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Uncategorized Published - 23 November, 2021    By - Dr Clemens
Headache for days: What can cause it?

Author: Caitlin Geng MedicalNewsToday Headache pain can range from mild to severe and can last for hours or even days. There are numerous potential causes, including migraine, a head injury, or a viral illness, such as COVID-19. Anyone who has a headache for days that does not respond to over-the-counter (OTC) pain relief medication should seek guidance […]

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Uncategorized Published - 23 November, 2021    By - Dr Clemens
Personal Digital Health Assistants

Author: Uday Jain, BSEE, MD, PhD, FASA ASA Monitor November 2021, Vol. 85, 28–29. Personal Digital Health Assistants (PDHAs) are applications that can run on virtually any computer or mobile device, including a smart phone/personal digital assistant (PDA). A PDHA acquires, stores, and analyzes the health-related information of an individual. It usually communicates with remote […]

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Uncategorized Published - 22 November, 2021    By - Dr Clemens
Anesthesia Hacks

Author: John David Y. Cabral, MD, MPH ASA Monitor November 2021, Vol. 85, 24–25. What is a hack? A hack is a strategy or technique for managing one’s time or activity more efficiently; a trick. Hacks exist in all facets of life. There are hacks for job skills, hobbies, raising children, money, cleaning, building, school, […]

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Uncategorized Published - 22 November, 2021    By - Dr Clemens
Neurophysiologic Complexity in Children Increases with Developmental Age and Is Reduced by General Anesthesia

Authors: Michael P. Puglia, II, M.D., Ph.D. et al  Anesthesiology November 2021, Vol. 135, 813–828. Background Neurophysiologic complexity in the cortex has been shown to reflect changes in the level of consciousness in adults but remains incompletely understood in the developing brain. This study aimed to address changes in cortical complexity related to age and […]

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Uncategorized Published - 22 November, 2021    By - Dr Clemens
Hypoxemia in Young Children Undergoing One-lung Ventilation:

Authors: T. Wesley Templeton, M.D. et al  Anesthesiology November 2021, Vol. 135, 842–853. Background One-lung ventilation in children remains a specialized practice with low case numbers even at tertiary centers, preventing an assessment of best practices. The authors hypothesized that certain case factors may be associated with a higher risk of intraprocedural hypoxemia in children […]

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Uncategorized Published - 22 November, 2021    By - Dr Clemens
MIPS For 2022

Author: Bryan Sullivan Chief Operating Officer, Plexus Technology Group, LLC, Fairfax, VA F1rst News As with previous years, the MIPS program is continuing to execute on its legislative mandate while also making accommodations for the COVID-19 pandemic. On July 13, 2021, CMS proposed changes for the 2022 reporting year; and, by the time you are […]

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Uncategorized Published - 22 November, 2021    By - Dr Clemens
Why Diversity, Equity, and Inclusion Matter for Patient Safety

Author: Meghan B. Lane-Fall, MD, MSHP, FCCM ASA Monitor November 2021, Vol. 85, 42. The recent focus on diversity, equity, and inclusion (DEI) has highlighted many of the ways that individuals and organizations in health care are fallible; for example, by making decisions informed by social group membership instead of factors more germane to such decisions. […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Spinal anesthesia in contemporary and complex lumbar spine surgery: experience with 343 cases

AUTHORS: Jeffrey M Breton, Calvin G Ludwig et al. J Neurosurg Spine. 2021 Nov OBJECTIVE Spinal anesthesia (SA) is an alternative to general anesthesia (GA) for lumbar spine surgery, including complex instrumented fusion, although there are relatively few outcome data available. The authors discuss their experience using SA in a modern complex lumbar spine surgery […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Effects of Etco2 on the Minimum Alveolar Concentration of Sevoflurane that Blunts the Adrenergic Response to Surgical Incision

AUTHORS: Wu, Zhijie MD et al Anesthesia & Analgesia: November 2021   BACKGROUND:  CO2 has anesthetic potency and effectively influences the circulatory system. We investigated the effects of Etco2 on the minimum alveolar concentration of sevoflurane that blunts the adrenergic response to surgical incision (MAC-BAR) in patients undergoing radical surgery for gastric carcinoma. METHODS: Ninety patients undergoing radical […]

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Uncategorized Published - 19 November, 2021    By - Dr Clemens
Utilization and Outcomes of Extracorporeal Membrane Oxygenation in Obstetric Patients in the United States, 1999–2014

AUTHORS: Taha, Bushra MD et al Anesthesia & Analgesia: September 2021 BACKGROUND: Utilization of extracorporeal membrane oxygenation (ECMO) for adult critically ill patients is increasing, but data in obstetric cohorts are scant. This study analyzed ECMO utilization and maternal outcomes in obstetric patients in the United States. METHODS: Data were abstracted from the 1999–2014 National Inpatient […]

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