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Uncategorized Published - 18 July, 2019    By - Dr Clemens
Positive End Expiratory Pressure (PEEP) and Cardiac Output

Author: Dr Rishi Source: RK.md One of the cardiopulmonary challenges I constantly face as a cardiothoracic anesthesiologist and intensivist is balancing positive end-expiratory pressure (PEEP) with cardiac output (CO). CO is related to the heart rate (HR) and stroke volume (SV), the latter of which is related to preload, afterload, ventricular compliance, and contractility. Although […]

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Uncategorized Published - 17 July, 2019    By - Dr Clemens
Skull Cap or Bouffant Cap: Why It Matters

Jason S. Chi, MD Staff Anesthesiologist Veterans Affairs Palo Alto Health Care System Palo Alto, California Anesthesiology News In 2014, the Association of periOperative Registered Nurses (AORN) published guidelines on operating room attire. The guidelines stated: “A bouffant hat should be worn to cover all of the hair, scalp, and ears to minimize skin and […]

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Uncategorized Published - 17 July, 2019    By - Dr Clemens
OR Air Contamination Standards Needed to Control SSI Risk

Author: Tom Rosenthal Anesthesiology News Air contamination standards for microbial aerosol particulates in the OR are needed to reduce the risk for SSIs, said Charles E. Edmiston Jr., PhD, at the Association for Professionals in Infection Control and Epidemiology 2018 annual conference. The technology now exists that can accurately measure viable aerosol microbes in the […]

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Uncategorized Published - 17 July, 2019    By - Dr Clemens
Practice Management 2019: Defining the Future

Quality, Queries and Quandaries: A Review of the American Society of Anesthesiologists’ Practice Management Meeting Author: Emil Engels, MD, MBA, CPC, FASA Las Vegas—The Eiffel Tower, named after Gustave Eiffel, was built to welcome travelers to the World’s Fair of 1889. Its construction was opposed by many important figures in the arts, who criticized it […]

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Uncategorized Published - 17 July, 2019    By - Dr Clemens
REGARDING THE FRENCH ANESTHESIOLOGIST ACCUSED OF MURDER

Author: Richard Novak, MD The Anesthesia Consultant A French anesthesiologist was accused of poisoning patients to trigger cardiac arrests during surgery. Nine patients died. Dr. Frédéric Péchier is apparently suspected of injecting lethal doses of potassium chloride or anesthetics into intravenous bags either prior to or during simple surgeries. This allegedly caused patients to have […]

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Uncategorized Published - 17 July, 2019    By - Dr Clemens
Review Suggests More Sleep May Lower Cardiometabolic Risk

HealthDay News Authors note lack of studies on whether extending sleep improves cardiometabolic health in adults Increasing the length of nightly sleep may help reduce the risk for cardiovascular disease and metabolic disorders, according to a review published in the June Journal of Sleep Research. Rob H.P. Henst, from the University of Cape Town in […]

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Uncategorized Published - 16 July, 2019    By - Dr Clemens
Greater Intra-op Fluids Increase Peri-op Morbidity

Author: Michael Vlessides Anesthesiology News Day-of-surgery administration of 6 L or more of intraoperative fluid is associated with perioperative morbidity across a variety of measures, according to a database analysis by a multicenter research team. In addition, the analysis concluded that the primary driver of fluid administration levels was hospital practice, and not patient- or […]

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Uncategorized Published - 16 July, 2019    By - Dr Clemens
Minimally Invasive Procedure to Treat Lumbar Spinal Stenosis Safe and Effective Over Two Years

By Erik MacLaren, PhD Patients who underwent the minimally invasive lumbar decompression (MILD) procedure for lumbar spinal stenosis (LSS) found significant improvement in function and pain, with no serious procedure-related adverse events (AEs) after 2 years, according to results of the prospective MiDAS ENCORE study presented at the 35th Annual Meeting of the American Academy […]

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Uncategorized Published - 16 July, 2019    By - Dr Clemens
Calculated Percentage Pain-Reduction Scores Correlate Modestly With Those Reported by Patients Themselves in Chronic-Pain Treatment

By Erik MacLaren, PhD Pain-intensity reductions calculated from pre- and post-treatment assessments are only modestly correlated with patient-reported pain reductions, according to results of a retrospective analysis presented here at the 35th Annual Meeting of the American Academy of Pain Medicine (AAPM). The analgaesic effectiveness of a treatment can be determined by 2 methods. First, […]

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Uncategorized Published - 16 July, 2019    By - Dr Clemens
Indwelling devices like catheters cause roughly 25 percent of hospital infections, but ongoing efforts to reduce catheter use and misuse haven’t succeeded as much as health care workers would like.

American Journal of Critical Care July 2019 Indwelling devices like catheters cause roughly 25 percent of hospital infections, but ongoing efforts to reduce catheter use and misuse haven’t succeeded as much as health care workers would like. But most problems with catheter use stem from poor physician-nurse communication, according to a new University of Michigan […]

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