Uncategorized

Uncategorized Published - 20 May, 2019    By - Dr Clemens
Do We Need Procalcitonin for Sepsis in 2019?

Author: Саrdiac Anesthesiologist  Procalcitonin (PCT)  is the peptide precursor of calcitonin, a hormone that is synthesized by the parafollicular C cells of the thyroid. The reference value of procalcitonin in adults and children older than 72 hours is 0.15 ng/mL or less. Severe bacterial infection, bacterial sepsis is associated with elevated serum procalcitonin levels (>2 ng/mL). Early […]

Read More
Uncategorized Published - 20 May, 2019    By - Dr Clemens
Optimization Sprints: Improving Clinician Satisfaction and Teamwork by Rapidly Reducing Electronic Health Record Burden

Authors: Amber Sieja, MD et al Mayo Clinic Proceedings Objective To evaluate a novel clinic-focused Sprint process (an intensive team-based intervention) to optimize electronic health record (EHR) efficiency. Methods An 11-member team including 1 project manager, 1 physician informaticist, 1 nurse informaticist, 4 EHR analysts, and 4 trainers worked in conjunction with clinic leaders to […]

Read More
Uncategorized Published - 20 May, 2019    By - Dr Clemens
Just how effective is hypnosis at relieving pain?

By Tim Newman Medical News Today Could hypnosis relieve pain? The largest meta-analysis to date concludes that it could be a viable, safe, cost-effective option. Hypnosis might provide an innovative way to treat pain. Researchers estimate that chronic pain affects more than 1.5 billion individuals globally. Doctors often prescribe opioid medications to treat this type of pain. However, […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
Preoperative intravenous dexamethasone prevents tracheal intubation-related sore throat in adult surgical patients: a systematic review and meta-analysis

Authors: Akira Kuriyama Canadian Journal of Anesthesia May 2019, Volume 66, Issue 5, pp 562–575 Background Postoperative sore throat related to tracheal intubation negatively affects patient recovery and satisfaction. Previous reviews suggested that intravenous dexamethasone diminishes postoperative sore throat. Nevertheless, they comprised a small number of studies with inconsistencies in outcome reporting. We performed a systematic review and meta-analysis to assess […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
Bilateral Erector Spinae Plane Block for Acute Post-Surgical Pain in Adult Cardiac Surgical Patients: A Randomized Controlled Trial

AUTHORS: Siva N. Krishna, DNB et al Journal of Cardiothoracic and Vascular Anesthesia February 2019 Volume 33, Issue 2, Pages 368–375 Participants One hundred and six adult patients undergoing elective cardiac surgery with cardiopulmonary bypass. Interventions Patients were randomized into 2 groups. Patients in group 1 (ESP block group, n = 53) received ultrasound-guided bilateral ESP block with […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
Monitoring Emerges as Key for Reducing Peri-op Adverse Events From OSA

AUTHOR: Michael Vlessides Anesthesiology News If there’s one clear message from a preliminary analysis of the Obstructive Sleep Apnea Death and Near Miss Registry, it’s this: Monitoring matters. The data showed that effective monitoring solutions for the ward and home could reduce the significant perioperative adverse outcomes associated with obstructive sleep apnea (OSA), including severe […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
Continuous BP Monitoring Halves Intra-op Hypotension

AUTHOR: Michael Vlessides Anesthesiology News Continuous noninvasive blood pressure monitoring helps limit hypotension during noncardiac surgery. Researchers at the Cleveland Clinic concluded that a novel device halved the amount of hypotension below a mean arterial pressure (MAP) threshold of 65 mm Hg. “There is increasing evidence that low blood pressure during noncardiac surgery is associated with serious […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
1 in 9 U.S. Women Report Drinking While Pregnant

I thought this was interesting so I wanted to share By Amy Orciari Herman Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS Nearly 12% of pregnant women report consuming alcohol in the past 30 days, according to an analysis of data from the 2015–2017 Behavioral Risk Factor Surveillance System published in MMWR. Among the […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
Emergency Department Airway Management Responsibilities in the United States

AUTHORS: Chiaghana, Chukwudi, MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 296–301 BACKGROUND: In the 1990s, emergency medicine (EM) physicians were responsible for intubating about half of the patients requiring airway management in emergency rooms. Since then, no studies have characterized the airway management responsibilities in the emergency […]

Read More
Uncategorized Published - 17 May, 2019    By - Dr Clemens
Familiarity and Communication in the Operating Room

Authors: Lane L.FrasierMD MS et al Journal of Surgical Research Volume 235 March 2019 Pages 395-403 Background Poor communication is implicated in many adverse events in the operating room (OR); however, many hospitals’ scheduling practices permit unfamiliar operative teams. The relationship between unfamiliarity, team communication and effectiveness of communication is poorly understood. We sought to evaluate […]

Read More