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Uncategorized Published - 21 August, 2019    By - Dr Clemens
Obtaining and Modeling Variability in Travel Times From Off-Site Satellite Clinics to Hospitals and Surgery Centers for Surgeons and Proceduralists Seeing Office Patients in the Morning and Performing a To-Follow List of Cases in the Afternoon

AUTHORS: Epstein, Richard H. MD, FASA et al Anesthesia & Analgesia: April 2019 BACKGROUND: Hospitals achieve growth in surgical caseload primarily from the additive contribution of many surgeons with low caseloads. Such surgeons often see clinic patients in the morning then travel to a facility to do 1 or 2 scheduled afternoon cases. Uncertainty in travel time […]

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Uncategorized Published - 21 August, 2019    By - Dr Clemens
Both Systolic and Diastolic BP Affect CV Outcomes

Elevated systolic and diastolic blood pressure measurements independently predict risk for adverse cardiovascular events, according to a retrospective study in the New England Journal of Medicine. Roughly 1.3 million adults had their blood pressure taken on at least three separate occasions (median number of measurements, 22). Systolic hypertension (at least 140 mm Hg) and diastolic hypertension […]

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Uncategorized Published - 20 August, 2019    By - Dr Clemens
Chemical Hip Denervation for Inoperable Hip Fracture

AUTHORS: Kwun-Tung Ng et al Anesthesia & Analgesia: April 2019 BACKGROUND: Hip fracture is a challenging geriatric problem for the health care professionals, especially in patients with multiple comorbidities. In patients with inoperable hip fracture secondary to severe comorbid conditions, the pain can lead to significant challenges in nursing care. With the current understanding of the innervation […]

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Uncategorized Published - 20 August, 2019    By - Dr Clemens
New Method of Destroying Waste Anesthetic Gases Using Gas-Phase Photochemistry

AUTHORS: Rauchenwald, Verena MSc et al Anesthesia & Analgesia: April 2019 BACKGROUND: The inhalation anesthetics are potent greenhouse gases. To reduce the global environmental impact of the health care sector, technologies are sought to limit the release of waste anesthetic gas into the atmosphere. METHODS: Using a photochemical exhaust gas destruction system, removal efficiencies for nitrous oxide, desflurane, […]

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Uncategorized Published - 20 August, 2019    By - Dr Clemens
Preoperative Pulmonary Function Test Results Are Not Associated With Postoperative Intubation in Children Undergoing Posterior Spinal Fusion for Scoliosis

AUTHORS: Burjek, Nicholas E. MD  et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 184-191 BACKGROUND: Preoperative pulmonary function tests are routinely obtained in children with scoliosis undergoing posterior spinal fusion despite unclear benefits as a perioperative risk assessment tool and frequent inability of patients to provide acceptable results. The […]

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Uncategorized Published - 20 August, 2019    By - Dr Clemens
Effects of Dexmedetomidine on Myocardial Repolarization in Children Undergoing General Anesthesia

AUTHORS: Görges, Matthias PhD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on myocardial repolarization, which is important given that the drug is listed as a […]

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Uncategorized Published - 20 August, 2019    By - Dr Clemens
Frequent Social, Mental Activity Tied to Lower Dementia Risk

By Kelly Young Stimulating mental and social activities over a lifetime are associated with lower risk for developing dementia, according to a JAMA Neurology study. Roughly 1600 older adults (mean age, 80) free of dementia at baseline completed questionnaires on their frequency of cognitive activities in early, mid, and late life, and social activities in late life […]

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Uncategorized Published - 19 August, 2019    By - Dr Clemens
Outcomes and Safety Among Patients With Obstructive Sleep Apnea Undergoing Cancer Surgery Procedures in a Freestanding Ambulatory Surgical Facility

AUTHORS: Szeto, Betsy MPH et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 360-368 BACKGROUND: Patients with obstructive sleep apnea (OSA) may be at increased risk for serious perioperative complications. The suitability of ambulatory surgery for patients with OSA remains controversial, and several national guidelines call for more evidence that […]

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Uncategorized Published - 19 August, 2019    By - Dr Clemens
Normal Saline and Dextrose 5% in Water Do Not Support Bacterial Growth 24 Hours After Being Spiked in the Perioperative Environment

AUTHORS: Baronos, Stamatis MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1185-1187 BACKGROUND: The Joint Commission requirement is that the US Pharmacopeia Chapter <797> is followed, which recommends that administration of compounded sterile preparations should begin no later than 1 hour after their preparation. We hypothesized that simply […]

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Uncategorized Published - 19 August, 2019    By - Dr Clemens
Estimating the Impact of Carbon Dioxide Absorbent Performance Differences on Absorbent Cost During Low-Flow Anesthesia

AUTHORS: Feldman, Jeffrey M. MD, MSE et al Anesthesia & Analgesia: March 27, 2019 BACKGROUND: Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount of exhaled gas rebreathed increases, but the utilization of carbon […]

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