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Uncategorized Published - 7 June, 2017    By - Dr Clemens
Red Cell TransfusionAssociated Hemolysis in Cardiac Surgery: An Observational Cohort Study

AUTHORS: Karkouti, Keyvan MD, FRCPC et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1986–1991 BACKGROUND: Red cell viability is impaired during storage, resulting in excess hemolysis during storage and after transfusion. As a result, transfusions may oversaturate the hemoglobin clearance pathways, resulting in cell-free hemoglobin and iron toxicity in […]

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Uncategorized Published - 7 June, 2017    By - Dr Clemens
Johns Hopkins to Help Implement ERAS Protocols in 750 U.S. Hospitals

The Johns Hopkins Armstrong Institute for Patient Safety and Quality has been awarded nearly $4 million to improve surgical care across the United States, Johns Hopkins Medicine announced. This money will be used, in collaboration with the American College of Surgeons, to help implement enhanced recovery after surgery (ERAS) protocols in more than 750 hospitals. […]

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Uncategorized Published - 7 June, 2017    By - Dr Clemens
Development of Atrial Fibrillation After Cardiac Surgery Predicts Significantly More Morbidity

New-onset atrial fibrillation (AF) after surgery still occurs frequently among cardiac surgery patients, despite advances in therapeutic options, and leads to significantly more morbidity. “Atrial fibrillation is the most common postoperative complication in cardiac surgery, has numerous negative effects on patients and is very costly for the health care system as a whole,” said Jean […]

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Uncategorized Published - 7 June, 2017    By - Dr Clemens
ACP Guideline: Nondrug Treatments Should Be First-Line Therapy for Low Back Pain

Nondrug treatment alternatives should be considered as first-line therapy for patients with low back pain (LBP), according to an updated clinical practice guideline from the American College of Physicians (ACP). The new guideline offered three main recommendations for treating acute (less than four weeks), subacute (four to 12 weeks) and chronic (>12 weeks) LBP: • Nonpharmacologic treatments […]

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Uncategorized Published - 6 June, 2017    By - Dr Clemens
Phantom Limb Pain Managed Effectively By Transcranial Magnetic Stimulation

Repetitive transcranial magnetic stimulation (rTMS) significantly reduced phantom limb pain in patients who had lost limbs to land mine explosions for up to 15 days, according to a study in the Journal of Pain (2016 ;17:911-918). Sixty-three percent of patients experienced a greater than 50% reduction in pain. No significant side effects were reported. Fifty-four patients with […]

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