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Uncategorized Published - 2 June, 2017    By - Dr Clemens
Incidence of Pulmonary Embolism Diagnosed by Ventilation and Perfusion Scan After Indeterminate CT Pulmonary Angiography

Authors: Curtis BR et al., Emerg Radiol 2017 Apr 12; VQ scan rarely identifies pulmonary embolism after indeterminate computed tomography pulmonary angiography. Investigators studied the incidence of pulmonary embolism (PE) diagnosed by ventilation and perfusion (VQ) scan after suboptimal computed tomography pulmonary angiography (CTPA). They retrospectively analyzed data from one academic institution that used modified prospective investigation of […]

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Uncategorized Published - 2 June, 2017    By - Dr Clemens
Risks of Cardiovascular Adverse Events and Death in Patients with Previous Stroke Undergoing Emergency Noncardiac, Nonintracranial Surgery: The Importance of Operative Timing

Authors: Mia N. Christiansen, M.D. et al Anesthesiology published on May 18, 2017. Background: The outcomes of emergent noncardiac, nonintracranial surgery in patients with previous stroke remain unknown. Methods: All emergency surgeries performed in Denmark (2005 to 2011) were analyzed according to time elapsed between previous ischemic stroke and surgery. The risks of 30-day mortality and major adverse […]

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Uncategorized Published - 2 June, 2017    By - Dr Clemens
Intra-Articular Corticosteroids Show No Benefit in Knee Osteoarthritis

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Intra-articular triamcinolone does not help relieve knee pain in adults with osteoarthritis — and might even lead to harm — according to a placebo-controlled trial in JAMA. Some 140 adults with symptomatic knee osteoarthritis and ultrasound evidence of synovitis were randomized to receive intra-articular […]

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Uncategorized Published - 2 June, 2017    By - Dr Clemens
Video Laryngoscopes and Best Rescue Strategy for Unexpected Difficult Airways: Do Not Forget a Combined Approach with Flexible Bronchoscopy!

Authors: Filippo Sanfilippo, M.D., Ph.D. et al Anesthesiology 6 2017, Vol.126, 1203 To the Editor: Asai1  describes the issue of the unexpected difficult airways, recommending to avoid repeated attempts and to seek an effective alternative strategy early. Based on the results of Aziz et al.,2  Asai suggests that video laryngoscopy may represent the best rescue alternative and that a […]

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Uncategorized Published - 1 June, 2017    By - Dr Clemens
An Allometric Model of Remifentanil Pharmacokinetics and Pharmacodynamics

Authors: Douglas J. Eleveld, Ph.D. et al Anesthesiology 6 2017, Vol.126, 1005-1018. Background: Pharmacokinetic and pharmacodynamic models are used to predict and explore drug infusion schemes and their resulting concentration profiles for clinical application. Our aim was to develop a pharmacokinetic-pharmacodynamic model for remifentanil that is accurate in patients with a wide range of age and weight. […]

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