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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Improving the Quality of Shared Decision-making – How Anesthesiologists Can Add Value

Authors: Richard D. Urman, M.D., M.B.A., CPE, FASA et al ASA Monitor 10 2017, Vol.81, 16-17. Recently, the Centers for Medicare & Medicaid Services (CMS) finalized a proposal to reimburse providers for end-of-life counseling as part of advanced care planning. This was in response to a push to further engage patients, families and surrogates in their medical […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Non-Vitamin-K Oral Anticoagulants Linked to Major Bleeds via Drug Interactions

JAMA. 2017;318(13):1250-1259. Authors: Shang-Hung Chang, MD, PhD et al Non-vitamin-K oral anticoagulants (NOACs) are associated with major bleeding episodes caused by drug-drug interactions, a Taiwanese study finds. The authors note that the findings might not apply to Western populations. Using national databases, investigators retrospectively examined major bleeding episodes with NOAC use alone or with concurrent use of 12 […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Association Between Anesthesiology Volumes and Early and Late Outcomes After Cystectomy for Bladder Cancer: A Population-Based Study

AUTHORS: Jaeger, Melanie T. MD, FRCPC et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 147–155 BACKGROUND: Hospital and surgeon volume are related to postoperative complications and long-term survival after radical cystectomy. Here, we describe the relationships between these provider characteristics and anesthesiologist volumes on early and late outcomes after radical […]

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Uncategorized Published - 30 October, 2017    By - Dr Clemens
Closed-Loop Feedback Computer-Controlled Phenylephrine for Maintenance of Blood Pressure During Spinal Anesthesia for Cesarean Delivery: A Randomized Trial Comparing Automated Boluses Versus Infusion

AUTHORS: Ngan Kee, Warwick D. MD, FANZCA, FHKCA et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in […]

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Uncategorized Published - 27 October, 2017    By - Dr Clemens
Respiratory System Mechanics During Low Versus High Positive End-Expiratory Pressure in Open Abdominal Surgery: A Substudy of PROVHILO Randomized Controlled Trial

AUTHORS: Antini, Davide MD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:In the 2014 PROtective Ventilation using HIgh versus LOw positive end-expiratory pressure (PROVHILO) trial, intraoperative low tidal volume ventilation with high positive end-expiratory pressure (PEEP = 12 cm H2O) and lung recruitment maneuvers did not decrease postoperative pulmonary complications when compared to low PEEP […]

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