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Uncategorized Published - 30 May, 2018    By - Dr Clemens
Hyperinsulinemic Normoglycemia during Cardiac Surgery Reduces a Composite of 30-day Mortality and Serious In-hospital Complications: A Randomized Clinical Trial

AUTHORS: Andra E. Duncan, M.D. et al     Anesthesiology 6 2018, Vol.128, 1125-1139. Background: Hyperinsulinemic normoglycemia augments myocardial glucose uptake and utilization. We tested the hypothesis that hyperinsulinemic normoglycemia reduces 30-day mortality and morbidity after cardiac surgery. Methods: This dual-center, parallel-group, superiority trial randomized cardiac surgical patients between August 2007 and March 2015 at the Cleveland Clinic, Cleveland, […]

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Uncategorized Published - 30 May, 2018    By - Dr Clemens
Positive End-expiratory Pressure Alone Minimizes Atelectasis Formation in Nonabdominal Surgery: A Randomized Controlled Trial

AUTHORS: Erland Östberg, M.D. et al      Anesthesiology 6 2018, Vol.128, 1117-1124. Background: Various methods for protective ventilation are increasingly being recommended for patients undergoing general anesthesia. However, the importance of each individual component is still unclear. In particular, the perioperative use of positive end-expiratory pressure (PEEP) remains controversial. The authors tested the hypothesis that PEEP […]

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Uncategorized Published - 30 May, 2018    By - Dr Clemens
Etiology of Acute Coronary Syndrome after Noncardiac Surgery

AUTHORS: Mohammad A. Helwani, M.D., M.S.P.H. et al     Anesthesiology 6 2018, Vol.128, 1084-1091. Background: The objective of this investigation was to determine the etiology of perioperative acute coronary syndrome with a particular emphasis on thrombosis versus demand ischemia. Methods: In this retrospective cohort study, adult patients were identified who underwent coronary angiography for acute coronary syndrome within 30 days […]

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Uncategorized Published - 30 May, 2018    By - Dr Clemens
Time Out — Charting a Path for Improving Performance Measurement

Authors: Catherine H. MacLean, M.D., Ph.D. et al This article was published on April 18, 2018, at NEJM.org. Performance measurement in the U.S. health care system has expanded dramatically over the past 30 years. The National Quality Measures Clearinghouse now lists more than 2500 performance measures. These measures are used in various quality-reporting, accountability, and payment […]

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Uncategorized Published - 30 May, 2018    By - Dr Clemens
Pregnant Women on Opioids Shouldn’t Go ‘Cold Turkey’ to Protect Their Baby

A new study finds medically assisted detox is better for moms and babies. At the age of 14, Brittany Scheihing started to get migraines. Doctors told her they’d eventually go away as she got older. Only they didn’t. In fact, as Scheihing aged, her migraines became only worse, with bouts of vomiting, impaired vision, and […]

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