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Uncategorized Published - 15 September, 2020    By - Dr Clemens
Teamwork Needed to Reduce Stroke and Its Consequences in Cardiac Surgery: AHA

Author: L. A. McKeown tct/MD Good communication and teamwork before, during, and after are keys to minimizing the risk of stroke in patients undergoing cardiac and thoracic aortic surgery, according to a new scientific statement from the American Heart Association (AHA). “I would be the happiest person on earth if this document is useless because […]

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Uncategorized Published - 15 September, 2020    By - Dr Clemens
WHO Recommends Corticosteroids for Severe COVID-19 After Positive Study Results

By Kelly Young NEJM Journal Watch Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM The World Health Organization recommends systemic corticosteroids to treat patients with severe and critical COVID-19. The guidance coincides with the publication of three randomized trials and a meta-analysis on corticosteroids in JAMA. The WHO recommends 6 mg of dexamethasone orally […]

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Uncategorized Published - 14 September, 2020    By - Dr Clemens
Anesthesia and Circulating Tumor Cells in Primary Breast Cancer Patients

Authors: Frédérique Hovaguimian, M.D. et al  Anesthesiology August 2020, Vol. 133, 548–558. Background The effect of anesthetic drugs on cancer outcomes remains unclear. This trial aimed to assess postoperative circulating tumor cell counts—an independent prognostic factor for breast cancer—to determine how anesthesia may indirectly affect prognosis. It was hypothesized that patients receiving sevoflurane would have higher […]

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Uncategorized Published - 14 September, 2020    By - Dr Clemens
COVID-19 Pandemic—Decontamination of Respirators and Masks for the General Public, Health Care Workers, and Hospital Environments

Authors: Qisheng Ou, PhD; Chenxing Pei; Seong Chan Kim, PhD; Kumar Belani, MD; Rumi Faizer, MD; John Bischof, PhD; David Y. H. Pui, PhD Anesthesia Patient Safety Foundation Volume 35 No 2 June 2020 There is a serious shortage of respirators and masks that are essential for the protection of frontline health care workers and […]

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Uncategorized Published - 14 September, 2020    By - Dr Clemens
Physical Fitness Significantly Influences Obese Women’s Cardiovascular Risk

Author: Kevin Kunzmann HCP Live Conference | European Society of Cardiology Congress New findings suggest the “obesity paradox” may be explained by rates of exercise among women. Physical fitness may play a significant role in the “obesity paradox”—the emerging clinical belief that obesity may have protective benefit versus morbidity and mortality among patients with cardiovascular disease, […]

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Uncategorized Published - 14 September, 2020    By - Dr Clemens
Study finds late-onset infections, toxicities more common in mechanically-ventilated patients with COVID-19 receiving tocilizumab

Author: Denise Baez Use of tocilizumab for the management of coronavirus disease 2019 (COVID‐19)‐related cytokine release syndrome (CRS) is not without risk, with late-onset infections and drug-related toxicities occurring in many patients, according to a study published in the Journal of Medical Virology. Among 74 patients with COVID-19 who required mechanical ventilation and were treated […]

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Uncategorized Published - 14 September, 2020    By - Dr Clemens
New-Onset Atrial Fibrillation After Surgery Not Necessarily Transient

By Joe Elia NEJM Journal Watch Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM New-onset atrial fibrillation after noncardiac surgery indicates a heightened risk for stroke or transient ischemic attack (TIA) in subsequent years, a JAMA study finds. Researchers did retrospective long-term follow-up (median, 5.4 years) on some 450 patients who had new-onset […]

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Uncategorized Published - 11 September, 2020    By - Dr Clemens
Expert panel recommends coronary CTA as first choice when evaluating for stable CAD

This is important because we often see preop pts with CAD. Author: Michael Walter Cardiovascular Business News Coronary computed tomography angiography (CTA) should be the first test clinicians use to evaluate stable coronary artery disease (CAD), according to a group of specialists assembled by the American College of Cardiology (ACC). The ACC Summit on Technology […]

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Uncategorized Published - 11 September, 2020    By - Dr Clemens
New recommendations for reducing the risk of stroke during, and after, heart surgery

Author: Michael Walter Cardiovascular Business News The risk of stroke is a significant concern anytime a patient undergoes cardiac surgery. A new scientific statement from the American Heart Association (AHA), published in Circulation, focuses on ways healthcare providers can reduce that risk. “Cardiac surgery has come a long way in recent decades, and improvements in pre-operative […]

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Uncategorized Published - 11 September, 2020    By - Dr Clemens
Ischial bursitis: Management and prevention

This is for our readers who treat pain patients. Author: Jenna Fletcher Medical News Today Ischial bursitis is a condition in which fluid filled sacs in the pelvis become swollen and painful. Sitting for long periods on hard surfaces is a common cause of ischial bursitis. Ischial bursitis can cause problems with walking, running, or […]

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