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Uncategorized Published - 2 May, 2016    By - Dr Clemens
The Effect of Dexmedetomidine on Postoperative Opioid Consumption and Pain After Major Spine Surgery

Anesthesia & Analgesia: May 2016 – Volume 122 – Issue 5 – p 1646–1653 AUTHORS: Naik, Bhiken I. MBBCh et al BACKGROUND: Adult deformity correction spine surgery can be associated with significant perioperative pain because of inflammatory, muscular, neuropathic, and postsurgical pain. α-2 Agonists have intrinsic antinociceptive and antihyperalgesic properties that can potentially reduce both […]

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Uncategorized Published - 29 April, 2016    By - Dr Clemens
CMS Releases Long-Awaited Proposal for New Physician Payment System

On Wednesday the Centers for Medicare and Medicaid Services (CMS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule. The document, 962 pages long, includes CMS proposals on how the law creating a new Medicare physician payment system will be implemented beginning in 2017. MACRA, passed by Congress in April 2015, ends […]

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Uncategorized Published - 29 April, 2016    By - Dr Clemens
No Beneficial Effect of Perioperative Rosuvastatin in Patients Undergoing Cardiac Surgery

Authors: Zheng Z et al., N Engl J Med 2016 May 5; 374:1744 This approach did not decrease the incidence of postoperative atrial fibrillation or perioperative myocardial damage. Cardiac surgery has shown many recent advances, but postoperative complications in patients undergoing bypass surgery remain a challenge. Investigators in China evaluated the effectiveness of perioperative rosuvastatin (20 mg/day) […]

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Uncategorized Published - 29 April, 2016    By - Dr Clemens
Effect of Mechanical Ventilation Mode Type on Intra- and Postoperative Blood Loss in Patients Undergoing Posterior Lumbar Interbody Fusion Surgery: A Randomized Controlled Trial

Authors: Woon-Seok Kang, MD et al Anesthesiology published on 4 2016 Background: The aim of study was to evaluate the effect of mechanical ventilation mode type, pressure-controlled ventilation (PCV), or volume-controlled ventilation (VCV) on intra- and postoperative surgical bleeding in patients undergoing posterior lumbar interbody fusion (PLIF) surgery. Methods: This was a prospective, randomized, single-blinded, and parallel study […]

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Uncategorized Published - 29 April, 2016    By - Dr Clemens
Relationship between Annualized Case Volume and Mortality in Sepsis: A Dose–Response Meta-analysis

Authors: Wan-Jie Gu, M.D. et al Anesthesiology published on 4 2016 Background: The relationship between annualized case volume and mortality in patients with sepsis is not fully understood. The authors performed a dose–response meta-analysis to assess the effect of annualized case volume on mortality among patients with sepsis in the intensive care unit, emergency department, or hospital, […]

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