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Uncategorized Published - 4 June, 2019    By - Dr Clemens
Effectiveness of Magnesium in Preventing Shivering in Surgical Patients

AUTHORS: Kawakami, Hiromasa, MD et al Anesthesia & Analgesia: February 2019 BACKGROUND: Clinical trials regarding the antishivering effect of perioperative magnesium have produced inconsistent results. We conducted a systematic review and meta-analysis with Trial Sequential Analysis to evaluate the effect of perioperative magnesium on prevention of shivering. METHODS: We searched PubMed, EMBASE, Web of Science, Cochrane Central Register […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
Big Data Reveals Hidden Subtypes of Sepsis

These findings, announced today in JAMA and presented at the American Thoracic Society’s annual meeting, could explain why several recent clinical trials of treatments for sepsis, the No. 1 killer of hospitalized patients, have failed. Sepsis is a life-threatening condition that arises when the body’s response to an infection injures its own tissues and organs. […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
HTX-011 reduced pain intensity and opioid consumption versus bupivacaine HCl in bunionectomy: phase III results from the randomized EPOCH 1 study

Authors: Eugene Viscusi et al BMJ Journals Background and objectives There is a need for local anesthetics that provide consistent analgesia through 72 hours after surgery. This study evaluates the use of HTX-011 (bupivacaine and meloxicam in Biochronomerpolymer technology), an extended-release, dual-acting local anesthetic, in reducing both postoperative pain over 72 hours and postoperative opioid use […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
Safety net: AAP, pediatric dental group update guidance on dental sedation personnel

Author: Charles J. Coté, M.D., FAAP American Academy of Pediatrics Sedation for dental procedures in children and teenagers is generally safe. However, recent deaths in the dental setting and concern over the growing use of inadequate supervision during sedation procedures have prompted stronger guidance from the AAP in conjunction with the American Academy of Pediatric Dentistry (AAPD). […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy

Authors: Geeta Aggarwal, MBBS et al JAMA Surg. 2019;154(5):e190145. Key Points Question  Is a quality improvement collaborative approach to implementation of a care bundle associated with reductions in mortality from emergency laparotomy? Findings  In this study of a collaborative project involving 28 hospitals and a total of 14 809 patients, reductions in mortality and length of stay were […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
Trade frictions raise questions about China’s fentanyl promise

Author: Jonathan Landay Reuters China has pledged to stem a flood of the synthetic opioid fentanyl onto America’s streets, where it kills thousands of people a month, but U.S. security experts are skeptical about whether Beijing is willing, or even able, to follow through. Ten current and former U.S. officials, congressional sources and China and […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
How sleep and mood impact working memory

By Maria Cohut Medical News Todahy Two new studies assess how working memory — the memory we use on a day-to-day basis in decision-making processes — is affected by age, mood, and sleep quality and whether these factors impact memory together or on their own. Two new studies investigate how sleep quality, mood, and age affect […]

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Uncategorized Published - 4 June, 2019    By - Dr Clemens
Fewer babies as U.S. birth rate fails to rebound with economy

US births lowest in 3 decades despite improving economy By CARLA K. JOHNSON AP America’s baby bust isn’t over. The nation’s birth rates last year reached record lows for women in their teens and 20s, a government report shows, leading to the fewest babies in 32 years. The provisional report, released Wednesday and based on […]

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Uncategorized Published - 3 June, 2019    By - Dr Clemens
Using Anesthesiologists As Peri-op Hospitalists Improves Outcomes

Author: Michael Vlessides Anesthesiology News A pilot project has concluded that using anesthesiologists as perioperative hospitalists may offer both financial and patient care benefits for institutions. The study found that using anesthesiologists in this role decreased patients’ length of stay (LOS) after urologic surgery while reducing complication rates and total direct patient costs. “Within the […]

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Uncategorized Published - 3 June, 2019    By - Dr Clemens
Pediatric Risk Stratification Is Improved by Integrating Both Patient Comorbidities and Intrinsic Surgical Risk

Authors: Viviane G. Nasr, M.D. et al Anesthesiology 6 2019, Vol.130, 971-980. Editor’s Perspective: What We Already Know about This Topic: Risk stratification models to predict perioperative mortality in pediatric surgical populations are based on patient comorbidities, but do not take into consideration the intrinsic risk of the surgical procedures. What This Article Tells Us That […]

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