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Uncategorized Published - 11 July, 2019    By - Dr Clemens
Staged Implementation of Awakening and Breathing, Coordination, Delirium Monitoring and Management, and Early Mobilization Bundle Improves Patient Outcomes and Reduces Hospital Costs

Authors: Hsieh, S. Jean MD, MS et al Critical Care Medicine: July 2019 – Volume 47 – Issue 7 – p 885-893 Objectives: To measure the impact of staged implementation of full versus partial ABCDE bundle on mechanical ventilation duration, ICU and hospital lengths of stay, and cost. Design: Prospective cohort study. Setting: Two medical ICUs within Montefiore Healthcare Center (Bronx, NY). Patients: One […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Intubation Through Retromolar Space An Option in Patients With Trismus

Author: Michael Vlessides Anesthesiology News In patients with trismus, flexible fiber-optic intubation can be accomplished through the retromolar space, according to a new study. The researchers also noted an association between increasing body mass index (BMI) and decreasing size of the retromolar space. “Patients with head and neck cancers often present with trismus—they can’t open […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Simplified OSA Screening Tool Proves Efficacy

Author: Michael Vlessides Anesthesiology News A screening tool designed to identify surgical patients at high risk for obstructive sleep apnea (OSA) bolsters clinical decision making and reduces both respiratory complications and hospital utilization rates. “In 2006, the Joint Commission recommended that hospitals establish screening tools for OSA,” said Katharina S. Platzbecker, MD, a research fellow […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Incidence of Post-Discharge Nausea and Vomiting Higher Than Expected

Author: Chase Doyle Anesthesiology News A prospective survey of patients undergoing outpatient surgery has identified a high incidence of post-discharge nausea and vomiting (PDNV). Results of the online survey showed that more than one-third of patients experienced nausea within three days of discharge. Despite the high prevalence of this condition, only a small percentage of […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
How calcium in coronary arteries can predict future heart health

I think everyone over 40 regardless of sex should get a CCA score. By Lauren Sharkey According to one new study, having high levels of calcium in the coronary arteries could be responsible for detrimental changes to the structure of the heart. A new study investigates calcium and heart disease. “Heart disease is the leading […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Why The Promise Of Electronic Health Records Has Gone Unfulfilled

Author: FRED SCHULTE Kaiser Health News The reality of electronic medical records has yet to live up to the promise. A decade ago, the U.S. government claimed that ditching paper medical charts for electronic records would make health care better, safer and cheaper. Ten years and $36 billion later, the digital revolution has gone awry, […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Fauci: ‘We Have the Tools’ to End HIV

This is great news so I wanted to share with our readers. Author: Marie Rosenthal MS Anesthesiology News The statistics prove the imperative that something has to be done: 1.1 million people live in the United States with HIV, and 14% don’t even know they are infected; 38,000 new infections occur every year; and since […]

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Uncategorized Published - 10 July, 2019    By - Dr Clemens
Doctors significantly over-allocated times to perform joint replacements, study shows

By Ron Shinkman Healthcare Dive Dive Brief: The physician-led Relative Value Scale Update Committee over-allocated the time required to perform knee replacement surgeries by 23% and hip replacement surgeries by 18%, according to a new Health Affairs study. Time over-allocations were even greater when previously implanted joints were being repaired or replaced. More than 80% of original replacements […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
Pre-op Evaluation of a Patient With Pulmonary Hypertension

Anesthesiology News The Frost Series #348 Written by: John C. Klick, MD; Theodore J. Cios, MD; Anita Malhotra, MD; and Shayne M. Roberts, DO Case Presentation A 63-year-old woman presents to the preoperative holding area for elective laparoscopic hysterectomy with bilateral oophorectomy and lymph node dissection. She is short of breath and her lips are […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
No Analgesic Benefit Seen With New Popliteal-Sciatic Nerve Block

Author: Michael Vlessides Anesthesiology News A novel continuous popliteal-sciatic nerve block using a location immediately distal to the sciatic nerve bifurcation and deep to the paraneural sheath appears to offer no postoperative analgesic advantage over the traditional technique. Catheter insertion above the sciatic bifurcation and superficial to the paraneural sheath has been used more commonly. […]

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