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Uncategorized Published - 5 March, 2020    By - Dr Clemens
Viscoelastic Signals for Optimal Resuscitation in Trauma: Kaolin Thrombelastography Cutoffs for Diagnosing Hypofibrinogenemia (VISOR Study)

AUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1482-1491 BACKGROUND:  Acute traumatic coagulopathy is common in trauma patients. Prompt diagnosis of hypofibrinogenemia allows for early treatment with cryoprecipitate or fibrinogen concentrate. At present, optimal cutoffs for diagnosing hypofibrinogenemia with kaolin thrombelastography (TEG) have […]

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Uncategorized Published - 5 March, 2020    By - Dr Clemens
Vascular Adhesion Protein-1 Is Associated With Acute Kidney Injury in High-Risk Patients After Cardiac Surgery

AUTHORS: Meersch, Melanie MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1474-1481 BACKGROUND:  Acute kidney injury is a common complication after cardiac surgery, with a high impact on morbidity and mortality. Vascular adhesion protein-1 is involved in inflammation, which, in turn, is part of the development of […]

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Uncategorized Published - 5 March, 2020    By - Dr Clemens
A new thermal insulation bag will save lives

Authors: Håvard Egge Medical press In cold conditions, it is very likely that the human body will develop hypothermia following an accident. Maintaining a patient’s body temperature on the way to hospital can be crucial to survival. The prototype of a new and improved solution is now ready. There has been too little focus on […]

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Uncategorized Published - 5 March, 2020    By - Dr Clemens
Hospitals slow to adopt life-saving device to stop patients from dying within hours of surgery

By: Ron Regan News 3 Cleveland Their surgery is successful, they’re moved to a room reserved for low risk patients, then they wind up “Dead in Bed.” Now News 5 has learned hospitals in Ohio and across the country have been slow to take advantage of a life-saving device that could prevent patients from dying within hours […]

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Uncategorized Published - 4 March, 2020    By - Dr Clemens
Methylprednisolone Does Not Reduce Acute Postoperative Pain After Cardiac Surgery

AUTHORS: Turan, Alparslan MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1468-1473 BACKGROUND:  Pain after cardiac surgery is largely treated with opioids, but their poor safety profile makes nonopioid medications attractive as part of multimodal pathways. Anti-inflammatory drugs reduce acute postoperative pain, but the role of steroids in […]

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Uncategorized Published - 4 March, 2020    By - Dr Clemens
Variability of Opioid Use Following Sternotomy Surprises

Author: Naveed Saleh MD, MS Anesthesiology News A study of opioid use by patients after discharge from cardiac surgery necessitating sternotomy has found that overall, about 60% of these patients did not require opioids and that a minority of the patients used the lion’s share of medications. “Rates of new, persistent use of opioids after […]

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Uncategorized Published - 4 March, 2020    By - Dr Clemens
Prosthetic heart valve adapts as kids grow to avoid invasive surgeries

By Nick Lavars New Atlas An adjustable prosthetic heart valve developed at Boston Children’s Hospital could help reduce the need for risky open heart surgeries for children born with defects For some children born with congenital heart disease, prosthetic valves that maintain a healthy flow of blood are a harsh reality of their young lives. This […]

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Uncategorized Published - 4 March, 2020    By - Dr Clemens
ROBOTIC SURGERIES ARE FINALLY SET TO GET AFFORDABLE

Author: Tom Cassauwers OZY  Irish surgeon Barry O’Reilly became the first doctor in the British Isles to use a robot to remove a uterus back in 2007. Hysterectomies traditionally require cutting the patient open, which means long recovery times, not to mention health risks. But with the robot, O’Reilly inserted instruments into small keyholes, which […]

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Uncategorized Published - 4 March, 2020    By - Dr Clemens
80 is not the new 70: Age may bias heart care, study finds

By MARILYNN MARCHIONE AP People are more likely to buy things when prices end in 99 cents rather than rounded up to the next dollar, or cars with mileage under 1,000 instead of past that mark. Now researchers say something similar might be happening with age perception and heart surgery. A U.S. study out Wednesday finds that […]

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Uncategorized Published - 4 March, 2020    By - Dr Clemens
Wrist Device Measures Volatile Anesthetic Gases

Author: Michael Vlessides Anesthesiology News A pilot study has found that the concentration of volatile anesthetic gas can be accurately measured transcutaneously and in real time using a novel device worn on the wrist. Despite the device’s promising early results, the investigators recognized the need for more research, as it yielded wide variation between patients, […]

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