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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Tapered-cuff Endotracheal Tube Does Not Prevent Early Postoperative Pneumonia Compared with Spherical-cuff Endotracheal Tube after Major Vascular Surgery: A Randomized Controlled Trial

Authors: Antoine Monsel, M.D., M.Sc. et al Anesthesiology 5 2016, Vol.124, 1041-1052. Background: Patients undergoing major vascular surgery often develop postoperative pneumonia that impacts their outcomes. Conflicting data exist concerning the potential benefit of tapered-shaped cuffs on tracheal sealing. The primary objective of this study was to assess the efficiency of a polyvinyl chloride tapered-cuff endotracheal tube […]

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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Auscultation versus Point-of-care Ultrasound to Determine Endotracheal versus Bronchial Intubation: A Diagnostic Accuracy Study

Authors: Davinder Ramsingh, M.D. et al Anesthesiology 5 2016, Vol.124, 1012-1020 Background: Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with […]

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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Headache Specialists Have High Rates of Headache

A new survey shows that almost 70% of headache specialists report having episodic migraine (EM), much higher than the lifetime incidence of EM in the general population. Overall, only about 30% of respondents said they have no personal history of any of seven possible headache types. The survey also showed that many clinicians prefer treating […]

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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Crisis in Remote Areas Is Not a Remote Problem: In-situ Crisis Management Training for Procedures Outside the O.R

Authors: Jeff Simmons, M.D. et al ASA Monitor 05 2016, Vol.80, 16-18. Scenario: You have just performed the most altruistic act in the practice of anesthesia: giving a lunch break to someone in the GI lab. Of course, the ERCP is just getting started and the morbidly obese patient has just been positioned prone. He is […]

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Uncategorized Published - 9 May, 2016    By - Dr Clemens
Predicting Patient Safety: Myth, Math and Mystery

Authors: Robert S. Lagasse, M.D. et al ;  ASA Monitor 05 2016, Vol.80, 12-14. Get Permissions Obtaining informed consent to administer anesthesia is both an ethical and legal obligation for physician anesthesiologists.Standards vary slightly across states, but most ethicists and lawyers agree that sufficient information for informed decision-making requires knowledge by the patient of material risks. […]

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