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Uncategorized Published - 9 March, 2015    By - Dr Clemens
A New Look at Why Surgical Rates Vary

Several years ago, a California study showed that a half-dozen elective surgeries were being performed far more often in Humboldt County than they were in the rest of the state. The procedures included hip and knee replacements, hysterectomies and carotid endarterectomies, a surgery to remove plaque buildup in the carotid arteries. Geographical variation in the […]

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Uncategorized Published - 9 March, 2015    By - Dr Clemens
NSAIDs Are a Major Cause of Anaphylaxis-Related Emergency Department Visits

This is for our chronic pain providers who might order NSAIDS. Published in J Allergy Clin Immunol Pract 2014 Jul/Aug 2:414 Authors: Aun MV et al. Epinephrine is first-line treatment for drug-induced anaphylaxis, but it is underutilized. Anaphylaxis is a life-threatening hypersensitivity reaction that can be allergic or nonallergic. Allergic causes of drug-induced anaphylaxis generally […]

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Uncategorized Published - 6 March, 2015    By - Dr Clemens
Deeper Compressions During CPR Lead to Improved Survival

Authors: Stiell IG et al., Circulation 2014 Sep 24; A large prehospital study found that survival was highest when chest compression depths were between 4.0 and 5.5 cm. In 2010, the American Heart Association (AHA) suggested an increase in the target depth of chest compressions to at least 5 cm. However, there have been no large clinical […]

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Uncategorized Published - 6 March, 2015    By - Dr Clemens
Pharmacokinetics of ε-Aminocaproic Acid in Neonates Undergoing Cardiac Surgery with Cardiopulmonary Bypass

Published in Anesthesiology on 02 2015. Authors: Michael P. Eaton, M.D. et al Background: Antifibrinolytic medications such as ε-aminocaproic acid (EACA) are used in pediatric heart surgery to decrease surgical bleeding and transfusion. Dosing schemes for neonates are often based on adult regimens, or are simply empiric, in part due to the lack of neonatal pharmacokinetic information. […]

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Uncategorized Published - 6 March, 2015    By - Dr Clemens
Prediction of Movement to Surgical Stimulation by the Pupillary Dilatation Reflex Amplitude Evoked by a Standardized Noxious Test

Published in Anesthesiology on 03 2015 Authors: Jean Guglielminotti, M.D., Ph.D. Background: Individual assessment of the amplitude of a physiologic reflex evoked by a standardized noxious test (SNT) before surgical stimulation has been suggested to predict movement upon the forthcoming surgical stimulation. This study aimed to compare the ability of pupillary dilatation reflex amplitude (PDRA) evoked by […]

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