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Uncategorized Published - 7 June, 2016    By - Dr Clemens
Analgesia in Intensive Care

Authors: M Narayanan MB BS MD FRCA FCARCSI EDIC EDRA et al BJA Education. 2016;16(2):72-78. Introduction Patients in intensive care experience distress because of a multitude of factors and a significant proportion is attributable to pain.[1] A vast majority of patients report moderate to severe pain at some point during their intensive care stay. Pain can be […]

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Uncategorized Published - 6 June, 2016    By - Dr Clemens
Fentanyl Patches Overused in Vulnerable Populations

Study finds fentanyl transdermal patches are too often prescribed to opioid-naïve and elderly patients, raising their risks of fatal adverse drug events. Interview with Caleb Alexander, MD Fentanyl patches are a highly potent options for cancer and non-cancer pain patients, but are contraindicated in opioid naïve patients. However, new research indicates that physicians may be […]

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Uncategorized Published - 6 June, 2016    By - Dr Clemens
Hemostatic Therapy Using Tranexamic Acid and Coagulation Factor Concentrates in a Model of Traumatic Liver Injury

Anesthesia & Analgesia: May 17, 2016 AUTHORS: Zentai, Christian MD et al BACKGROUND: The potential clinical benefits of targeted therapy with coagulation factor concentrates (e.g., fibrinogen) and antifibrinolytic agents (e.g., tranexamic acid [TXA]) for the treatment of trauma-induced coagulopathy are increasingly recognized. We hypothesized that human fibrinogen concentrate (FC) and prothrombin complex concentrate (PCC), administered […]

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Uncategorized Published - 6 June, 2016    By - Dr Clemens
Study: Outpatient Staff Neglect Hand Hygiene 37% of the Time

By now, one would think that all health care workers know the importance of washing their hands, yet a recent study found that staff at outpatient care facilities fail to follow recommendations for hand hygiene 37% of the time, and for safe injection practices 33% of the time, even after having policies in place about […]

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Uncategorized Published - 6 June, 2016    By - Dr Clemens
QZ Modifier Found Not Representative of CRNA-Only Care

In stark contrast to a 2010 investigation suggesting that nurse anesthetists frequently provide care unsupervised by physician anesthesiologists, researchers at the University of Texas Medical Branch and the American Society of Anesthesiology’s (ASA) Department of Health Policy have found that the Medicare billing code at the center of that trial—modifier QZ—does not seem to be […]

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