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Uncategorized Published - 12 August, 2020    By - Dr Clemens
COVID-19’s impact on heart transplants in the US: 4 key statistics

Author: Michael Walter Cardiovascular Business News Nearly eight months into 2020, COVID-19 continues to disrupt healthcare in the United States. A new analysis in JAMA Cardiology explored the pandemic’s impact on heart transplant trends, with the authors focusing on data from the United Network for Organ Sharing (UNOS). “Transplant programs have been challenged with balancing patient and […]

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Uncategorized Published - 12 August, 2020    By - Dr Clemens
Study finds bleeding complications linked to antithrombotic strategy used in non‐critically ill COVID-19 patients

DG Alerts Findings from a study in the Journal of Thrombosis and Haemostasis dispute the currently adopted strategy of giving weight-adjusted doses of anticoagulants to non-critically ill patients with COVID-19 in the absence of thromboembolic complications. Researchers led by Raffaele Pesavento, MD, Department of Medicine, University of Padua, Padua, Italy, noted that “the increasing awareness that low-dose […]

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Uncategorized Published - 11 August, 2020    By - Dr Clemens
Ephedrine versus Phenylephrine Effect on Cerebral Blood Flow and Oxygen Consumption in Anesthetized Brain Tumor Patients

Authors: Klaus U. Koch, M.D. et al Anesthesiology 8 2020, Vol.133, 304-317. Background: Studies in anesthetized patients suggest that phenylephrine reduces regional cerebral oxygen saturation compared with ephedrine. The present study aimed to quantify the effects of phenylephrine and ephedrine on cerebral blood flow and cerebral metabolic rate of oxygen in brain tumor patients. The authors hypothesized […]

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Uncategorized Published - 11 August, 2020    By - Dr Clemens
Overdose Deaths Up Despite Fewer Opioid Prescriptions

By Joe Elia NEJM Journal Watch While opioid prescriptions have dropped nearly 40% over the past 5 years, fentanyl, amphetamine, and cocaine “are now killing more Americans than ever,” according to the American Medical Association’s Opioid Task Force. Citing CDC data, the task force says the overdose rate from those drugs has risen more than […]

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Uncategorized Published - 11 August, 2020    By - Dr Clemens
‘NSAIDs after myocardial infarction raise bleeding risk’

Author: By Kim Yun-mi Korean Biomedical Review Using nonsteroidal anti-inflammatory drugs (NSAIDs) with antiplatelet agents in patients with acute myocardial infarction increased the risk of cardiovascular events seven times, and bleeding risk by four times, compared to NSAIDs-free treatment, a study showed. The research team, led by Professor Choi Cheol-ung of the Cardiovascular Center at […]

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Uncategorized Published - 11 August, 2020    By - Dr Clemens
Loss of smell associated with less severe COVID-19 infection, high incidence of invasive pulmonary aspergillosis in intubated patients

By Denise Baez Today’s DG Alert covers the prognostic value of smell loss in coronavirus disease 2019 (COVID-19), and the incidence of invasive pulmonary aspergillosis among intubated patients with severe COVID-19. According to a study published in the Annals of Allergy, Asthma & Immunology, loss of smell appears to be an independent positive prognostic factor of less severe […]

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Uncategorized Published - 11 August, 2020    By - Dr Clemens
Structural Racism, Social Risk Factors, and Covid-19 — A Dangerous Convergence for Black Americans

Authors: Leonard E. Egede, M.D., et al NEJM July 22, 2020 Current protests throughout the United States are highlighting the history of marginalization of and discrimination against Black Americans, including 250 years of slavery, 100 years of Jim Crow laws, high rates of incarceration, and unanswered calls for action after police shootings of unarmed Black […]

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Uncategorized Published - 10 August, 2020    By - Dr Clemens
Airway management in 2020: Different and scarier

Author: Karen A Penned Point Author’s note: This article was written in May 2020 for the American Society of Anesthesiologists’ monthly magazine, the ASA Monitor. It was published online ahead of print on June 29, 2020. It’s early May in Los Angeles, and dystopian reality is here – storefronts boarded up; people (if they’re out at […]

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Uncategorized Published - 10 August, 2020    By - Dr Clemens
Enhanced Recovery after Lumbar Spine Fusion

Authors: Ellen M. Soffin, M.D., Ph.D. et al Anesthesiology 8 2020, Vol.133, 350-363. Background: Prospective trials of enhanced recovery after spine surgery are lacking. We tested the hypothesis that an enhanced recovery pathway improves quality of recovery after one- to two-level lumbar fusion.Methods: A patient- and assessor-blinded trial of 56 patients randomized to enhanced recovery (17 evidence-based pre-, […]

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Uncategorized Published - 10 August, 2020    By - Dr Clemens
Causes and treatment of upper back and neck pain

A great article for our readers that treat pain patients. Written by Steph Coelho Medical News Today Pain in the neck and upper back can be temporary. For example, a person may have a sore neck after sleeping in an unnatural position. However, for some people, pain in this area is chronic. Upper back pain […]

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