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Uncategorized Published - 10 November, 2015    By - Dr Clemens
Preoperative Surgical Risk Predictions Are Not Meaningfully Improved by Including the Surgical Apgar Score: An Analysis of the Risk Quantification Index and Present-On-Admission Risk Models

Authors: Maxim A. Terekhov et al Anesthesiology 11 2015, Vol.123, 1059-1066. doi:10.1097/ALN.0000000000000858 Background: Estimating surgical risk is critical for perioperative decision making and risk stratification. Current risk-adjustment measures do not integrate dynamic clinical parameters along with baseline patient characteristics, which may allow a more accurate prediction of surgical risk. The goal of this study was to determine […]

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Uncategorized Published - 10 November, 2015    By - Dr Clemens
American Heart Association Updates CPR Guidelines

The American Heart Association has updated its comprehensive guidelines on cardiopulmonary resuscitation and emergency cardiovascular care. The update appears in Circulation. Among the more salient points for healthcare providers: The recommended chest compression depth is 2 to 2.4 inches at a rate of 100 to 120 per minute. To reduce the time to first compression, providers […]

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Uncategorized Published - 10 November, 2015    By - Dr Clemens
Patient Class Analysis Puts New View on Risk Stratification

Latent class analysis and ASA physical status yield differing results Although perioperative risk stratification is often used to identify so-called independent risk factors, previous research has found that few are truly independent, and various combinations of comorbidities may have differential effects on mortality risk. Researchers turned to “latent class analysis,” a model-based clustering technique, and […]

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Uncategorized Published - 9 November, 2015    By - Dr Clemens
Opioid Switch to Buccal Buprenorphine May Limit Withdrawal

Patients taking morphine or oxycodone for pain can be safely switched to buprenorphine buccal film without the need for tapering and without causing significant withdrawal or undertreatment of their pain, a new randomized trial suggests. Buprenorphine HCl buccal film is a new transmucosal form of buprenorphine delivered using a small patch placed on the mucosa […]

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Uncategorized Published - 9 November, 2015    By - Dr Clemens
FDA Panel Recommends Approval of ER Abuse-Deterrent Oxycodone

A US Food and Drug Administration (FDA) advisory committee has recommended approval of a new extended-release, abuse-deterrent oxycodone that may be an advance over similar products. The members of the Anesthetic and Analgesic Drug Products Advisory Committee and the Drug Safety and Risk Management Advisory Committee voted 23 to 0 to support approval of Collegium […]

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