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Uncategorized Published - 10 April, 2019    By - Dr Clemens
PREGABALIN BEFORE SPINE FUSION SURGERY NOT SO HELPFUL?

Author: Elizabeth Hofheinz, M.P.H., M.Ed. A team of researchers from Hospital for Special Surgery (HSS) in New York and Yale University Medical Center in New Haven, Connecticut set out to determine whether using 50 mg of pregabalin on a daily basis would reduce narcotic requirements and improve outcomes after posterior lumbar fusion (PLF). Their work, […]

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Uncategorized Published - 10 April, 2019    By - Dr Clemens
How price transparency could affect anesthesia practices — 5 takeaways

Written by Angie Stewart  Anesthesia Business Consultants As the federal government pushes for increased price transparency, anesthesia practices should prepare to see volume changes at their facilities, according to Anesthesia Business Consultants President and CEO Tony Mira. Here are five takeaways: 1. With patients’ out-of-pocket costs growing, the federal government has made price transparency a top […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
This Is the Quote Virginia Coach Tony Bennett Has Repeated All Season, and It Just Helped the Cavaliers Win Their First Championship

It’s more than a sound bite. It’s an invaluable life lesson. By Justin Bariso They did it. They pulled off the impossible. For the first time ever, the Virginia Cavaliers are NCAA basketball’s national champions. The Cavs won their first title with grit and determination, defeating the Texas Tech Red Raiders, a team who refused to give up. […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
Prevention of Perioperative Peripheral Neuropathies

Source: Cardiac Anesthesiologist blog An Updated Report by the American Society of Anesthesiologists Task Force on Prevention of Perioperative Peripheral Neuropathies I. Preoperative History and Physical Assessment •   When judged appropriate, it is helpful to ascertain that patients can comfortably tolerate the anticipated operative position. •   Body habitus, preexisting neurologic symptoms, diabetes mellitus, peripheral vascular disease, […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
Leapfrog Group will start to issue quality ratings for ambulatory and outpatient surgical services

This will have an impact on our departments so anesthesia will need to pick it up on providing what the pts think is quality. By Joanne Finnegan | The Leapfrog Group will now rate ambulatory surgery centers and hospital outpatient surgery services on quality and safety. For almost two decades, the nonprofit Leapfrog Group has graded […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
Choice between coronary artery bypass grafting and percutaneous coronary intervention.

by Саrdiac Anesthesiologist  FAVOURS percutaneous coronary intervention (PCI): Clinical characteristics: Presence of severe co-morbidity (not adequately reflected by scores) Advanced age/frailty/reduced life expectancy Restricted mobility and conditions that affect the rehabilitation process Anatomical and technical aspects: Multivessel coronary artery disease (MVD) with SYNTAX score 0–22 Anatomy likely resulting in incomplete revascularization with CABG (coronary artery bypass grafting) due to […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
In Type 2 Diabetes, Younger Age at Diagnosis Confers Higher Mortality Risks

I thought this was interesting so I wanted to share. Type 2 diabetes is associated with excess mortality risks, particularly in those diagnosed at younger ages, according to a Circulation study. Using Swedish health registries, researchers matched roughly 320,000 people with diabetes to 1.6 million diabetes-free controls. Over a median 2.5 years’ follow-up, excess risks for total […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
Opioid prescriptions after plastic surgery tied to long-term use

Reuters Health Opioids account for more than 90 percent of the painkillers used after plastic surgery, according to a U.S. study that questions how often these addictive narcotics are necessary to ease discomfort after operations. Researchers examined data on 466,677 people who had plastic and reconstructive procedures for the nose, eye, breast, abdomen or soft […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
IV OR ORAL ACETAMINOPHEN FOR THA? NEW DATA FROM HSS

Author: Elizabeth Hofheinz, M.P.H., M.Ed.  To examine the differences in managing pain between oral and intravenous acetaminophen, a team from Hospital for Special Surgery (HSS) in New York conducted a study of 154 total hip arthroplasty patients—some of whom received either IV or oral acetaminophen. Their work, “IV vs. Oral Acetaminophen as A Component of […]

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Uncategorized Published - 9 April, 2019    By - Dr Clemens
Prediction of postoperative mortality in elderly patient with hip fractures: a single-centre, retrospective cohort study

Authors: Romain Niessen BMC Anesthesiology 201818:18 Background Elderly patients are at high risk for postoperative complications and increased mortality after hip fracture (HF) surgery due to frailty and co-morbidities. The prediction of postoperative outcome could be used for clinical decision making. A reliable score to predict postoperative mortality after HF surgery in this sub-population remains […]

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