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Uncategorized Published - 1 February, 2018    By - Dr Clemens
Current concepts of fluid management in enhanced recovery pathways

Authors: R. Makaryusvet et al British Journal of Anesthesia February 2018 Volume 120, Issue 2, Pages 376–383 Abstract Perioperative fluid management impacts outcomes and plays a pivotal role in enhanced recovery pathways (ERPs). There have been major advances in understanding the effects of fluid therapy and administration during the perioperative period. Improving fluid management during this […]

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Uncategorized Published - 31 January, 2018    By - Dr Clemens
Impact of a Novel Multiparameter Decision Support System on Intraoperative Processes of Care and Postoperative Outcomes

Authors: Sachin Kheterpal, M.D., M.B.A. et al Anesthesiology 2 2018, Vol.128, 272-282. Background: The authors hypothesized that a multiparameter intraoperative decision support system with real-time visualizations may improve processes of care and outcomes. Methods: Electronic health record data were retrospectively compared over a 6-yr period across three groups: experimental cases, in which the decision support […]

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Uncategorized Published - 31 January, 2018    By - Dr Clemens
Risk Prediction Tools: The Need for Greater Transparency

Authors: Laurent G. Glance, M.D. et al Anesthesiology 2 2018, Vol.128, 244-246. doi:10.1097/ALN.0000000000002021 “If risk prediction tools are to be used in clinical care, it is essential that they be vetted with the same care as any new drug or medical device.” LAST year Amazon captured 40% of online sales partly as a result of accurate […]

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Uncategorized Published - 31 January, 2018    By - Dr Clemens
Microvascular Permeability after an Acute and Chronic Salt Load in Healthy Subjects: A Randomized Open-label Crossover Intervention Study

Authors: Nienke M. G. Rorije, M.D. et al Anesthesiology 2 2018, Vol.128, 352-360. Background: Sodium-induced microcirculatory changes, endothelial surface layer alterations in particular, may play an important role in sodium-mediated blood pressure elevation. However, effects of acute and chronic sodium loading on the endothelial surface layer and microcirculation in humans have not been established. The objective of […]

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Uncategorized Published - 31 January, 2018    By - Dr Clemens
The Things We Say

Author: Jayshil J. Patel, MD1 JAMA. 2018;319(4):341-342. Gwynne’s Grammar1 is my favorite writing guide. In it, he advocates for precision in the use of language, which is the machine for thinking and necessary for clear judgment and good decisions. Gwynne creates a nine-step argument for the importance of words, even suggesting: “If enough societies in the world crumble as […]

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