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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Tools That Help Identify the Vulnerable Brain

Autohrs: Elizabeth Mahana-Gabrielli, MD et al  ASA Monitor July 2024, Vol. 88, 1–6. Brain vulnerability represents a state of reduced pliability and resilience when exposed to the stressor of surgery, often leading to adverse postoperative complications. Physiologic alterations inherent to aging and the pathologic burden associated with comorbidities contribute to this increased vulnerability. Therefore, it […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Social Media for Advocacy

Authors: Edward R. Mariano, MD, MAS, FASA, FASRA et al  ASA Monitor July 2024, Vol. 88, 25–26. In today’s environment, social media platforms are some of the most powerful communication tools that medical professionals have harnessed for both personal and professional use. The number and variety of those platforms offer abundant choices for each individual (asamonitor.pub/4aUs005). […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Latest proposed cut—2.8%—shows need for Medicare pay reform

Author: Kevin B. O’Reilly, AMA Senior News Editor AMA Health Care Pulse Report What’s the news: Physicians are facing a 2.8% cut in pay under the proposed 2025 Medicare physician payment schedule published yesterday. The proposal from the Centers for Medicare & Medicaid Services (CMS) reinforces the clear need for systemic changes and follows a […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Serial Assessment of Hemodynamic and Cerebrovascular Changes After Administration of Mannitol in Postoperative Neurosurgical Patients in the Intensive Care Unit

Authors: Madhusudan S, Vimala S, S M, et al. Cureus 16(7): e64448. doi:10.7759/cureus.64448 Abstract Introduction: Mannitol is widely used in neurosurgical units to mitigate raised intracranial pressure and cerebral edema, crucial in postoperative management. Its hyperosmolar properties reduce brain extracellular fluid, thereby altering cerebral perfusion and cardiac dynamics. However, the temporal and combined effects of […]

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Uncategorized Published - 17 July, 2024    By - Dr Clemens
Dyspnea Due to Laryngeal Cicatricial Pemphigoid: A Case Report

 Authors: Pazardzhikliev D, Konsulov S, Milkov D, et al. Cureus 16(7): e64495. doi:10.7759/cureus.64495 Abstract Cicatricial pemphigoid (CP) is a rare, chronic, vesiculobullous disease characteristically affecting the mucous membranes and healing with cicatrization. Laryngeal involvement is rare and leads to airway stenosis. We present a 74-year-old Caucasian woman with CP, affecting the oral cavity, esophagus, lower […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
Comparison Between Early and Late Tracheostomy in ICU Patients Including COVID-19 and Non-COVID-19 Patients

Authors: Al Balushi Y, Burad J Cureus 16(7): e64481. doi:10.7759/cureus.64481 Background Tracheostomy is a common intervention for intensive care unit (ICU) patients for various reasons. The superiority of early versus late tracheostomy is still unfounded for non-COVID-19 cases. The COVID-19 pandemic complicated the matter, as little literature was available on the ideal timing of tracheostomy […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
Dexamethasone for Cardiac Surgery

Autors: Paul S. Myles, M.B.,B.S., M.P.H., M.D., D.Sc., F.C.A.I., F.A.N.Z.C.A., F.A.H.M.S. et al Anesthesiology June 2024. Background High-dose corticosteroids have been used to attenuate the inflammatory response to cardiac surgery and cardiopulmonary bypass, but patient outcome benefits remain unclear. Our primary aim was to determine whether using dexamethasone was superior to not using dexamethasone to […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
Secondary Hemochromatosis Caused by Iron Overdose During Pregnancy and the Postpartum Period

Authors: Shishii M, Hyuga S, Miyamoto M, et al. Cureus 16(7): e64355. doi:10.7759/cureus.64355 Abstract Iron deficiency anemia is the most common cause of anemia in pregnancy. Therefore, iron administration is recommended for treatment. Iron deficiency anemia during pregnancy does not always result in microcytic anemia. Thus, iron may continue to be administered as diagnostic therapy, […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
A Study of Factors Predicting Difficulties in Transesophageal Echocardiography (TEE) Probe Insertion in Adult Patients Undergoing Cardiac Surgery

Authors: Hasnain S, Shenava A, Garg I Cureus 16(7): e64256. doi:10.7759/cureus.64256 Background and objective While transesophageal echocardiography (TEE) is crucial in cardiac surgery, the probe insertion can be challenging. This observational study aimed to identify predictive factors associated with difficult TEE probe insertion in adult cardiac surgery patients. Methods A total of 119 adult patients […]

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Uncategorized Published - 16 July, 2024    By - Dr Clemens
Ultrasound-Guided Clavipectoral Fascial Plane Block Combined With Intermediate Cervical Plexus Block for Surgery on a Displaced Midshaft Clavicular Fracture in an Adolescent Athlete

Authors: Tsuji T, Takeuchi S, Tsuji R, et al. Cureus 16(7): e64504. doi:10.7759/cureus.64504 Abstract Ultrasound-guided clavipectoral fascial plane block (CPB) and intermediate cervical plexus block (ICPB) have been used as novel approaches for clavicular fracture surgery in adults. However, there are few reports of ultrasound-guided CPB combined with ICPB for clavicular surgery in children under 18 years […]

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