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Uncategorized Published - 20 October, 2017    By - Dr Clemens
Big Data: The Role of Databases in Perioperative Pain Management Research

It’s difficult to talk about pain control these days without mentioning the opioid epidemic. Despite the dramatic rise in opioid prescriptions over the last decade, pain scores and patient satisfaction have remained the same. Opioid-related deaths, on the other hand, have quadrupled in the United States. According to Karim Ladha, MD, MSc, from the Department […]

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Uncategorized Published - 20 October, 2017    By - Dr Clemens
The Effect of Chronic Opioid Use on End-Tidal Concentration of Sevoflurane Necessary to Maintain a Bispectral Index Below 50: A Prospective, Single-Blind Study

AUTHORS: Oh, Tak Kyu MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 156–161 BACKGROUND: Opioid analgesics decrease the minimum alveolar concentration of inhalation agents during the acute phase response. However, the effect of chronic opioid exposure on minimum alveolar concentration of inhalation agents remains unknown. This study aimed to […]

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Uncategorized Published - 20 October, 2017    By - Dr Clemens
Pump Priming Practices and Anticoagulation in Cardiac Surgery: Results From the Global Cardiopulmonary Bypass Survey

AUTHORS: Miles, Lachlan F. MBBS Anesthesia & Analgesia: June 2017 BACKGROUND: BACKGROUND:Regional patterns of practice in cardiopulmonary bypass remain poorly understood with conflicting evidence regarding the best choices in pump priming preferences with respect to colloid and crystalloid and different types of fluid within these categories. In light of the variation in the literature, we hypothesized […]

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Uncategorized Published - 20 October, 2017    By - Dr Clemens
MACRA and the Significance of Being ‘Non–Patient-Facing’

Author: Emil Engels, MD, MBA, CPC MACRA Madness: The Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, shifts the Medicare payment base from volume to value. This landmark legislation aims to move Medicare from fee-for-service to a system that rewards quality and low cost. As recently as the summer of 2016, 50% of […]

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Uncategorized Published - 19 October, 2017    By - Dr Clemens
Perioperative Low Arterial Oxygenation Is Associated With Increased Stroke Risk in Cardiac Surgery

AUTHORS: Dunham, Alexandra M. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 38–43 BACKGROUND: Both patient characteristics and intraoperative factors have been associated with a higher risk of stroke after cardiac surgery. We hypothesized that poor systemic oxygenation in the perioperative period is associated with increased risk of stroke […]

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