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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Intravenous Air: The Partially Invisible Phenomenon

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1149–1155 AUTHORS: Varga, Christopher PhD et al BACKGROUND: Air injection is carefully avoided during IV solution administration; however, ambient air is dissolved in all liquids used for intravenous (IV) therapy. A portion of this gas will come out of solution in the […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Spine Surgery and Blood Loss: Systematic Review of Clinical Evidence

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1307–1315 AUTHORS: Willner, Dafna MD et al Spine surgery has been growing rapidly as a neurosurgical operation, with an increase of 220% over a 15-year period. Intraoperative blood transfusion is a major outcome determinant of spine procedures. Various approaches, including pharmacologic and […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Massive Transfusion Protocols: A Survey of Academic Medical Centers in the United States

Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 277–281 AUTHORS: Treml, Angela B. MD et al BACKGROUND: Massive transfusion protocols (MTPs) have been adopted in many hospitals, and they may improve outcomes, as well as decrease the number of blood products transfused. However, there are no specific guidelines regarding the […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Cry Acoustics May Accurately Reveal Neonatal Pain

It may be feasible to use cry acoustics to identify neonatal pain. Although research is still very early, investigators from Vanderbilt University Medical Center, in Nashville, Tenn., hope their study evolves to the point at which health care personnel can use a hand-held device to identify the nature of neonatal pain. “We all know that […]

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Uncategorized Published - 10 January, 2017    By - Dr Clemens
Perioperative Surgical Home in Pediatric Settings: Preliminary Results

Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1193–1200 AUTHORS: Thomson, Karen MD et al BACKGROUND: The Perioperative Surgical Home (PSH) is a patient-centered, team-based approach that aims to improve the value of perioperative care. We implemented a PSH for patients with adolescent idiopathic scoliosis who were undergoing posterior spinal […]

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Uncategorized Published - 9 January, 2017    By - Dr Clemens
New Type of Migraine May Be Due to Low Iron

Many women who have migraine toward the end of menstruation may be best treated with iron supplements, a new study suggests. In a paper published in the journal Headache, Anne Calhoun, MD, and Nicole Gill, DO, Carolina Headache Institute Durham, North Carolina, describe a new type of headache dubbed “end-menstrual migraine.” They explain that this is […]

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Uncategorized Published - 9 January, 2017    By - Dr Clemens
More Children With Headaches Visiting EDs

Increased use of drugs has failed to stem the tide of children admitted to hospitals for headaches, researchers say. “I think this suggests that we are not adequately treating their headaches,” Michelle Perry, MD, from the Children’s Hospital of Pittsburgh UPMC in Pennsylvania, told Medscape Medical News. Dr Perry presented the finding here at the American […]

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Uncategorized Published - 9 January, 2017    By - Dr Clemens
Scoring System Predicts Difficult Airways in Obese Patients

A literature review from Canada has concluded that in the current health care environment, alternative assessment and management strategies should be the norm for morbidly obese individuals with difficult airways. Armed with findings from the review, the researchers subsequently constructed a scoring system to predict the likelihood of a difficult airway in morbidly obese patients. […]

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Uncategorized Published - 9 January, 2017    By - Dr Clemens
MACRA Final Rule Released: 12 Things Anesthesia Providers Must Know for 2017

Quality Queries and Quandaries: By Emil Engels, MD, MBA, CPC Congress has finally repealed the Sustainable Growth Rate (SGR) formula with a law titled the Medicare Access and Chip Reauthorization Act of 2015 (MACRA). In addition to repealing the SGR formula, MACRA continued the Centers for Medicare & Medicaid Services (CMS) shift away from fee-for-service […]

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Uncategorized Published - 9 January, 2017    By - Dr Clemens
‘Value Agenda’ Advocate Lists 6 Key Components Of Change

Redefining the economics of health care is certainly a daunting undertaking, but nonetheless it is necessary to ensure the long-term global viability of the industry, including the practice of anesthesiology. While many panaceas have been proposed over the past five decades, Michael E. Porter, PhD, a professor at Harvard Business School, in Boston, believes he […]

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