Uncategorized

Uncategorized Published - 18 July, 2018    By - Dr Clemens
Big Data as Big Opportunity: Medical Industry Would Benefit

With 2.5 quintillion bytes of data created every day, the business of mining, storing and analyzing increasingly large and varied data sets is booming and yielding impressive results, but there are pitfalls. According to Julian M. Goldman, MD, an anesthesiologist at Massachusetts General Hospital and Harvard Medical School, and medical director of Partners HealthCare Systems […]

Read More
Uncategorized Published - 18 July, 2018    By - Dr Clemens
Procalcitonin-Guided Antimicrobial Therapy in Critical Care

 Authors: Lam SW et al.  Crit Care Med 2018 Jan 2. Procalcitonin guidance for antibiotic cessation improves short-term mortality in ICU patients. Previous meta-analyses showed that procalcitonin-guided antimicrobial management, compared with standard care, resulted in less overall antibiotic exposure in intensive care unit (ICU) patients; however, differences in mortality or length of stay were not detected (NEJM […]

Read More
Uncategorized Published - 18 July, 2018    By - Dr Clemens
Apneic Oxygenation Improves Emergency Intubation

Apneic oxygenation through a nasal cannula can help intubation in the ER, particularly by preventing low oxygen saturation (SO2) during intubation, according to a meta-analysis. The eight-study meta-analysis, totaling 1,837 patients, also found that the technique increases the first-pass success rate of intubation. “Apneic oxygenation is one of the few beneficial interventions that is inexpensive […]

Read More
Uncategorized Published - 18 July, 2018    By - Dr Clemens
Burned-Out Doctors Make Twice as Many Errors. The Business World Could Offer a Solution

Burnout is painful and disheartening in any workplace; in a hospital, it can be a killer. About 1 in 10 doctors reported that they had made a major medical error in the prior three months in a national survey of over 6,000 American doctors just published in Mayo Clinic Proceedings. Just over half of the doctors surveyed reported […]

Read More
Uncategorized Published - 17 July, 2018    By - Dr Clemens
Unique blood transfusion saves people airlifted after traumatic events

Program seeks male donors with Type O-positive blood By Deven Clarke – News Reporter   A unique type of blood transfusion is saving lives of people involved in traumatic accidents in South Texas. A program through the South Texas Blood and Tissue Center called Brothers in Arms is equipping air medical crews with blood to be used for transfusions […]

Read More
Uncategorized Published - 17 July, 2018    By - Dr Clemens
Excerpt From ‘Counting Backwards,’ on Medical Errors

Henry Jay Przybylo, MD, a pediatric anesthesiologist and associate professor of anesthesiology at Northwestern University Feinberg School of Medicine, in Chicago, recently published “Counting Backwards: A Doctor’s Notes on Anesthesia,” which is available through W. W. Norton & Company. Dr. Przybylo’s more than three decades of professional experience provides ample material for this look at […]

Read More
Uncategorized Published - 17 July, 2018    By - Dr Clemens
Combined Colloid Preload and Crystalloid Coload Versus Crystalloid Coload During Spinal Anesthesia for Cesarean Delivery: A Randomized Controlled Trial

AUTHORS: Tawfik, Mohamed Mohamed, MD et al Anesthesia & Analgesia: February 14, 2018 – BACKGROUND: The optimal strategy of fluid administration during spinal anesthesia for cesarean delivery is still unclear. Ultrasonography of the inferior vena cava (IVC) has been recently used to assess the volume status and predict fluid responsiveness. In this double-blind, randomized controlled study, we […]

Read More
Uncategorized Published - 17 July, 2018    By - Dr Clemens
Digital Quality Improvement: Leveraging Active Technology for Best Perioperative Outcomes

A transition is underway from technology that passively monitors patients to those that actively trigger interventions and even follow patients after discharge. According to Maxime Cannesson, MD, PhD, professor of anesthesiology at the University of California, Los Angeles (UCLA), the days when medical devices simply provided measurements for clinicians are over as physicians collaborate with […]

Read More
Uncategorized Published - 17 July, 2018    By - Dr Clemens
New study: Seeing the same doctor for years means lower death rates

By BRANDON A. WEBER A doctor holds a patient’s hand during surgery at the University of Miami Miller school of Medicine hospital-Haiti as they help the people injured during the massive earthquake on January 26, 2010 in Port-au-Prince, Haiti. In a meta-analysis of 22 studies, researchers at the University of Exeter, UK found what many of us […]

Read More
Uncategorized Published - 16 July, 2018    By - Dr Clemens
Wide spectrum of patients see better outcomes at academic medical centers, study finds

I thought this was interesting so I wanted to share it. By: Les Masterson Published on June 11, 2018 Medicare patients who received treatment at an academic medical center (AMC) had lower 30-day mortality rates compared to those at nonteaching hospitals, according to a recent Health Affairs study. This was the case not just for the […]

Read More