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Uncategorized Published - 10 November, 2017    By - Dr Clemens
Proper Drug Disposal Protects Patients, Caregivers

Diversion, waste management go hand in hand Kerri O’Keefe had worked as a care aide in the emergency department at Vancouver General Hospital (VGH), in British Columbia, for more than 15 years, transporting patients and helping them with all their basic needs. She loved her job—but according to news reports in the Vancouver Sun, she also […]

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Uncategorized Published - 9 November, 2017    By - Dr Clemens
CMS Releases Final Rule for 2018 Medicare Physician Fee Schedule

On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the CY2018 Medicare Physician Fee Schedule. This 1,250-page rule includes many issues relevant to anesthesia and pain medicine. 2018 Medicare Conversion Factors – Modest Increase in Anesthesia CF: The calculations that result in these figures include the positive […]

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Uncategorized Published - 9 November, 2017    By - Dr Clemens
Are Anesthesia and Surgery during Infancy Associated with Decreased White Matter Integrity and Volume during Childhood?

Authors: Robert I. Block, Ph.D. et al Anesthesiology 11 2017, Vol.127, 788-799. Background: Anesthetics have neurotoxic effects in neonatal animals. Relevant human evidence is limited. We sought such evidence in a structural neuroimaging study. Methods: Two groups of children underwent structural magnetic resonance imaging: patients who, during infancy, had one of four operations commonly performed in otherwise healthy […]

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Uncategorized Published - 9 November, 2017    By - Dr Clemens
Crystalloid versus Colloid for Intraoperative Goal-directed Fluid Therapy Using a Closed-loop System: A Randomized, Double-blinded, Controlled Trial in Major Abdominal Surgery

Authors: Alexandre Joosten, M.D. et al Anesthesiology published on October 26, 2017. Background: The type of fluid and volume regimen given intraoperatively both can impact patient outcome after major surgery. This two-arm, parallel, randomized controlled, double-blind, bi-center superiority study tested the hypothesis that when using closed-loop assisted goal-directed fluid therapy, balanced colloids are associated with fewer postoperative […]

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Uncategorized Published - 9 November, 2017    By - Dr Clemens
No Differences in Renal Function between Balanced 6% Hydroxyethyl Starch (130/0.4) and 5% Albumin for Volume Replacement Therapy in Patients Undergoing Cystectomy: A Randomized Controlled Trial

Authors: Tobias Kammerer, M.D. et al Anesthesiology published on October 26, 2017. Background: The use of artificial colloids has declined in critical care, whereas they are still used in perioperative medicine. Little is known about the nephrotoxic potential in noncritically ill patients during routine surgery. The objective of this trial was to evaluate the influences of albumin […]

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