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Uncategorized Published - 14 August, 2019    By - Dr Clemens
A Bottle of Wine Has the Cancer-Causing Potential of 5–10 Cigarettes

By Kelly Young Drinking a bottle of wine a week (less than one drink a day) is equivalent to smoking 5 to 10 cigarettes in terms of the absolute increase in cancer risk, according to a study in BMC Public Health. Using health survey and lifetime-cancer-risk data from the U.K., researchers report that among men who […]

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Uncategorized Published - 14 August, 2019    By - Dr Clemens
Pregabalin Associated with Suicidality, Other Adverse Outcomes, Among the Young

This is for our pain practitioners to know about. By Joe Elia A study of gabapentinoid use finds pregabalin — but not gabapentin — associated with increased suicidality in young adult patients, according to a report in The BMJ. The drug class has anticonvulsant properties but is increasingly prescribed as an analgesic. Researchers used Swedish national […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Alarm Fatigue and Patient Safety

Authors: Keith J Ruskin, MD, FAsMA, FRAeS and James P Bliss, PhD Anesthesia Patient Safety Foundation Volume 34, No. 1 • June 2019  Introduction Electronic medical devices are an integral part of patient care, providing vital life support and physiologic monitoring that improve safety throughout hospital care units. The alarms and alerts generated by such devices […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Vasopressor Infusion During Spine Surgery Does Not Cause Renal Injury

Author: Bob Kronemyer Anesthesiology News Intraoperative vasopressor infusion to treat hypotension during complex spine surgery does not compromise renal function, according to a retrospective cohort analysis in Anesthesia & Analgesia (2019. [Epub ahead of print]). “A few years ago, a couple of studies flagged the danger of using vasopressor infusion, as it was shown to be an […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Sedation and controlled paralysis do not improve survival of ICU patients with ARDS

Reversibly paralyzing and heavily sedating hospitalized patients with severe breathing problems do not improve outcomes in most cases, according to a National Institutes of Health-sponsored clinical trial conducted at dozens of North American hospitals and led by clinician-scientists at the University of Pittsburgh and University of Colorado schools of medicine. The trial — which was […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Safety Culture: The Foundation of Hospital Risk Management

When it comes to risk management in community hospitals, reacting swiftly to incidents is important but not enough. Effective risk management programs emphasize proactivity and prevention, not just damage control. Likewise, patient safety is paramount but by no means the sole focus. Comprehensive risk management programs span the enterprise, from data security and regulatory compliance […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
Blood Test Could Help Speed Diagnosis of Preeclampsia

By Kelly Young In cases of suspected preeclampsia, measuring levels of placental growth factor (PlGF) and incorporating results into a management algorithm is associated with shorter time to diagnosis, according to a study in The Lancet. Over 1000 pregnant women with suspected, but not confirmed, preeclampsia before 37 weeks’ gestation had blood samples tested for PlGF. […]

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Uncategorized Published - 13 August, 2019    By - Dr Clemens
These gut bacteria prevent mice from becoming obese—what could that mean for us?

I wanted to share with our readers since over 60% of the population is overweight or obese. By University of Utah Mice that inevitably become obese have a compromised immune system and less of a class of bacteria called Clostridia in their gut microbiome than healthy mice. Giving Clostridia to the immune-impaired mice prevents obesity. […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
Remifentanil Has No Effect on Length of PACU Stay In Patients Undergoing Flexible Bronchoscopy

Author: Ethan Covey Anesthesiology News The use of remifentanil in patients undergoing flexible bronchoscopy resulted in no change in the length of stay in the PACU, despite worse ASA status and greater case complexity, according to a new study. The researchers also found that PACU length of stay was unchanged in rigid bronchoscopy patients who […]

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Uncategorized Published - 12 August, 2019    By - Dr Clemens
TAVR for Low-Risk Patients with Severe AS — A Paradigm Shift!

Howard C. Herrmann, MD reviewing Mack MJ et al.  N Engl J Med 2019 Mar 17 Popma JJ et al.  Two randomized trials show that transcatheter aortic valve replacement is as safe and effective as surgery. Transcatheter aortic valve replacement (TAVR) began in 2002 as a treatment for desperate patients with severe aortic stenosis (AS) and no other […]

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