Uncategorized

Uncategorized Published - 2 July, 2019    By - Dr Clemens
Device detects deadly surgical bleeding earlier, study shows

“The device is very accurate to detect early bleeding… When you have half a liter of blood in the abdomen, the patient will be hypertensive, sweating and in shock. So we want to detect bleeding before this,” cardiologist Philippe Genereux told UPI. By Tauren Dyson UPI The Early Bird system detected bleeding in 63 percent […]

Read More
Uncategorized Published - 2 July, 2019    By - Dr Clemens
AHIP wants more oversight over consolidation of hospitals and physicians

While most vertical mergers do not impair competition, it should not be assumed that all are benign, Senate Judiciary subcommittee hears. Author: Susan Morse Healthcare Fiance A major cause of rising healthcare costs is vertical consolidation among providers, the America’s Health Insurance Plans told a Senate Judiciary Subcommittee by statement. When more and more of […]

Read More
Uncategorized Published - 1 July, 2019    By - Dr Clemens
General Anesthesia Versus Conscious Sedation for Intracranial Mechanical Thrombectomy

Authors: Yu Zhang et al Journal of the American Heart Association  18 Jun 2019  Background Endovascular therapy is the standard of care for severe acute ischemic stroke caused by large‐vessel occlusion in the anterior circulation, but there is uncertainty regarding the optimal anesthetic approach during this therapy. Meta‐analyses of observational studies suggest that general anesthesia […]

Read More
Uncategorized Published - 1 July, 2019    By - Dr Clemens
The safety and efficiency of intravenous administration of tranexamic acid in coronary artery bypass grafting (CABG)

Authors: Yanting Zhang et al  BMC Anesthesiology 2019 19:104 Background The safety and efficiency of intravenous administration of tranexamic acid (TXA) in coronary artery bypass grafting (CABG) remains unconfirmed. Therefore, we conducted a meta-analysis on this topic. Methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL), PUBMED and EMBASE for randomized controlled trials […]

Read More
Uncategorized Published - 1 July, 2019    By - Dr Clemens
Remifentanil patient-controlled intravenous analgesia during labour: a retrospective observational study of 10 years’ experience

Authors: H. Murray et al International Journal of Obstetric Anesthesia May 2019 Highlights •More than 80% of 8100 women using remifentanil were satisfied with labour analgesia. •Monitoring relies heavily on the constant presence of a midwife. •Over 50% of women using remifentanil required supplemental oxygen. •Apgar scores were not less favourable than for epidural or […]

Read More
Uncategorized Published - 1 July, 2019    By - Dr Clemens
FDA approves Lilly’s migraine drug as first ever cluster headache treatment

This is good for our readers who treat chronic pain patients. Author: Michael Erman Eli Lilly and Co’s migraine treatment Emgality on Tuesday became the first drug to gain U.S. approval for decreasing the frequency of episodic cluster headache attacks, the Food and Drug Administration said. Emgality belongs to a new class of drugs called […]

Read More
Uncategorized Published - 1 July, 2019    By - Dr Clemens
The Restrictive IV Fluid Trial in Severe Sepsis and Septic Shock (RIFTS)

Authors: Corl, Keith A. MD, ScM et al Critical Care Medicine: July 2019 – Volume 47 – Issue 7 – p 951-959 Objectives: It is unclear if a low- or high-volume IV fluid resuscitation strategy is better for patients with severe sepsis and septic shock. Design: Prospective randomized controlled trial. Setting: Two adult acute care hospitals within a single academic system. […]

Read More
Uncategorized Published - 1 July, 2019    By - Dr Clemens
Cancer Patients 10 Times Less Likely To Die From Overdose

Anesthesiology News Cancer patients are 10 times less likely to have opioid overdose listed as the primary cause of death than the general population, but rates of opioid-related deaths are still rising in that population. “Many patients are fearful of taking opioids for cancer-related pain, given concerns for opioid overdose driven by news of the […]

Read More
Uncategorized Published - 28 June, 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. […]

Read More
Uncategorized Published - 28 June, 2019    By - Dr Clemens
New Evidence of Lower Risk for Lung Cancer with Low-Dose Aspirin

Authors: Ye S et al.  JAMA Net Open 2019 Mar 1 Using low-dose aspirin for 5 to 9 years was associated with modestly reduced relative risk. Inhibition of cyclooxygenase by aspirin is a plausible explanation for how aspirin could lower risk for lung cancer. Some randomized trials have shown a benefit for long-term, low-dose aspirin use, […]

Read More