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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Exceptions to the Rule: What Anesthesiologists Can Do During Medical Direction

Author: Tony Miru F1rstNews Summary For doctors who medically direct, their primary focus should be the room or rooms they are overseeing.  Nevertheless, national and local Medicare rules allow the medically directing doctor to perform certain other services, as well.  What are these services and are they applicable in every jurisdiction?  Today’s alert provides answers. […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
What is the relationship between migraine and stroke?

Author: Deena Kuruvilla MedicalNewsToday Migraine does not cause stroke. However, there may be a link between the two. Sometimes a stroke can occur during a migraine attack. Migraine with aura can increase the risk of stroke, particularly in females. Symptoms of migraine and stroke can also overlap. In this article, we look at the link […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Preoperative Acetaminophen Decreases Need for Opioids Following Rotator Cuff Repair

DG News The use of acetaminophen before surgery for rotator cuff repair resulted in better pain control and a decline in opioid use, according to a study published in the Journal of Shoulder and Elbow Surgery. The prospective, randomised, 3-arm study compared the impact of oxycodone 5 mg every 6 hours as needed plus oral acetaminophen […]

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Uncategorized Published - 20 September, 2021    By - Dr Clemens
Breaking Down the Back End: Anesthesia in the Postoperative Period

Auth9or: Tony Mira F1rstNews Summary Post-surgical anesthesia care can be tricky from a billing perspective.  Providers are not always certain what post-case services are billable versus bundled.  Today’s alert seeks to clear up some of those questions. It’s all in how you finish.  Sprinting out of the gates at the sound of the starting gun […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline

DG Journal Club Authors: André Bussières, Carolina Cancelliere et al. J Pain. 2021 Sep; 22(9): 1015-1039 Lumbar spinal stenosis (LSS) causing neurogenic claudication (NC) is increasingly common with an aging population and can be associated with significant symptoms and functional limitations. We developed this guideline to present the evidence and provide clinical recommendations on nonsurgical […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Prolonged Use of Opioids, Risk of Addiction Observed in Older Patients After Fracture Surgery

DG News Extended opioid usage occurred in older patients, aged 60 years and up, who undergo fracture surgery, according to a study presented at the 2021 Virtual Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Investigators looked at 29,618 patients who were naïve to opioids and underwent hip fracture surgery between 2009 and […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Urinary symptoms in older people with low back pain: Prevalence, clinical, and functional factors associated

DG Journal Club Authors: Juliana M M Barbosa, Juleimar S C de Amorim et al. Neurourol Urodyn. 2021 Sep 4 AIMS To identify the prevalence, clinical and functional factors associated with urinary symptoms (US) in community-dwelling older adults with acute low back pain (LBP). METHODS This was a cross-sectional study of data’s baseline of Back […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Heart attacks more common among young adults who use marijuana—but a key question remains

Author: Anthony Vecchione  Cardiovascular Business News Young adults who regularly use marijuana are much more likely to have had a myocardial infarction (MI), according to new data published in Canadian Medical Association Journal. “With recent legalization and decriminalization, cannabis use is increasing in young adults in North America, and we do not fully know its effects on […]

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Uncategorized Published - 17 September, 2021    By - Dr Clemens
Association Between Body Mass Index and Outcomes in Venoarterial Extracorporeal Membrane Oxygenation

AUTHORS: Lu, Shu Yang MD et al Anesthesia & Analgesia: August 10, 2021 BACKGROUND: The association between obesity, or elevated body mass index (BMI), and outcomes in patients receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO) has not been well established. Recent studies in patients receiving venovenous ECMO did not detect an association between obesity and increased mortality. […]

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Uncategorized Published - 16 September, 2021    By - Dr Clemens
HHS Announces New COVID Relief Funding and Extension of First PRF Reporting Deadline

Author: Tony Mira F1rstNews The Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced $25.5 billion in new funding for health care providers affected by the COVID-19 pandemic. This funding includes $8.5 billion in American Rescue Plan (ARP) resources for providers who serve rural Medicaid, Children’s Health Insurance […]

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