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Uncategorized Published - 4 February, 2015    By - Dr Clemens
Bleeding and the New Anticoagulants: Strategies and Concerns

Publshed in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 236-237. doi:10.1097/ALN.0000000000000541 Authors: Charles Marc Samama, M.D., Ph.D., F.C.C.P.; Jerrold H. Levy, M.D., F.A.H.A., F.C.C.M. THE non–vitamin K antagonist K oral anticoagulants (NOACs) represent a major step forward as compared with low-molecular-weight heparins and vitamin K antagonists. Four active molecules are now available on the […]

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Uncategorized Published - 4 February, 2015    By - Dr Clemens
Sodium Bicarbonate for Kidney Protection in Cardiac Surgery: Demise of Yet Another Magic Bullet?

Published in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 233-235. doi:10.1097/ALN.0000000000000548 Authors: Duminda N. Wijeysundera, M.D., Ph.D.; Chirag R. Parikh, M.D., Ph.D. ACUTE kidney injury following cardiac surgery is associated with significant morbidity and mortality.  This important postoperative complication, termed cardiac surgery–associated acute kidney injury (CS-AKI), is multifactorial in etiology, with postulated causes including […]

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Uncategorized Published - 4 February, 2015    By - Dr Clemens
Perioperative Temperature Management: Time for a New Standard of Care?

Author: Harriet W. Hopf, M.D. Published in The Journal of the American Society of Anesthesiologists 2 2015, Vol.122, 229-230. doi:10.1097/ALN.0000000000000552 When I started anesthesia residency in 1988, patients undergoing major surgery routinely arrived in the postanesthesia care unit (PACU) with a core temperature of 34.5° to 35°C. We did not fully understand how anesthesia causes hypothermia; […]

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Uncategorized Published - 3 February, 2015    By - Dr Clemens
Postoperative Complications After Carotid Endarterectomy

Authors: Bennett KM et al., J Vasc Surg 2015 Jan 61:103 The 30-day rate of stroke or death was 3% in a large U.S. cohort. Perioperative complications — especially stroke or death — are key considerations when patients consider carotid endarterectomy. In this study, researchers used a national surgical database to determine rates and predictors of postoperative […]

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Uncategorized Published - 3 February, 2015    By - Dr Clemens
Anthem, insurers on board for value-based payments

This in the future will effect the way we get reimbursed. As new payment methods gain traction, the nation’s second-largest insurer is taking leaps and bounds to transition away from the traditional fee-for-service model toward value-based payments, reported Forbes. Anthem wants to focus on enhancing payments for performance and shared-risk arrangements, CEO Joe Swedish said […]

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