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Uncategorized Published - 19 December, 2016    By - Dr Clemens
Preoperative Administration of Angiotensin-converting Enzyme Inhibitors or Angiotensin II Receptor Blockers: Do We Have Enough “VISION” to Stop It?

Author: Martin J. London, M.D. Anesthesiology 1 2017, Vol.126, 1-3. AS of 2012, angiotensin- converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) were used by approximately 18% of adults in the United States.1  In the Veterans Affairs medical system, a population with a high proportion of patients with cardiovascular disease and strong centralized efforts at […]

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Uncategorized Published - 19 December, 2016    By - Dr Clemens
Effect of Total Dose of Lidocaine on Duration of Adductor Canal Block, Assessed by Different Test Methods

Anesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 1026–1032 AUTHORS: Jæger, Pia MD, PhD et al BACKGROUND: The binary aims of this study were to investigate the effect of total dose of lidocaine on duration of an adductor canal block (ACB) and to validate different methods used to assess nerve […]

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Uncategorized Published - 19 December, 2016    By - Dr Clemens
Mask Ventilation during Induction of General Anesthesia: Influences of Obstructive Sleep Apnea

Authors: Shin Sato, M.D. et al Anesthesiology 1 2017, Vol.126, 28-38. Background: Depending on upper airway patency during anesthesia induction, tidal volume achieved by mask ventilation may vary. In 80 adult patients undergoing general anesthesia, the authors tested a hypothesis that tidal volume during mask ventilation is smaller in patients with sleep-disordered breathing priorly defined as apnea […]

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Uncategorized Published - 19 December, 2016    By - Dr Clemens
It’s Final: FDA Bans Powdered Gloves in Surgery, Medicine

The US Food and Drug Administration (FDA) has finalized a rule banning the use of powdered gloves in medicine because they pose dangers to human health. The ban, first proposed in March 2016, will further propel efforts already underway to phase out the use of prepowdered surgeons’ gloves, powdered exam gloves, and absorbable powder for lubricating surgeons’ […]

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Uncategorized Published - 16 December, 2016    By - Dr Clemens
The Medicare Access and CHIP Reauthorization Act (MACRA): The Dawn of a New Era Quality Queries and Quandaries:

Author: Emil Engels, MD, MBA, CPC ‘If you’re not confused, you’re not paying attention.’ —Tom Peters, writer and expert in business management   For years, physicians pressured Congress to repeal the flawed Sustainable Growth Rate (SGR) formula. It adjusted physician reimbursement based on changes in Gross Domestic Product. Over time, the formula led to draconian […]

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