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Uncategorized Published - 6 July, 2018    By - Dr Clemens
Smoking Only One Cigarette Daily Is Associated with Excess Cardiovascular Risk

This is another interesting article that relates to anesthesia even with it not involving it. Hackshaw A et al. BMJ 2018 Jan 24. Smoking one cigarette daily accounted for one third to one half of excess risk associated with smoking 20 cigarettes daily. Evidence suggests that light smoking (i.e., 1−5 cigarettes daily) increases risk for cardiovascular disease. […]

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Uncategorized Published - 6 July, 2018    By - Dr Clemens
Supraglottic Jet Oxygenation During Upper Gastrointestinal Endoscopy Reduces Hypoxia With Propofol Sedation

Results of a recent study suggest that the use of supraglottic jet oxygenation and ventilation (SJOV) during upper gastrointestinal endoscopy can lower the risk for hypoxia in propofol-sedated patients. Compared with administration of oxygen through a nasal cannula, SJOV through a nasal tube placed above the glottis significantly reduced the rate of hypoxia from 8.93% […]

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Uncategorized Published - 6 July, 2018    By - Dr Clemens
Resume Beta Blockers by End of First Post-op Day to Avoid A-Fib

When is the best time to resume beta blockade in chronic users after noncardiac surgery to most effectively prevent postoperative atrial fibrillation? Although this question has been in flux for years, a retrospective cohort analysis concluded that resuming beta blockers before the end of postoperative day 1 is optimal for decreasing the incidence of atrial fibrillation after […]

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Uncategorized Published - 6 July, 2018    By - Dr Clemens
Increasing Value Means Optimizing Practice and Devices

Reducing unnecessary variation in clinical practice and medical device use is a key strategy in optimizing the value of enhanced recovery and perioperative surgical home (PSH) programs, and providers are being encouraged to take an active role in identifying opportunities where value can be created. “Each step in a value chain should add value,” said […]

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Uncategorized Published - 5 July, 2018    By - Dr Clemens
Depth of Intraoperative Paralysis Mapped Across Surgical Procedures

Anesthesiology practitioners in a multispecialty setting used a deep neuromuscular block (NMB) on average 64% of the time, according to a retrospective study. “The goal was to understand what clinicians do in real clinical practice,” said co-author Richard D. Urman, MD, associate professor of anesthesia at Brigham and Women’s Hospital, in Boston. “We examined the […]

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