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Uncategorized Published - 25 June, 2018    By - Dr Clemens
Analysis of Anesthesia Closed Claims Compares Ambulatory Surgery Centers With Hospital-Based Operating Rooms

A comparison of anesthesia closed claims from ambulatory surgery centers (ASCs) and hospital operating rooms (HORs) has found some noteworthy differences, and also spotlights areas where underperforming can result in liability. Procedures performed in ASCs have become markedly more common since the 1980s. The researchers, including Richard D. Urman, MD, MBA, of the Center for Perioperative Research […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Laparoscopic Colorectal Resection Reduces Pain in Women With Endometriosis Unresponsive to Hormonal Treatment

This is an interesting article for our readers who treat pain patients A study published in Diseases of the Colon & Rectum suggest that women who underwent laparoscopic colorectal resection for endometriosis not responding to hormonal treatment reported significant reductions in pain intensity associated with menstrual periods, between periods and less pain associated with bowel […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Racial Variation in Total Knee Replacement in a Diverse Nationwide Clinical Trial

I thought this was interesting so I wanted to share it Source: J Clin Rheumatol OBJECTIVE Racial variation in total knee replacement (TKR) utilization in the United States has been reported in administrative database studies. We investigated racial variation in TKR procedures in a diverse cohort with severe knee pain followed in an ongoing clinical trial. […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Acute myocardial infarction due to simultaneous spasm of 3 coronary arteries that worsened over time

Am J Emerg Med Coronary artery spasm (CAS) rarely worsens from single-vessel to simultaneous multivessel CAS naturally, and simultaneous multivessel CAS leads to serious conditions such as cardiopulmonary arrest (CPA). A 77-year-old Japanese man who took medications for CAS was transferred to our hospital due to persistent chest pain. On arrival, his vital signs were […]

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Uncategorized Published - 22 June, 2018    By - Dr Clemens
Duration of Intra-op Hypo- or Hypertension Not Independently Associated With Post-op AKI

Although there is a significant association between elevated baseline pulse pressure and acute kidney injury (AKI) after coronary artery bypass graft (CABG) surgery, no association exists with the weighted duration of intraoperative hemodynamic perturbations, such as hypotension or hypertension. “It’s known that elevated pulse pressure is a predictor of acute kidney injury after CABG surgery,” […]

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