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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Limited Role for Continuous Analgesic Pumps in Lap Sleeve Gastrectomy

In patients undergoing laparoscopic sleeve gastrectomy, a continuous infusion of local anesthetic via an anterior abdominal wall catheter does not improve pain control and does not reduce the use of narcotics or antiemetics, or decrease the hospital length of stay (LOS). “Our study does not support the increased cost of using the continuous infusion [analgesic] […]

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Uncategorized Published - 16 September, 2015    By - Dr Clemens
In Survey, Anesthesiologists Support Perioperative Surgical Home Model

There is strong agreement among respondents to a nationwide survey that anesthesiologists’ coordination of health care following the perioperative surgical home (PSH) model will help reduce health care costs by improving efficiencies and outcomes. A recent study found that American physicians are enthusiastic about strategies that focus on quality of health care and continuity of […]

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Uncategorized Published - 16 September, 2015    By - Dr Clemens
Balancing Model Performance and Simplicity to Predict Postoperative Primary Care Blood Pressure Elevation

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 632–641 Authors: Schonberger, Robert B. MD, MA et al BACKGROUND: Because of uncertainty regarding the reliability of perioperative blood pressures and traditional notions downplaying the role of anesthesiologists in longitudinal patient care, there is no consensus for anesthesiologists to recommend postoperative primary […]

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Uncategorized Published - 16 September, 2015    By - Dr Clemens
A New Approach to Pathogen Containment in the Operating Room: Sheathing the Laryngoscope After Intubation

Anesthesia & Analgesia: July 2015 Authors: Birnbach, David J. MD, MPH et al BACKGROUND: Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work […]

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Uncategorized Published - 16 September, 2015    By - Dr Clemens
Can the Modified LEMON Score Predict Difficult Intubation?

Authors: Hagiwara Y et al., Am J Emerg Med 2015 Jun 19; A Japanese registry study suggests the score has fair sensitivity and specificity. The LEMON score is a mnemonic for predicting difficult intubation. It stands for Look, Evaluate the 3-3-2 rule, Mallampati score, Obstruction, and Neck mobility (NEJM JW Emerg Med Mar 2005 and Emerg Med J 2005; 22:99). […]

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