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Uncategorized Published - 10 February, 2015    By - Dr Clemens
Joan Rivers’s Daughter Files Malpractice Suit Against Manhattan Clinic

I wanted to share this with our readers since we provide anesthesia for patients. The anesthesiologist was getting nervous. Joan Rivers, the comic known for her sassy wit and raspy voice, had been complaining of more than the usual hoarseness. Now Ms. Rivers was on the operating table at an Upper East Side clinic and […]

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Uncategorized Published - 10 February, 2015    By - Dr Clemens
Noninvasive Ventilation Often Is Paramount for Severe COPD Exacerbations

Published in JAMA Intern Med 2014 Dec 1; 174:1982 Authors: Lindenauer PK et al. Compared with invasive ventilation for chronic obstructive pulmonary disease exacerbations, noninvasive positive pressure ventilation was associated with lower in-hospital mortality, length of stay, and cost. Based on meta-analysis of randomized, controlled trials, noninvasive positive pressure ventilation (NPPV) is the only intervention […]

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Uncategorized Published - 10 February, 2015    By - Dr Clemens
Feds speed plans for value-based payments

Half of provider payments in five years will be tied to quality of care The U.S. Department of Health and Human Services (HHS) on Monday said it would fundamentally reform how it pays providers for treating Medicare patients in the coming years. The intent, according to HHS officials, is to cut down on the volume […]

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Uncategorized Published - 10 February, 2015    By - Dr Clemens
When Docs Sue Their Own Hospital

This is another article I thought was interesting so I wanted to share it with our readers. At issue: who has authority to hire, fire, and discipline staff physicians. The Minnesota Supreme Court has ruled that a medical staff has standing to sue its hospital board and that the medical staff bylaws constitute “an enforceable […]

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Uncategorized Published - 9 February, 2015    By - Dr Clemens
Use Ultrasound When Placing a Radial Artery Line

Published in Am J Emerg Med 2015 Jan 33:50 Authors: Gao Y-B et al. In a meta-analysis, ultrasound guidance led to more successfully placed radial artery lines than palpation alone. Radial artery catheters are frequently placed in the emergency department (ED) and intensive care unit (ICU) for hemodynamic monitoring and arterial blood gas analysis. A […]

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