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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Major Upper Abdominal Surgery Alters the Calibration of Bioreactance Cardiac Output Readings, the NICOM, When Comparisons Are Made Against Suprasternal and Esophageal Doppler Intraoperatively.

Anesthesia & Analgesia: July 2015 Authors: Huang, Li MB BS, PhD et al BACKGROUND: Minimally invasive continuous cardiac output measurements are recommended for use during anesthesia to guide fluid therapy, but such measurements must trend changes reliably. The NICOM Cheetah, a BioReactance monitor, is being recommended for intraoperative use. To validate its use, Doppler methods, […]

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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Extravascular Lung Water and Pulmonary Vascular Permeability Index Measured at the End of Surgery Are Independent Predictors of Prolonged Mechanical Ventilation in Patients Undergoing Liver Transplantation

Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 736–745 Authors: Garutti, Ignacio PhD, MD et al BACKGROUND: Pulmonary edema (PE) after orthotopic liver transplantation (OLT) may compromise the postoperative course and prolong the duration of mechanical ventilation (MV) and intensive care unit length of stay. Hemodynamic monitoring with transpulmonary thermodilution […]

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Uncategorized Published - 17 September, 2015    By - Dr Clemens
Repeat MRI scans due to patient motion mean lost revenue

Having to retake MRI scans due to patient motion can easily cost a hospital upward of $100,000 in lost annual revenue, according to a study published in the July issue of the Journal of the American College of Radiology. Analyzing a random week of MRI activity, researchers from the University of Washington in Seattle found that […]

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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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