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Uncategorized Published - 7 May, 2018    By - Dr Clemens
The Assignment of American Society of Anesthesiologists Physical Status Classification for Adult Polytrauma Patients: Results From a Survey and Future Considerations

AUTHORS: Kuza, Catherine, M., MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1960–1966 BACKGROUND: The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few […]

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Uncategorized Published - 7 May, 2018    By - Dr Clemens
Most opioid scripts go to only 10% of users

Published in the November 2017 issue of Today’s Hospitalist New research makes the case for more targeted treatment options THE OPIOID EPIDEMIC in the U.S. is receiving a growing amount of press and scrutiny, and rightly so. But according to the authors of a report in September by Annals of Internal Medicine, “an integral piece of epidemiologic information […]

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Uncategorized Published - 4 May, 2018    By - Dr Clemens
Delayed Detection of Esophageal Intubation in Anesthesia Malpractice Claims: Brief Report of a Case Series

AUTHORS: Honardar, Marzieh, R., MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1948–1951 This retrospective case series analyzed 45 malpractice claims for delayed detection of esophageal intubation from the Anesthesia Closed Claims Project. Inclusion criteria were cases from 1995 to 2013, after adoption of identification of CO2 in expired […]

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Uncategorized Published - 4 May, 2018    By - Dr Clemens
Neuraxial and Combined Neuraxial/General Anesthesia Compared to General Anesthesia for Major Truncal and Lower Limb Surgery: A Systematic Review and Meta-analysis

AUTHORS: Smith, Lauren, M., MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1931–1945 Neuraxial anesthesia may improve perioperative outcomes when compared to general anesthesia; however, this is controversial. We performed a systematic review and meta-analysis using randomized controlled trials and population-based observational studies identified in MEDLINE, PubMed, and […]

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Uncategorized Published - 4 May, 2018    By - Dr Clemens
End-Expiratory Occlusion Test Predicts Fluid Responsiveness in Patients With Protective Ventilation in the Operating Room

AUTHORS: Biais, Matthieu, MD, PhD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1889–1895 BACKGROUND: End-expiratory occlusion test (EEOT) has been proposed to predict fluid responsiveness in mechanically ventilated intensive care unit patients. The utility of this test during low-tidal-volume ventilation remains uncertain. This study aimed to determine whether hemodynamic […]

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