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Uncategorized Published - 4 December, 2014    By - Dr. Clemens
Anesthesia Management: Prescription Opioids Involved in Most Overdoses Seen in Emergency Departments

In a national study of hospital emergency department visits for opioid overdoses, 67.8% of the overdoses involved prescription opioids (including methadone), followed by heroin, other unspecified opioids, and multiple opioids, according to a study published by JAMA Internal Medicine. Michael A. Yokell, Stanford University School of Medicine, Stanford, California, and colleagues analysed the 2010 Nationwide […]

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Uncategorized Published - 4 December, 2014    By - Dr. Clemens
Anesthesia Management: Intraocular Pressure Increases Are Trivial in Children During Ketamine Sedation

Authors: Wadia S et al., Ann Emerg Med 2014 Oct 64:385 In a study of 60 children undergoing procedural sedation with ketamine, intraocular pressure increased only by a median of 3 mm Hg. Investigators evaluated ketamine’s effect on intraocular pressure in a prospective observational study of children aged 8–18 years undergoing procedural sedation at a […]

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Uncategorized Published - 4 December, 2014    By - Dr. Clemens
Anesthesia Management: Medical malpractice costs remain flat

The cost of medical malpractice remains stable for healthcare providers nationwide, according to an annual report from Aon and the American Society of Healthcare Risk Management. The 2014 Aon/ASHRM Hospital and Physician Professional Liability Benchmark report was released Wednesday, according to a statement. “Although overall cost levels appear to be calm, these seemingly still waters hide […]

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Uncategorized Published - 3 December, 2014    By - Dr. Clemens
Anesthesia Management: Perioperative β-Blockade, Revisited

Allan S. Brett, MD Reviewing Richman JS et al., JAMA Surg 2014 Oct 149:1031 Another observational study suggests that patients who already take β-blockers should continue to receive them perioperatively. Based on several observational studies, a 2014 guideline from the American College of Cardiology and the American Heart Association (ACC/AHA) recommends that patients who take […]

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Uncategorized Published - 3 December, 2014    By - Dr. Clemens
Anesthesia Management: 5 principles for creating a culture of positivity at work

If the managers in your organization are unhappy that employees aren’t productive or engaged in the work, it could be because the managers themselves are unhappy. Positivity is what keeps a workplace ticking. It all starts with supervisors. And all they have to do is treat employees a little bit better. In fact, the most […]

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Uncategorized Published - 3 December, 2014    By - Dr. Clemens
Anesthesia Management: What you need to know about physician locum compensation

Which locum tenens physician specialty is highest paid? Locum tenens physicians specializing in radiology earn the highest daily rates, according to analysis of industry rate estimates published in Have Stethoscope, Will Travel: Staff Care’s Guide to Locum Tenens in 2014. The per diem rates for locum tenens physicians paid by healthcare facilities and physician practices […]

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Uncategorized Published - 3 December, 2014    By - Dr. Clemens
Anesthesia Management: Is Surgery Safer at a Teaching Hospital?

Another article I wanted to share with our readers because we are on the other side of the “blood brain barrier” from these surgeons. Every operation has risks. How does that change – or not – when surgical residents are involved? Like anything, it takes time and practice to become a qualified surgeon. But what […]

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Uncategorized Published - 3 December, 2014    By - Dr. Clemens
Anesthesia Management: MGMA: 4 management areas in which better performers excel

There are common traits among better-performing medical practices, according to data from the Medical Group Management Association (MGMA) released. In particular, groups earning the “better performing” designation held sharp focus in the following areas: · Profitability and cost management. Better-performing multispecialty groups reported a 55.91 percent total operating cost as a percent of total revenue, compared […]

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Uncategorized Published - 2 December, 2014    By - Dr. Clemens
Anesthesia Management: Are we Ready for the Age of Non-invasive Haemodynamic Monitoring?

It is fascinating and alluring—the evidence is converging that with goal-directed haemodynamic therapy we can actively contribute to better postoperative outcomes of our patients, particularly in our high-risk patients. And this is potentially possible, as suggested by an overwhelming number of publications from recent years, with completely non-invasive advanced haemodynamic monitoring. Indeed, it consequently marks […]

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Uncategorized Published - 2 December, 2014    By - Dr. Clemens
Anesthesia Management: Nocebo effects and negative suggestion in anesthesia

Authors:  Zech N, Seemann M, Hansen E Published in Der Anaesthesist (Oct 2014) Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the […]

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