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Uncategorized Published - 28 August, 2017    By - Dr Clemens
Apneic Oxygenation Prevents Desaturation During Intubation

Authors: Binks MJ et al. Am J Emerg Med 2017 Jun 24; Two meta-analyses used different methods but have similar findings. Apneic oxygenation is the delivery of high-flow oxygen by nasal cannula during endotracheal intubation. Two separate meta-analyses provide pooled results from trials of apneic oxygenation. The first meta-analysis included 8 studies and 1953 patients in […]

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Uncategorized Published - 25 August, 2017    By - Dr Clemens
Comprehensive Care for Joint Replacement: A Bundled-Payment Primer

In a push to support more efficient care for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) is implementing bundled payments and quality metrics for numerous clinical episodes, including hip and knee replacement surgeries. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Kelly C. Price outlined the fundamentals of the Comprehensive Care for Joint […]

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Uncategorized Published - 25 August, 2017    By - Dr Clemens
The Future of Anesthesiology in the O.R

Adapted from User:OgreBot/Uploads by new users/2014 December 05 12:00; Author: Pfree2014 I am typically the first person to walk into the O.R. in the morning. I turn on the lights and start running through a long check-list of items that must occur before I can bring the patient to the O.R. I run safety checks […]

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Uncategorized Published - 25 August, 2017    By - Dr Clemens
Elevated Modified Shock Index Indicates Upped Mortality Risk

Critically ill patients who demonstrate an elevated modified shock index (MSI) within the first 24 hours of ICU admission have a significant risk for death. MSI, which is the ratio of elevated heart rate to mean arterial pressure, may be a better predictor of mortality than shock index (SI) because MSI incorporates both systolic and […]

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Uncategorized Published - 25 August, 2017    By - Dr Clemens
Radiofrequency Denervation for Facet Joint Arthropathy-Related Low Back Pain

Radiofrequency denervation is effective in facet joint pain as it targets the medial branches of the primary dorsal rami of the spinal nerves that innervate the facet joints. Radiofrequency denervation improved chronic low back pain arising from the facet joints to a greater extent than sham procedures or epidural blocks, especially in patients with the […]

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