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Uncategorized Published - 4 April, 2019    By - Dr Clemens
US begins organ transplants from living donors who have HIV

By LAURAN NEERGAARD Associated Press March 28, 2019 Surgeons in Baltimore have performed what’s thought to be the world’s first kidney transplant from a living donor with HIV, a milestone for people with the AIDS virus — and one that could free up space on the transplant waiting list for everyone. Nina Martinez of Atlanta […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
A Comparison of Spinal Anesthesia Versus Monitored Anesthesia Care With Local Anesthesia in Minimally Invasive Fetal Surgery

AUTHORS:  Ferschl, Marla B., MD et al Anesthesia & Analgesia: November 21, 2018 BACKGROUND: Minimally invasive fetal surgery is commonly performed to treat twin-to-twin transfusion syndrome with selective fetoscopic laser photocoagulation and twin-reversed arterial perfusion sequence using radiofrequency ablation. Although an increasing number of centers worldwide are performing these procedures, anesthetic management varies. Both neuraxial anesthesia […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
Pulsed Radiofrequency Relieves Acute Back Pain, Sciatica

A minimally invasive procedure in which pulses of energy from a probe are applied directly to nerve roots near the spine is safe and effective in people with acute lower back pain that has not responded to conservative treatment, according to a study being presented at the 2018 Annual Meeting of the Radiological Society of […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
Use of Neuromuscular Blocking Agents Does Not Speed Abdominal Closure

Author: Thomas Rosenthal Anesthesiology News Using neuromuscular blocking agents (NMBAs) does not allow surgeons to close the abdomen of trauma patients after damage control laparotomy (DCL) any faster than for those who are not given NMBAs, a study has concluded. Abdominal closure was achieved in a median of two days for both the 125 patients […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
Spinal Beats General for Patients Undergoing Hip Fracture Repair

Author: Michael Vlessides Anesthesiology News Patients undergoing hip fracture fixation surgery who received spinal anesthesia had reduced 90-day mortality relative to those receiving general anesthesia, in a new study. The study also found spinal anesthesia to be superior to general anesthesia with respect to rates of pulmonary embolism, major blood loss and hospital length of […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
Purdue Pharma agrees to $270 million settlement in Oklahoma opioid case

This appeared in Reuters OxyContin maker Purdue Pharma LP and members of the wealthy Sackler family that own the company reached a $270 million settlement to resolve a lawsuit brought by the state of Oklahoma accusing the drugmaker of fueling an opioid abuse epidemic. The settlement unveiled by Oklahoma Attorney General Mike Hunter on Tuesday […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
Why Physicians Should Trust in Patients

I wanted to share. Authors: Rachel Grob, PhD et al JAMA. Published online March 22, 2019. Most of the existing literature on trust between patients and physicians focuses on whether patients trust their clinicians. When medical paternalism was the dominant model in health care, this focus may have been logical: if the physician knows best, the […]

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Uncategorized Published - 3 April, 2019    By - Dr Clemens
Hospital pharmacists face dozens of drug shortages yearly

Author: Lisa Rapaport Reuters Health More than two-thirds of pharmacists in U.S. hospitals deal with at least 50 drug shortages every year, according to a new study that suggests hospital staff are often forced to ration life-saving medicines as a result. Researchers surveyed 719 pharmacists at large and small hospitals across the country in 2018. […]

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Uncategorized Published - 2 April, 2019    By - Dr Clemens
Biomarkers Show Higher Risks in Repeated Vascular Surgery Patients

Author: Michael Vlessides Anesthesiology News Repetitive surgery is associated with myocardial injury in vascular patients, a German research team has found. Of note, the researchers also found that pentraxin 3—a biomarker of plaque vulnerability—is increased before the second procedure. Studies have shown that myocardial injury after noncardiac surgery is an independent risk factor for 30-day […]

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Uncategorized Published - 2 April, 2019    By - Dr Clemens
Diaphragm Atrophy From Mechanical Ventilation Increases Complications

Author: Thomas Rosenthal Anesthesiology News Diaphragm atrophy that develops while patients are mechanically ventilated is specifically associated with increased risks for reintubation, tracheostomy and prolonged ventilation, according to new research. “The central finding of this study is that the progressive development of diaphragm atrophy during mechanical ventilation is associated with pro longed mechanical ventilation and […]

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