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Uncategorized Published - 13 June, 2018    By - Dr Clemens
New Feeding and Warming Device Gains FDA Clearance

A new model of the EnsoETM, capable of enteral fluid administration while also managing body temperature through a patient’s core, was granted 510(K) clearance from the FDA, according to a release from Attune Medical. The new model will provide food, medication, and warming or cooling to a patient through the esophagus in conjunction with the […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Anesthetic Management and Procedural Outcomes of Patients Undergoing Off-Pump Transapical Implantation of Artificial Chordae to Correct Mitral Regurgitation: Case Series of 76 Patients

AUTHORS: Samalavicius, Robertas, Stasys, MD, PhD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 776–784 BACKGROUND: Transapical implantation of artificial chordae using the NeoChord system (NeoChord Inc, Minneapolis, MN) is an emerging beating-heart technique for correction of mitral regurgitation (MR) through a minimally invasive left minithoracotomy. The purpose of the […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Clinical Utility of Intraoperative Motor-Evoked Potential Monitoring to Prevent Postoperative Spinal Cord Injury in Thoracic and Thoracoabdominal Aneurysm Repair: An Audit of the Japanese Association of Spinal Cord Protection in Aortic Surgery Database

AUTHORS: Yoshitani, Kenji, MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 763–768 BACKGROUND: Spinal cord ischemic injury is the most devastating sequela of descending and thoracoabdominal aortic surgery. Motor-evoked potentials (MEPs) have been used to intraoperatively assess motor tract function, but it remains unclear whether MEP monitoring can decrease […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Rehab Expert: Pain Patients Denied Needed Opioids in Palliative Care

David, a 38-year-old father of four and five-year survivor of fungal meningitis, experiences the long-term effects of contaminated epidural injections that have left him with headaches, visual disturbances, tinnitus, adhesive arachnoiditis and fibromyalgia. His story exemplifies the gap between state and federal health care laws and treatment protocols for those with chronic pain requiring high-dose […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Digital Ambulance Chasers? Law Firms Send Ads To Patients’ Phones Inside ERs

What is happening to our country?  I can’t believe this. Author: BOBBY ALLYN Patients sitting in emergency rooms, at chiropractors’ offices and at pain clinics in the Philadelphia area may start noticing on their phones the kind of messages typically seen along highway billboards and public transit: personal injury law firms looking for business by casting […]

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Uncategorized Published - 12 June, 2018    By - Dr Clemens
Postop delirium management proposed as hospital performance measure

Author: Alicia Gallegos FROM ANNALS OF SURGERY Publish date: May 25, 2018 A study suggests that delirium in older adults is a postoperative variable that should be included in surgical quality registries, outcome measures, and assessment of hospital performance. Lead author Julia R. Berian, MD, of the University of Chicago Medical Center and her colleagues wrote, “Postoperative delirium has been associated […]

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Uncategorized Published - 11 June, 2018    By - Dr Clemens
A Simulation Study to Evaluate Improvements in Anesthesia Work Environment Contamination After Implementation of an Infection Prevention Bundle

AUTHORS: Porteous, Grete, H., MD et al Anesthesia & Analgesia: December 26, 2017  BACKGROUND: Microbiological contamination of the anesthesia work environment (AWE) is a potential source of health care–associated infections. Medication syringes, stopcocks, and many other areas are routinely contaminated during anesthetic care, and adherence to hand hygiene recommendations is poor. Using a simulation model, we investigated […]

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Uncategorized Published - 11 June, 2018    By - Dr Clemens
Association of Opioid-Related Adverse Drug Events With Clinical and Cost Outcomes Among Surgical Patients in a Large Integrated Health Care Delivery System

JAMA Surg. published May 23, 2018.  Authors: Shahid Shafi MD, MBA, MPH  et al Question  What are the incidence and consequences of opioid-related adverse drug events in patients undergoing hospital-based surgical and endoscopic procedures within a large, integrated health care delivery system? Findings  In this study of clinical and administrative data that included 135 379 patients, 14 386 (10.6%) […]

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Uncategorized Published - 11 June, 2018    By - Dr Clemens
Oral Over-the-Counter Benzocaine Products: Drug Safety Communication – Risk of Serious and Potentially Fatal Blood Disorder

he FDA is warning that over-the-counter (OTC) oral drug products containing benzocaine should not be used to treat infants and children younger than 2 years. We are also warning that benzocaine oral drug products should only be used in adults and children 2 years and older if they contain certain warnings on the drug label. […]

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Uncategorized Published - 11 June, 2018    By - Dr Clemens
Most First-Time Moms Say Labor Pains Were Manageable

Many first-time mothers have mistaken ideas about managing the pain of childbirth, a new survey reveals. The survey, commissioned by the American Society of Anesthesiologists (ASA), included more than 900 U.S. mothers, 73 percent of whom had vaginal births. While many said they had less pain than feared, many went into labor with false ideas […]

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