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Uncategorized Published - 10 October, 2016    By - Dr Clemens
Neuraxial Anesthesia Use In ERAS Pathway Lowers SSIs in TKA

Use of neuraxial anesthesia decreases the development of surgical site infections compared with general anesthesia after total joint arthroplasty, a meta-analysis has found. These findings may help support the use of neuraxial techniques in enhanced recovery after surgery (ERAS) pathways. “There are some smaller, observational studies suggesting that if you use spinal or epidural analgesia, […]

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Uncategorized Published - 7 October, 2016    By - Dr Clemens
Dosing of Succinylcholine and Etomidate in Emergency Department Rapid Sequence Intubation

Daniel J. Pallin, MD, MPH Reviewing Bhat R et al., Am J Emerg Med 2016 Sep 28; A single-center chart review shows that obese patients are at high risk for underdosing. Current recommendations are that succinylcholine and etomidate be dosed according to total body weight (1–1.5 mg/kg and 0.2–0.4 mg/kg, respectively). Investigators reviewed records from a single emergency […]

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Uncategorized Published - 7 October, 2016    By - Dr Clemens
ASA Survey Results for Commercial Fees Paid for Anesthesia Services – 2016

Stanley W. Stead, M.D., M.B.A; Sharon K. Merrick, M.S., CCS-P ASA Monitor 10 2016, Vol.80, 58-65. ASA is pleased to present the annual commercial conversion factor survey for 2016. Each summer we anonymously survey anesthesiology practices across the country. We ask them to report up to five of their largest managed care (commercial) contract conversion factors (CF) and […]

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Uncategorized Published - 7 October, 2016    By - Dr Clemens
Hospice and Palliative Medicine as a Specialty Option for Anesthesiologists

Sarah Gebauer, M.D. ASA Monitor 10 2016, Vol.80, 8-9. Anesthesiologists are uniquely positioned to provide specialist care in pain and symptom management as well as a nuanced perspective of the likely course for critically ill patients. Additionally, the ability to coordinate and balance the often disparate priorities of multiple coworkers, which so routinely occurs in the O.R., […]

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Uncategorized Published - 7 October, 2016    By - Dr Clemens
Faster Chest Compressions May Improve Outcomes

Kilgannon JH et al., Resuscitation 2016 Sep 22; Compression rates of 120–140 per minute increased odds of return of spontaneous circulation relative to the guideline-recommended rate of 100–120. For patients with cardiac arrest, quality cardiopulmonary resuscitation (CPR) should be the first priority for providers. In 2015, American Heart Association/European guidelines changed the recommendation for chest compression rate […]

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