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Uncategorized Published - 20 April, 2021    By - Dr Clemens
Sequestration Cuts Postponed to 2022

F1rstNews On Friday, April 16, 2021, the Centers for Medicare and Medicaid Services (CMS) announced that the two-percent sequestration cut in Medicare fee for service (FFS) payments to providers, scheduled to commence April 1, 2021, has officially been pushed back to January 1, 2022.  A recent Medicare Learning Network (MLN) article provided some background on […]

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Uncategorized Published - 20 April, 2021    By - Dr Clemens
The effects on pain, physical function, and quality of life of quadriceps strengthening exercises combined with Baduanjin qigong in older adults with knee osteoarthritis

Authors: Fenglan Wang, Xiaoli Zhang et al. BMC Musculoskelet Disord. 2021 Mar 29; 22(1): 313 BACKGROUND Exercise is recommended as a principal treatment for individuals with knee osteoarthritis (KOA). However, the best choice for an optimal exercise program able to promote long-term compliance in KOA patients is not clear. This study aims to compare the […]

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Uncategorized Published - 19 April, 2021    By - Dr Clemens
Incidence of postural headache after lumbar puncture requiring epidural blood patch

DG Journal Club AUTHORS: Warren Chang, Ajla Kadribegic et al. Neuroradiol J. 2021 Mar 8 PURPOSE A common complication of lumbar puncture (LP) is postural headaches. Epidural blood patches are recommended if patients fail conservative management. Owing to a perceived increase in the number of post-lumbar puncture headaches (PLPHs) requiring epidural blood patches at a […]

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Uncategorized Published - 19 April, 2021    By - Dr Clemens
Phrenic Nerve Block at the Azygos Vein Level Versus Sham Block for Ipsilateral Shoulder Pain After Video-Assisted Thoracoscopic Surgery

AUTHORS: Kimura Kuroiwa, Kaori MD, PhD et al Anesthesia & Analgesia: December 16, 2020 – Volume – Issue – 10.1213 BACKGROUND: Ipsilateral shoulder pain (ISP) is a common problem after pulmonary surgery. We hypothesized that phrenic nerve block (PNB) at the azygos vein level, near the location of the surgical operation, would be effective for reducing […]

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Uncategorized Published - 19 April, 2021    By - Dr Clemens
Rapid Sequence Induction With a Standard Intubation Dose of Rocuronium After Magnesium Pretreatment Compared With Succinylcholine

AUTHORS: Czarnetzki, Christoph MD, MBA et al Anesthesia & Analgesia: December 17, 2020 – Volume – Issue – 10.1213 BACKGROUND: Succinylcholine remains the muscle relaxant of choice for rapid sequence induction (RSI) but has many adverse effects. High-dose rocuronium bromide may be an alternative to succinylcholine for RSI but recovery times are nearly doubled compared with […]

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Uncategorized Published - 19 April, 2021    By - Dr Clemens
Association Between Preoperative Statin Use and Respiratory Complications After Noncardiac Surgery

AUTHORS: Komatsu, Ryu MD, MS et al Anesthesia & Analgesia: October 28, 2020 – Volume – Issue – 10.1213 BACKGROUND: Statins possess pleiotropic effects, which potentially benefit noncardiovascular conditions. Previous work suggests that statins reduce inflammation and prevent acute respiratory distress syndrome and infections. However, there is a paucity of data regarding potential benefits of statins […]

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Uncategorized Published - 19 April, 2021    By - Dr Clemens
How early marijuana use affects the heart later in life

Author: Michael Walter Cardiovascular Business Young, healthy adults who smoke marijuana may face a heightened risk of developing cardiovascular disease (CVD) later in life, according to new findings published in the Journal of Applied Physiology. “This is an exciting field of research given the ubiquity of cannabis use and the knowledge gap that exists, it’s a […]

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Uncategorized Published - 16 April, 2021    By - Dr Clemens
Development and Evaluation of a Risk-Adjusted Measure of Intraoperative Hypotension in Patients Having Nonemergent, Noncardiac Surgery

AUTHORS: Christensen, Anna L. PhD et al Anesthesia & Analgesia: November 23, 2020 – Volume – Issue – 10.1213 BACKGROUND: Intraoperative hypotension is common and associated with organ injury and death, although randomized data showing a causal relationship remain sparse. A risk-adjusted measure of intraoperative hypotension may therefore contribute to quality improvement efforts. METHODS: The measure […]

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Uncategorized Published - 16 April, 2021    By - Dr Clemens
Effect of Permissive Mild Hypercapnia on Cerebral Vasoreactivity in Infants

AUTHORS: Schopfer, Leonore MMSc et al Anesthesia & Analgesia: January 6, 2021 – Volume – Issue – 10.1213 BACKGROUND: Mechanical ventilation interferes with cerebral perfusion via changes in intrathoracic pressure and/or as a consequence of alterations in CO2. Cerebral vascular vasoreactivity is dependent on CO2, and hypocapnia can potentially lead to vasoconstriction and subsequent decrease in […]

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Uncategorized Published - 16 April, 2021    By - Dr Clemens
Racial Disparities in Failure to Rescue Following Unplanned Reoperation in Pediatric Surgery

AUTHORS: Willer, Brittany L. MD et al Anesthesia & Analgesia: March 2021 – Volume 132 – Issue 3 – p 679-685 BACKGROUND:  Failure to rescue (FTR) and unplanned reoperation following an index surgical procedure are key indicators of the quality of surgical care. Given that differences in unplanned reoperation and FTR rates among racial groups may […]

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