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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Spontaneous “Heparin-Induced” Thrombocytopenia

Authors: Warkentin TE et al., Blood 2014 Jun 5; 123:3651 New evidence supports the existence of a clinical syndrome closely resembling heparin-induced thrombocytopenia, but not provoked by heparin. The term “heparin-induced” is in quotes because the variety of heparin-induced thrombocytopenia (HIT) in the current study occurred in two patients not exposed to heparin. These patients […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
2015 Medicare Payment Proposed Rules Released Pain Code Cuts Reversed

I received this info from the ASA today so I wanted to share with our followers. On Thursday, July 3, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2015 Medicare physician fee schedule proposed rule.  This proposed rule outlines proposed changes to policies and payment rates for services rendered on […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Chest ultrasonography in emergency Cesarean delivery in multi-valvular heart disease with pulmonary edema during spinal anesthesia

Published in J Clin Anesth. 2014 May;26(3):235-7 Authors: Samanta S et al Abstract Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema. Low-dose spinal […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Effective low dosage of mepivacaine in ultrasound-guided axillary nerve block: a double-blinded, randomized clinical trial of efficacy in patients undergoing distal upper extremity surgery

Published in J Clin Anesth. 2014 May;26(3):222-6 Authors: Perov S et al STUDY OBJECTIVE: To evaluate two low-dose volumes (20 mL or 30 mL) of 1.5% mepivacaine solution used for ultrasound-guided axillary blockade for outpatients undergoing distal upper limb surgery. DESIGN: Prospective, double-blinded randomized study. SETTING: Outpatient surgical setting of a university-affiliated hospital. PATIENTS: 64 […]

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Uncategorized Published - 10 July, 2014    By - Dr. Clemens
Time to administration of epinephrine and outcome after in-hospital cardiac arrest with non-shockable rhythms: retrospective analysis of large in-hospital data registry

Published in BMJ. 2014 May 20;348:g3028 Authors: Donnino MW et OBJECTIVE: To determine if earlier administration of epinephrine (adrenaline) in patients with non-shockable cardiac arrest rhythms is associated with increased return of spontaneous circulation, survival, and neurologically intact survival. DESIGN: Post hoc analysis of prospectively collected data in a large multicenter registry of in-hospital cardiac […]

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