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Uncategorized Published - 18 October, 2017    By - Dr Clemens
Should Transdermal Drug Patches Containing Metal Be Removed During Procedures Using Electrocautery Because of the Risk of a Burn Injury?

Dear Q&A, I am writing to inquire regarding risks to a patient when a transdermal medication patch is left in place in the setting of electrocautery for surgery. It came up recently regarding oxybutynin because the surgeon was aware of metal particles in the patch layers, and was concerned about the risk of a burn […]

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Uncategorized Published - 18 October, 2017    By - Dr Clemens
Aerosolized Vasodilators for the Treatment of Pulmonary Hypertension in Cardiac Surgical Patients: A Systematic Review and Meta-analysis

AUTHORS: Elmi-Sarabi, Mahsa MSc et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 393–402 BACKGROUND: In cardiac surgery, pulmonary hypertension is an important prognostic factor for which several treatments have been suggested over time. In this systematic review and meta-analysis, we compared the efficacy of inhaled aerosolized vasodilators to intravenously administered […]

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Uncategorized Published - 18 October, 2017    By - Dr Clemens
All Handoffs Are Not the Same

What Perioperative Handoffs Do We Participate in and How Are They Different? The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Amanda Lorinc, MD, and Christopher Henson, DO Handoffs Handoffs, in the most concise description, are an exchange of responsibility for one or more patients from one provider to another. Handoffs are […]

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Uncategorized Published - 18 October, 2017    By - Dr Clemens
Tranexamic Acid in Obstetric Hemorrhage

By Barbara M. Scavone, MD, and John T. Sullivan, MD Postpartum Hemorrhage Postpartum hemorrhage complicates approximately 3% of U.S. deliveries and is most often due to uterine atony.1 Hemorrhage is the leading cause of severe maternal morbidity and contributes to 11.4% of U.S. maternal deaths.2,3 Globally, it is the leading cause of maternal death.4 Postpartum hemorrhage is often […]

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Uncategorized Published - 18 October, 2017    By - Dr Clemens
Perioperative Temperature Measurement Considerations Relevant to Reporting Requirements for National Quality Programs Using Data From Anesthesia Information Management Systems

AUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: June 08, 2017 Background: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. U.S. national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval from 30 minutes before to 15 minutes […]

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