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Uncategorized Published - 9 July, 2019    By - Dr Clemens
Elective Shoulder Replacement Surgery: What Are the Risks?

Authors: Craig RS et al. BMJ 2019 Feb 20 Risks for serious adverse events and revision surgery were high. Elective shoulder replacement improves quality of life for patients with glenohumeral arthropathies. However, risks for postsurgical adverse events and revisions are unclear. Using a national U.K. database, researchers identified 52,000 patients (mean age, 72) who underwent 58,000 […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
Fighting obesity with a single cup of coffee

I hope this works in the fight against obesity. By Ana Sandoiu Medical News Today Scientists say they have conducted ‘the first study in humans to show that something like a cup of coffee can have a direct effect on our brown fat functions.’ A simple cup of coffee may hold the key to tackling obesity […]

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Uncategorized Published - 9 July, 2019    By - Dr Clemens
FDA Grants Breakthrough Device Designation for the T2Resistance Panel

This is important for our readers who practice in the ICU. The FDA granted T2 Biosystems Breakthrough Device designation for the T2Resistance panel, a diagnostic panel that can detect 13 resistance genes from both gram-negative and -positive pathogens from a single blood sample, without the wait for blood culture. The 13 genes identified with the panel include […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
New Score Uses Intra-op Variables To Predict Respiratory Complications

Author: Michael Vlessides Anesthesiology News Investigators have been able to significantly improve the predictive abilities of the Score of Prediction of Postoperative Respiratory Complications, or SPORC, by incorporating intraoperative variables, an evolution that ultimately may improve patient care. “Postoperative respiratory complications are common, leading to increased costs and health care resource utilization, and may be […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
Pleth variability index versus pulse pressure variation for intraoperative goal-directed fluid therapy in patients undergoing low-to-moderate risk abdominal surgery

Authors: Sean Coeckelenbergh et al  BMC Anesthesiology 2019 19:34 Background Goal-directed fluid therapy (GDFT) based on dynamic indicators of fluid responsiveness has been shown to decrease postoperative complications and hospital length of stay (LOS) in patients undergoing major abdominal surgery. The usefulness of this approach still needs to be clarified in low-to-moderate risk abdominal surgery. […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
A retrospective analysis of the use of intravenous dexamethasone for postoperative nausea and vomiting in total joint replacement

AUTHORS: Francis P. Bustos, MD et al Arthroplasty Today June 2019 Volume 5, Issue 2, Pages 211–215 Background Multimodal perioperative pain-management protocols have contributed to the success of elective total joint replacement in orthopedic surgery. General or neuraxial anesthesia for arthroplasty is accompanied by complications such as pruritis, nausea, and vomiting. Dexamethasone has been demonstrated to […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
High-Frequency Spinal-Cord Stimulation Effective in Treating Chronic Upper Limb and Neck Pain

By Erik MacLaren, PhD High-frequency spinal-cord stimulation (HF-SCS) provides safe and effective long-term pain relief for patients with chronic upper limb and neck pain, according to results of a prospective trial presented at the 35th Annual Meeting of the American Academy of Pain Medicine (AAPM). Kasra Amirdelfan, MD, IPM Medical Group, Inc. Walnut Creek, California, […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
10 commandments to help with palliative care messaging

AUTHOR: KAREN KNOPS, MD Studies show that when people know what palliative care is, they want it. Marketing genius Seth Godin talks about offering services that are “remarkable” — so good that a person would cross the street to tell a friend. Palliative care has that kind of value, so why doesn’t our message travel […]

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Uncategorized Published - 8 July, 2019    By - Dr Clemens
Ocean Bacteria Colonize Your Skin After Just 10 Minutes of Swimming

Author: Ed Cara Gizmodo If sharks and sunburns don’t scare you at the beach, perhaps this will: According to preliminary research out this week, it only takes a 10-minute swim in the ocean to get your skin covered in a fresh coat of bacteria. While that’s not necessarily bad, some of these bacteria could be […]

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Uncategorized Published - 5 July, 2019    By - Dr Clemens
Positive Impacts of Ultrasound-Guided Regional Anesthesia on Enhanced Recovery Pathways

Anesthesiology News Theresa Bowling, MD Director of Regional Anesthesia, Integrated Anesthesia Associates, Fairfield Division, Shelton, Connecticut, and Assistant Professor, Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, Connecticut Introduction Enhanced recovery pathways (ERPs) have been shown to reduce costs and improve outcomes in nearly all surgical specialties, including shortening length of […]

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