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Uncategorized Published - 26 August, 2014    By - Dr. Clemens
Video vs. Direct Laryngoscopy in Patients with Cervical Spine Immobilization

Authors: Ilyas S et al., Anaesthesia 2014 Aug 2; Better laryngoscopic views with video laryngoscopy do not equal intubation success. Intubating a trauma patient with cervical spine immobilization can be difficult. Prior studies in this population have shown that video laryngoscopy improves laryngoscopic view and reduces intubation difficulty (NEJM JW Emerg Med Mar 14 2008). […]

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Uncategorized Published - 25 August, 2014    By - Dr. Clemens
Continuous Capnography During Propofol Deep Sedation

Authors: van Loon K et al., Anesth Analg 2014 Jul 119:49 Hypoxic events occurred in similar numbers of patients with and without CO2 monitoring. Undetected hypoventilation is associated with complications in propofol sedation. To evaluate whether capnography reduces episodes of hypoxia during propofol sedation, researchers in the Netherlands randomized 427 healthy women undergoing deep sedation […]

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Uncategorized Published - 25 August, 2014    By - Dr. Clemens
Is Oral Contrast Necessary with Computed Tomographic Scanning for Suspected Appendicitis?

Authors: Drake FT et al. Ann Surg 2014 Aug. In an observational study, oral contrast did not improve accuracy in patients who received intravenous contrast. In three single-center, randomized trials, oral contrast — given in addition to intravenous (IV) contrast — did not improve the diagnostic accuracy of computed tomographic (CT) scanning for suspected appendicitis. […]

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Uncategorized Published - 25 August, 2014    By - Dr. Clemens
Physician-Led Prehospital Airway Management in Trauma

Authors:  Lockey D et al., Br J Anaesth 2014 Aug 15; 113:220 Intubation was successful in 99% of patients, and all surgical airways were successful in this large retrospective series. To assess airway management of trauma patients in a physician-led prehospital system in England, researchers conducted a retrospective database review of 7256 prehospital trauma intubations […]

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Uncategorized Published - 25 August, 2014    By - Dr. Clemens
A primer on the anesthesia care team model

Author: KRAIG S. DE LANZAC, MD A guest column by the American Society of Anesthesiologists Daily, and often several times a day, I am asked by patients about my role as a physician anesthesiologist.  Occasionally the answer involves reiterating to patients that an anesthesiologist is a physician.  Once we get into the discussion, patients are […]

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