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Uncategorized Published - 6 May, 2016    By - Dr Clemens
The Anesthesia Clinical Director: A Critical Leadership Role

Given the shifting economics of health care, it’s more important than ever for physicians to prove their value to their institutions and to become leaders in their local hospital communities while helping redesign their specialty for the future. As Salvatore Vitale, MD, director of cardiac and thoracic anesthesia at Mount Sinai Beth Israel, in New […]

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Uncategorized Published - 6 May, 2016    By - Dr Clemens
Both Intracapsular and Extracapsular Hip Fractures Likely to Benefit from Femoral Nerve Blocks

Authors: Dickman E et al. Am J Emerg Med 2016 Mar. Pain relief at 2 and 3 hours was similar whether the fracture was intracapsular or extracapsular. Ultrasound-guided femoral nerve block is increasingly used for analgesia in emergency department patients with hip fracture. Given the anatomy of innervation, a logical question is whether intracapsular fractures might be […]

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Uncategorized Published - 6 May, 2016    By - Dr Clemens
Caudal Traction of the Arm Improves Supraclavicular Ultrasound Visualization of the Subclavian Vein

Authors: Kim E-H et al. Am J Emerg Med 2016 Feb 11. The length of puncturable subclavian vein and the available angle for needle insertion were significantly greater with caudal traction compared with a neutral position of the arm. There is some evidence that a supraclavicular approach to subclavian vein cannulation with ultrasound guidance may be safer […]

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Uncategorized Published - 6 May, 2016    By - Dr Clemens
Pediatric Intubations in Japan: Lower First-Pass Success Rate Than in the U.S.

Authors: Goto T et al. West J Emerg Med 2016 Mar. First-attempt intubation success rate was 60%, but only a quarter of patients received rapid sequence intubation and nearly all were intubated with direct laryngoscopy. To determine predictors of first-pass intubation success in children, researchers analyzed data from the Japanese Emergency Airway Network for 293 pediatric intubations […]

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Uncategorized Published - 6 May, 2016    By - Dr Clemens
Herbal Medicine for Low Back Pain: A Cochrane Review

Authors: Joel J. Gagnier, ND, MSc, PhD et Spine. 2016;41(2):116-133. Study Design. Systematic review of randomized controlled trials (RCTs). Objectives. To determine the effectiveness of herbal medicine for nonspecific low back pain (LBP). Summary of Background Data. Many people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported […]

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