Uncategorized

Uncategorized Published - 27 March, 2018    By - Dr Clemens
Intraoperative Positioning-Related Nerve Injury, or a Case of Mistaken Identity?: 3 Selected Cases

Taken from Anesthesiology News David Hardman, MD, MBA, FASA Professor of Anesthesiology Vice Chair for Professional Affairs Department of Anesthesiology University of North Carolina at Chapel Hill School of Medicine Chapel Hill, North Carolina Inadequate intraoperative patient positioning is not the only cause of perioperative peripheral nerve injuries. Anesthesiologists should take time to understand the differential […]

Read More
Uncategorized Published - 27 March, 2018    By - Dr Clemens
Nonnarcotic Analgesics Possible Replacement for Narcotics to Manage Pain After Vaginal Reconstructive Surgery

Nonnarcotic analgesics may be feasible replacements for narcotics in managing postoperative pain in women who undergo perineal and vaginal reconstructive surgery, according to a study presented here at the 38th Annual Meeting of the American Urogynecologic Society (AUGS). Although narcotic analgesics are the most commonly administered drugs for pain after perineal and vaginal reconstructive surgery […]

Read More
Uncategorized Published - 26 March, 2018    By - Dr Clemens
New Goal-Directed Protocol Reduces AKI Post-Cardiac Surgery

Institutions looking to reduce their incidence of acute kidney injury (AKI) after cardiac surgery should consider following the lead of researchers at the Johns Hopkins University School of Medicine, in Baltimore. Their goal-directed protocol was associated with a reduced incidence of the sometimes devastating adverse event within 72 hours of surgery, prompting them to suggest […]

Read More
Uncategorized Published - 26 March, 2018    By - Dr Clemens
Once-Monthly Erenumab Injections May Be Effective for Episodic Migraine Prophylaxis

The trial primary outcome was change in the number of monthly migraine days. A monthly subcutaneous injection of 70 mg erenumab may represent an effective prophylactic treatment for episodic migraine, as it was shown to reduce migraine frequency and the use of acute migraine-specific medications in a study published in Cephalalgia. In this placebo-controlled randomized phase […]

Read More
Uncategorized Published - 26 March, 2018    By - Dr Clemens
Accuracy in Evaluating Gastric Ultrasound Images Before and After Brief Training

Jonathan Kline, CRNA Director of Education Twin Oaks Anesthesia Wesley Chapel, Florida Brian Selai, CRNA Senior Faculty Twin Oaks Anesthesia Wesley Chapel, Florida Michele Ardigo, DNP, CRNA Associate Program Director of Effectiveness and Innovation Texas Wesleyan University Fort Worth, Texas Marilyn A. Pugh, PhD Associate Professor of Psychology Texas Wesleyan University Fort Worth, Texas An […]

Read More
Uncategorized Published - 26 March, 2018    By - Dr Clemens
MedPAC: Hospitals’ Medicare margins continue to drop

By Virgil Dickson  | March 19, 2018 The Medicare Payment Advisory Commission has found that hospitals’ Medicare margins are continuing to plummet this year, sparking concerns about seniors’ access to care. Hospitals’ aggregate Medicare margin was negative 9.6% in 2016, compared to negative 5.3% in 2009, according to MedPAC’s March 15 report to Congress. Not-for-profit hospitals had the lowest margins […]

Read More
Uncategorized Published - 26 March, 2018    By - Dr Clemens
Burn Deaths Down From 1989 to 2017 in the United States

New protocols may have reduced the mortality for all age groups, burn sizes, and genders Burn injury survival has dramatically increased over the past 30 years, according to a study published March 9 in the Journal of the American College of Surgeons. Karel D Capek, M.D., from Shriners Hospitals for Children in Galveston, Texas, and colleagues […]

Read More
Uncategorized Published - 23 March, 2018    By - Dr Clemens
Inhalational versus IV Induction of Anesthesia in Children with a High Risk of Perioperative Respiratory Adverse Events: A Randomized Controlled Trial

Authors: Anoop Ramgolam, Ph.D. et al Anesthesiology March, 2018. Background: Limited evidence suggests that children have a lower incidence of perioperative respiratory adverse events when intravenous propofol is used compared with inhalational sevoflurane for the anesthesia induction. Limiting these events can improve recovery time as well as decreasing surgery waitlists and healthcare costs. This single center open-label […]

Read More
Uncategorized Published - 23 March, 2018    By - Dr Clemens
Pharmacokinetic Properties of a Sufentanil Sublingual Tablet Intended to Treat Acute Pain

Authors: Dennis M. Fisher, M.D. et al Anesthesiology March, 2018. Background: Desirable product attributes for treatment of moderate-to-severe acute pain in many medically supervised settings are rapid onset and a route of administration not requiring intravenous access. The pharmacokinetic characteristics of sublingually administered tablets containing 15 or 30 µg of sufentanil are described. Methods: Blood was sampled from […]

Read More
Uncategorized Published - 23 March, 2018    By - Dr Clemens
Informed Consent for Anesthesiologists*

Author: Layne Bettini, M.D., J.D. ASA Monitor 03 2018, Vol.82, 56-57. Layne Bettini, M.D., J.D., is a CA-1 resident, Mayo Clinic, Rochester, Minnesota. In the medical profession, the idea of lawyers spawns a litany of thoughts – few of them good. During my medical training, I took a slight detour and attended law school. When I emerged […]

Read More