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Uncategorized Published - 17 November, 2017    By - Dr Clemens
Pediatric Appendicitis Can Be Safely Managed as an Urgent, Rather than Emergent, Procedure

Author: Landisch RM et al., JAMA Pediatr 2017 Jun 19; The time to appendectomy, if performed within 24 hours of presentation, was not associated with perforation or other complications. Although studies are inconclusive, many physicians feel that a delay in appendectomy may result in complications (perforation) and prolonged hospital stay. Using the Pediatric National Surgical Quality Improvement […]

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Uncategorized Published - 16 November, 2017    By - Dr Clemens
Morbidity and Mortality Associated With ECMO Studied

Although extracorporeal membrane oxygenation (ECMO) continues to grow in use for patients with fulminant cardiac or respiratory failure unresponsive to conventional treatment, the rescue therapy is still associated with significant morbidity and mortality, according to a team of University of Chicago Hospitals researchers. Their national database study described the characteristics of patients undergoing the procedure, […]

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Uncategorized Published - 16 November, 2017    By - Dr Clemens
Neurologic Complications More Likely With Epidural Particulate Steroid Injections

Epidural steroid injections resulted in nearly twice the incidence of serious neurologic complications as epidural injections without steroids, according to a retrospective study, which also found soluble steroid injections to be just as safe as nonsteroid injections. Since 2012, when the FDA issued a letter of warning, “steroids have not been approved for epidural injections,” […]

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Uncategorized Published - 16 November, 2017    By - Dr Clemens
Burnout at work isn’t just about exhaustion it’s also about loneness

Authors: Emma Seppala et al Harvard Busienss Review JUNE 29, 2017 More and more people are feeling tired and lonely at work. In analyzing the General Social Survey of 2016, we found that, compared with roughly 20 years ago, people are twice as likely to report that they are always exhausted. Close to 50% of people […]

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Uncategorized Published - 16 November, 2017    By - Dr Clemens
While Imperfect, Anesthesia Guidelines Help Busy Clinicians

Karen B. Domino, MD, MPH Professor of Anesthesiology & Pain Medicine University of Washington, Seattle Martin J. London, MD Professor of Clinical Anesthesia University of California, San Francisco Avery Tung, MD Professor of Anesthesiology & Critical Care University of Chicago In an issue of Anesthesiology News, Robert E. Johnstone, MD, criticized anesthesia practice guidelines, citing “practice […]

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