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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Feasibility and Rationale for Incorporating Frailty and Cognitive Screening Protocols in a Preoperative Anesthesia Clinic

AUTHORS: Amini, Shawna MPH et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 830-838 BACKGROUND: Advanced age, frailty, low education level, and impaired cognition are generally reported to be associated with postoperative cognitive complications. To translate research findings into hospital-wide preoperative assessment clinical practice, we examined the feasibility of implementing […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Labor epidural analgesia onset time and subsequent analgesic requirements

Authors: A. Nevo et al International Journal of Obstetric Anesthesia Highlights •Labor epidural analgesia (LEA) onset time may predict pain later in labor. •There was a significant correlation between onset time and pain intensity at 60 min. •Women with more pain at 60 min also had more pain at 120 min. •Women with more pain at 60 min required […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Effect of syringe size on severity of pain during local anesthesia administration

Author: Muhammad Ahmad MD Journal of Cosmetic Dermatology Objective To know the pain intensity experienced by the patients using the two different syringes keeping the needle size constant. Materials and Methods The split‐scalp, single‐blind study was conducted in patients after obtaining informed consent. On half of side, 1‐mL syringe with 30‐G needle was used whereas […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Securing an Endotracheal Tube: Commercial Fastener or Tape?

 Author: Landsperger JS et al.  Crit Care 2019 May 7 In this randomized ICU study, tube dislodgement and skin breakdown were more common when tape was used. Clinicians have many options for securing an endotracheal tube (e.g., tape, cotton twill, mechanical devices). Frequently, the option chosen is based on habit or personal preference, due to the […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Analgesic Benefit of Pectoral Nerve Block II Blockade for Open Subpectoral Biceps Tenodesis

AUTHORS: Reynolds, J. Wells MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 536-542 BACKGROUND: Axillary pain is common after arthroscopic shoulder surgery with an open subpectoral biceps tenodesis. We hypothesized that adding a pectoral nerve block II (Pecs II) to an interscalene block (ISB) would improve postoperative analgesia […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
At the end of each year there will be an annual management review where the salary will be adjusted according to the employee’s performance.

Author: Michael Brady CMS Administrator Seema Verma called on hospitals to get on board with the Trump administration’s transparency and value-based payment policies, warning they could face tougher times and more government insurance competition if they resist. Verma said the status quo is unacceptable and must change because Americans are “fed up” with high healthcare costs and surprise billing. […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Public’s view of drug companies sinks to record low in Gallup poll

Author: Peter Sullivan  The Hill The public’s view of the pharmaceutical industry sank to a record low in a new Gallup poll. The poll finds that 27 percent of the public has a positive view of the industry, compared to 58 percent with a negative view, for a net rating of negative 31 points. The number is the lowest […]

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Uncategorized Published - 12 September, 2019    By - Dr Clemens
Ventilator Recall

This is obviously very important for our readers that have any of these ventilators. Author: Feyza Sancar, PhD JAMA. 2019;322(7):604. doi:10.1001/jama.2019.11803 More than 4000 Hamilton-G5 ventilators have been recalled due to a sporadic error message that can cause it to stop working, the FDA recently announced. The device provides breathing support for adult, pediatric, infant, and neonatal […]

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Uncategorized Published - 11 September, 2019    By - Dr Clemens
Trump administration announces $1.8 billion in funding to states to combat opioid crisis

Drug overdose deaths dropped by 5% from 2017 to 2018 and deaths from opioids went down 2.8%. Author: Susan Morse Healthcare Fiance The U.S. Department of Health and Human Services today announced it is releasing more than $1.8 billion to states to combat the opioid crisis. The funds will expand access to treatment and support efforts by […]

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Uncategorized Published - 11 September, 2019    By - Dr Clemens
Transport of Critically Ill Patients by the Anesthesia Versus the Intensive Care Unit Service: A Before–After Study of Operating Room Workflows

AUTHORS: Dupont, Frank W. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 671-678 BACKGROUND: We implemented a new policy at our institution where the responsibility for intensive care unit (ICU) patient transports to the operating room (OR) was changed from the anesthesia to the ICU service. We hypothesized […]

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