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Uncategorized Published - 13 August, 2018    By - Dr Clemens
The Whiteboard Technique: Personalized Communication to Improve Operating Room Teamwork

Authors: Sharma, Ketan, MD, MPH et al Annals of Surgery: August 2018 – Volume 268 – Issue 2 – p 225–227 The operating room (OR) constitutes a complex setting where surgical, anesthesia, and nursing staff must collaborate to ensure a safe and successful patient outcome, often in a time-constrained and high-stress environment. These challenges are complicated […]

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Uncategorized Published - 13 August, 2018    By - Dr Clemens
Study finds troubling connection between wisdom teeth removal and possible opioid use

I thought this was interesting so I wanted to share with our readers. BY JOSH MAGNESS Millions of people each year go through the dreaded experience of getting their wisdom teeth pulled out. A new study from researchers at the University of Michigan suggests that for some people, the experience could set them up for […]

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Uncategorized Published - 10 August, 2018    By - Dr Clemens
The Surviving Sepsis Campaign: A Rush to Judgment

Daniel J. Pallin, MD, MPH and Rory Spiegel, MD A new 1-hour sepsis care bundle was ill conceived and may have unintended negative consequences. In April 2018, the Surviving Sepsis Campaign (SSC) — an initiative sponsored by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine — issued guidelines that promote adherence […]

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Uncategorized Published - 10 August, 2018    By - Dr Clemens
Phrenic Nerve Infiltration vs SNB for Acute Ipsilateral Shoulder Pain

According to a recent study published in the Journal of the Egyptian National Cancer Institute, phrenic nerve infiltration is significantly more effective than suprascapular nerve block in preventing acute ipsilateral shoulder pain that can occur after thoracic surgery. One common theory is that acute ipsilateral shoulder pain, which affects 21% to 97% of patients who undergo […]

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Uncategorized Published - 10 August, 2018    By - Dr Clemens
Scans increasingly catch ‘incidentalomas’ that are rarely problematic

SOURCE: The BMJ, online June 18, 2018. Advanced imaging tests for many common health problems may catch something else entirely: abnormalities, known as “incidentalomas,” that can create anxiety about tumors but more often than not, don’t turn out to be cancer, a research review suggests. Incidentalomas are accidental discoveries unrelated to the diagnosis or symptoms that […]

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Uncategorized Published - 10 August, 2018    By - Dr Clemens
Caffeine Accelerates Emergence from Isoflurane Anesthesia in Humans: A Randomized, Double-blind, Crossover Study

Authors: Robert Fong, M.D., Ph.D. et al   Anesthesiology published on July 23, 2018. What We Already Know about This Topic: Caffeine may speed anesthetic emergence What This Article Tells Us That Is New: The authors tested the hypothesis that caffeine speeds anesthetic emergence Volunteers anesthetized with isoflurane were given caffeine (equivalent to 7.5 mg base) […]

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Uncategorized Published - 10 August, 2018    By - Dr Clemens
“Dismal Treatment Rates” Seen After Hip Fracture

Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH Patients hospitalized for hip fracture rarely receive osteoporosis medications afterward, according to a JAMA Network Open study. Using 2004–2015 files from a U.S. health claims database, researchers identified nearly 100,000 adults aged 50 and older who were hospitalized for hip fracture and were not taking osteoporosis medications at the […]

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Uncategorized Published - 9 August, 2018    By - Dr Clemens
Intraneural Ultrasound-guided Sciatic Nerve Block: Minimum Effective Volume and Electrophysiologic Effects

Authors: Gianluca Cappelleri, M.D. et al Anesthesiology 8 2018, Vol.129, 241-248. What We Already Know about This Topic: Reducing the volume of local anesthetic administered for neural blockade may increase safety Local anesthetic administration can result in nerve damage What This Article Tells Us That Is New: The low volume intraneural injection of ropivacaine 1% provided […]

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Uncategorized Published - 9 August, 2018    By - Dr Clemens
Fewer older black patients survive long-term after cardiac arrest in the hospital

Circulation, online July 9, 2018. After a cardiac arrest in the hospital, older black patients don’t survive as long as older white patients, new data show. “The magnitude and persistence of the difference in long-term survival is sobering,” Dr. Lena M. Chen from University of Michigan, Ann Arbor, told Reuters Health in an email interview. […]

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Uncategorized Published - 9 August, 2018    By - Dr Clemens
Assessing the Value of Brain MRI in Migraine With Normal Neurologic Exam

Routine brain magnetic resonance imaging (MRI) is not necessary for those with migraine who have normal neurologic function unless there is a clear clinical indication that there are underlying structural abnormalities, according to an observational study published in the American Journal of Medicine. Investigators evaluated clinical data from 100 patients with diagnosed migraine and normal neurologic […]

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