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Uncategorized Published - 7 October, 2019    By - Dr Clemens
New Round of Medicare Readmission Penalties Hits 2,583 Hospitals

Author: Maria Fabrizio KHN Medicare cut payments to 2,583 hospitals continuing the Affordable Care Act’s eight-year campaign to financially pressure hospitals into reducing the number of patients who return for a second stay within a month. The severity and broad application of the penalties, which Medicare estimates will cost hospitals $563 million over a year, […]

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Uncategorized Published - 4 October, 2019    By - Dr Clemens
Practice Pattern Variation in the Use of Transesophageal Echocardiography for Open Valve Cardiac Surgery

Authors: Emily J. MacKay, DO et al Journal of Cardiothoracic and Vascular Anesthesia January 2019 Volume 33, Issue 1, Pages 118–133 Objective The authors sought to assess for the presence of practice variation in the use of intraoperative transesophageal echocardiography (TEE) for open cardiac valve surgery. Design This study was a retrospective cohort analysis. Setting The […]

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Uncategorized Published - 3 October, 2019    By - Dr Clemens
Myocardial Protection in Mitral Valve Surgery: Comparison Between Minimally Invasive Approach and Standard Sternotomy

Authors: Jean-Sébastien Lebon, BPharm, MD, FRCPC et al Journal of Cardiothoracic and Vascular Anesthesia Vol 32 Issue 2 pages 656-663 Objective To compare antegrade and retrograde cardioplegia administration in minimally invasive mitral valve surgery (MIMS) and open mitral valve surgery (OMS) for myocardial protection. Participants The study comprised 118 patients undergoing MIMS and 118 patients […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Could Short-Term Perioperative High-Dose Atorvastatin Offer Antiarrhythmic and Cardio-Protective Effects in Rheumatic Valve Replacement Surgery?

Authors: Essam Abd Allah, MD et al Journal of Cardiothoracic and Vascular Anesthesia Objectives To evaluate the role of prophylactic high-dose atorvastatin for prevention of postoperative atrial fibrillation (POAF), inflammatory response attenuation, and myocardial protection after valve replacement cardiac surgery. Participants Sixty-four adult patients undergoing cardiac valve replacement surgery. Interventions The participants were equally divided […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Do I Need A Magnet – Pacemaker/ICD Nomenclature

Author: RK MD With the number of patients receiving permanent pacemakers (PPMs) and implantable cardioverter-defibrillators (ICDs) increasing each year, we’ll see more of these devices in our respective clinical settings. With this post, I’ll try to simplify pacemaker nomenclature (ie, DDDR or AOO) and the implications of placing the magnet. All ICDs have a pacemaker function but […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Paravertebral Blocks Urged for Mastectomy Procedures

Author: Michael Vlessides Anesthesiology News Women who undergo a mastectomy with a paravertebral block and propofol have significantly lower rates of five-year mortality and cancer recurrence than their counterparts receiving volatile anesthetics, according to a new study. With these findings, the researchers urged their colleagues to consider using paravertebral blocks in these patients, even if […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Estrogen, vitamin D may protect metabolic health after menopause

I wanted to share with our readers because we all have mothers, wives, girlfriends or daughters. By Catharine Paddock Ph.D. Medical News Today Following evidence that estrogen and vitamin D work together to promote bone health, new research from China now suggests that they could also help to stave off metabolic syndrome in postmenopausal women. High […]

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Uncategorized Published - 2 October, 2019    By - Dr Clemens
Comparison of standard versus 90° rotation technique for LMA Flexible™ insertion

Authors: Bon-Wook Koo et al BMC Anesthesiology volume 19, Article number: 95 (2019) Background Insertion of a flexible laryngeal mask airway (LMA Flexible) is known to be more difficult than that of a conventional laryngeal mask airway. The 90° rotation technique can improve the success rate with a conventional laryngeal mask airway but its effect with the LMA Flexible […]

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Uncategorized Published - 1 October, 2019    By - Dr Clemens
New Score Helps Predict Risk for Post-op Ischemic Stroke

Author: Michael Vlessides Anesthesiology News Predicting ischemic stroke after surgery may have gotten easier, thanks to a team of researchers. In a recent study, their novel scoring system—the STRAS, or stroke after surgery score—accurately predicted the risk for this sometimes deadly adverse event in patients with and without a history of ischemic stroke. Of note, […]

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Uncategorized Published - 1 October, 2019    By - Dr Clemens
Comparison of GlideScope Video Laryngoscopy and Direct Laryngoscopy for Tracheal Intubation in Neonates

AUTHORS: Tao, Bingdong MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 482-486 BACKGROUND: GlideScope video laryngoscope (GS) has been widely used to facilitate tracheal intubation in adults and pediatric patients because it can improve glottic view. Several investigations performed in pediatric patients have shown that GS provides […]

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