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Uncategorized Published - 13 May, 2020    By - Dr Clemens
The Anesthesia-Circuit Stethoscope

Author: James P. Noble, MD Anesthesiology News Background In anesthesia practice, “during the late 1970s and early 1980s, the precordial stethoscope was the only useful continuous patient monitor.”1 Upon entering an anesthesia training program, residents were given a custom-molded earpiece that they wore everywhere, proudly pinned to their scrub tops. Then, in the mid-1980s, monitoring […]

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Uncategorized Published - 13 May, 2020    By - Dr Clemens
Combo Therapy with Interferon Shortens SARS-CoV-2 Shedding

By Kelly Young Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH A triple therapy that includes interferon β-1b shortened the duration of viral shedding in patients with novel coronavirus disease (COVID-19), according to a phase 2 randomized trial in the Lancet. Roughly 125 adults in Hong Kong who were hospitalized for COVID-19 were randomized to receive […]

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Uncategorized Published - 13 May, 2020    By - Dr Clemens
Link identified between dietary selenium and outcome of COVID-19 disease

Source: University of Surrey Science Daily Summary: Researchers have identified a link between the COVID-19 cure rate and regional selenium status in China. An international team of researchers, led by Professor Margaret Rayman at the University of Surrey, has identified a link between the COVID-19 cure rate and regional selenium status in China. Publishing their […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
High Catastrophizing Linked to Increased Opioid Use in TKA Patients

Author: Michael Vlessides Anesthesiology News A secondary analysis of a prospective cohort study has concluded that total knee arthroplasty (TKA) patients with higher baseline pain catastrophizing scores consume more opioids than their counterparts who catastrophize to a lesser degree. The researchers hope their findings prove to be a springboard for early interventions that may prevent […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
Neuraxial Guidance Device Beats Palpation-Guided Spinal Anesthesia in Obese Patients

Author: Bob Kronemyer Anesthesiology News An Italian study has found that in obese patients undergoing orthopedic surgery, a hand-held neuraxial guidance instrument (Figure) significantly reduced the number of needle redirections and passes through the skin when performing spinal anesthesia, compared with conventional palpation for spinal anesthesia. The randomized study, published in Regional Anesthesia & Pain Medicine (2020;45:63-66), […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
Sedation or No for Ventilated ICU Patients: Time for an Individualized Approach?

Author: Christina Frangou Anesthesiology News In a multicenter, randomized controlled trial involving mechanically ventilated ICU patients, mortality at 90 days did not differ significantly between patients who were assigned to a plan of no sedation and those assigned to light sedation with daily interruption. “The times are changing, and I think we have to move […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
COVID-19: Early Self-Proning / Out-of-Hospital Cardiac Arrest / Breast-Feeding Guidelines

By Amy Orciari Herman Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM Here are some of the latest developments on novel coronavirus disease (COVID-19): Early self-proning: Having COVID-19 patients self-prone in the emergency department could help improve oxygen saturation, suggests a study in Academic Emergency Medicine. Fifty patients presenting to a New York City ED […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
Dapagliflozin OK’ed for Heart Failure with Low EF, Regardless of Type 2 Diabetes Status

By Kristin J. Kelley The FDA has approved the sodium-glucose co-transporter 2 (SGLT2) inhibitor dapagliflozin (Farxiga) to lower the risk for cardiovascular death and heart failure hospitalization in patients with heart failure with reduced ejection fraction. The indication is for adults, regardless of whether they have type 2 diabetes. Approval was based on results from […]

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Uncategorized Published - 12 May, 2020    By - Dr Clemens
Mitigation Strategies for COVID-19

Author: Michael Vlessides Anesthesiology News In a little more than four months, the novel coronavirus has disrupted lives, financial markets, medical meetings and travel plans around the world. So how can anesthesiologists and the institutions in which they work protect themselves and other patients from the novel virus? In a recent communication, the Anesthesia Patient […]

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Uncategorized Published - 11 May, 2020    By - Dr Clemens
Comparing Nasal End-Tidal Carbon Dioxide Measurement Variation and Agreement While Delivering Pulsed and Continuous Flow Oxygen in Volunteers and Patients

AUTHORS: Burk, Kyle M. MS et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 715-724 BACKGROUND:  Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort […]

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