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Uncategorized Published - 21 July, 2023    By - Dr Clemens
Individualized Positive End-expiratory Pressure on Postoperative Atelectasis in Patients with Obesity

Authors: Xiang Li, M.D. et al  Anesthesiology July 2023. Background Individualized positive end-expiratory pressure (PEEP) guided by dynamic compliance improves oxygenation and reduces postoperative atelectasis in nonobese patients. We hypothesized that dynamic compliance–guided PEEP could also reduce postoperative atelectasis in patients undergoing bariatric surgery. Methods Patients scheduled to undergo laparoscopic bariatric surgery were eligible. Dynamic […]

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Uncategorized Published - 21 July, 2023    By - Dr Clemens
Methadone Clinics and Long-Term Efficacy for Opioid Use Disorder

AUTHORS: Daguio K et al Pract Pain Manage. 2023 July August 23(4). Introduction Methadone is a mu opioid agonist that binds to receptors located in the central nervous system (CNS) and cardiovascular tissue. Classified as a synthetic opioid, methadone is known to reduce symptoms of narcotic withdrawal and decrease the euphoric effects of other narcotics, […]

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Uncategorized Published - 20 July, 2023    By - Dr Clemens
Association Between “Balance Billing” Legislation and Anesthesia Payments in California

Authors: Anjali Dixit, MD/MPH et al  Anesthesiology July 2023. Background Insured patients who receive out-of-network care may receive a “balance bill” for the difference between the practitioner’s charge and their insurer’s contracted rate. In 2017, California banned balance billing for anesthesia care. We examined the association between California’s law and subsequent payments for anesthesia care. […]

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Uncategorized Published - 20 July, 2023    By - Dr Clemens
Perioperative Iron Deficiency in Patients Scheduled for Major Elective Surgeries

AUTHORS: Capdevila, Xavier MD, PhD et al Anesthesia & Analgesia 137(2):p 322-331, August 2023. BACKGROUND:  The management of perioperative iron deficiency is a component of the concept of patient blood management. The objective of this study was to update French data on the prevalence of iron deficiency in patients scheduled for major surgery. METHODS: The CARENFER […]

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Uncategorized Published - 20 July, 2023    By - Dr Clemens
Best Practice Alerts Informed by Inpatient Opioid Intake to Reduce Opioid Prescribing after Surgery (PRIOR)

Authors: Megan L. Rolfzen, M.D. et al  Anesthesiology August 2023, Vol. 139, 186–196. Background Overprescription of opioids after surgery remains common. Residual and unnecessarily prescribed opioids can provide a reservoir for nonmedical use. This study therefore tested the hypothesis that a decision-support tool embedded in electronic health records guides clinicians to prescribe fewer opioids at discharge […]

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