 – Volume 127 – Issue 2 – p 420–423 BACKGROUND: Known complications of endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, bleeding, duodenal perforation, and venous air embolism (VAE). The aim of this study was to determine the incidence of VAE during ERCP and be able to […]

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Uncategorized Published - 24 July, 2018    By - Dr Clemens
The Migration of Caudally Threaded Thoracic Epidural Catheters in Neonates and Infants

AUTHORS: Simpao, Allan F., MD, MBI et al Anesthesia & Analgesia: February 23, 2018 BACKGROUND: The migration of pediatric thoracic epidural catheters via a thoracic insertion site has been described. We assessed the migration of caudally threaded thoracic epidural catheters in neonates and infants at our institution. METHODS: The anesthesia records and diagnostic imaging studies of neonates and […]

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Uncategorized Published - 23 July, 2018    By - Dr Clemens
Analgesic Effects of Oxycodone Relative to Those of Sufentanil, in the Presence of Midazolam, During Endoscopic Injection Sclerotherapy for Patients With Cirrhosis and Esophageal Varices

AUTHORS: Quan, Zhefeng, MD et all Anesthesia & Analgesia: February 23, 2018 BACKGROUND: We evaluated the efficacy and gastroenterologist/patient satisfaction of midazolam combined with oxycodone, relative to that of midazolam combined with sufentanil, for anesthesia during endoscopic injection sclerotherapy (EIS) in patients with cirrhosis and esophageal varices. METHODS: Patients with cirrhosis (20–69 years of age), body mass index, […]

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Uncategorized Published - 23 July, 2018    By - Dr Clemens
Point-of-Care Fibrinogen Testing in Pregnancy

AUTHORS: Katz, Daniel, MD et al Anesthesia & Analgesia: February 23, 2018 Agreement between estimated fibrinogen concentration via thromboelastography and traditional assays is not established in the parturient. We therefore recruited 56 parturients and performed Clauss and functional fibrinogen level (FLEV) tests. Mean difference of measurements was 36.8 mg/dL (95% CI, 21.8–51.9) with a standard deviation […]

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