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Uncategorized Published - 26 March, 2019    By - Dr Clemens
Hospitals now employ more than 40% of physicians, analysis finds

Author: Les Masterson Heathcare Dive Dive Brief: Hospitals acquired 8,000 medical practices and 14,000 physicians left private practice and entered into employment arrangements with hospitals between July 2016 and January 2018, according to a new report by Avalere Health and the Physicians Advisory Institute (PAI). The number of hospital-acquired physician practices grew from 35,700 in 2012 to […]

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Uncategorized Published - 26 March, 2019    By - Dr Clemens
Quality of surgical care across a hospital network may vary

Author: Linda Carroll Reuters Health Just because the flagship hospital gets good marks for patient care doesn’t mean results will be equally good in affiliated hospitals in the same network, a new study finds. Researchers found variable surgical outcomes across networks associated with hospitals that received the highest rankings from U.S. News & World Report, […]

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Uncategorized Published - 25 March, 2019    By - Dr Clemens
Relationship Between Preoperative Antidepressant and Antianxiety Medications and Postoperative Hospital Length of Stay

AUTHORS: Vashishta, Rishi, MD et al Anesthesia & Analgesia: February 2019 – Volume 128 – Issue 2 – p 248–255 BACKGROUND: Patients on antidepressant or antianxiety medications often have complex perioperative courses due to difficult pain management, altered coping mechanisms, or medication-related issues. This study examined the relationship between preoperative antidepressants and antianxiety medications on postoperative […]

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Uncategorized Published - 25 March, 2019    By - Dr Clemens
Anaesthetists say patients at risk after flawed oxygen guidelines

Stephen Buranyi and Hannah Devlin The Guardian New findings cast doubts on advice to administer 80% oxygen to patients after operations Patients may have been placed at risk of serious harm because of flawed advice to administer highly concentrated oxygen after surgery, leading anaesthetists have said. The concerns relate to World Health Organization guidelines to administer 80% […]

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Uncategorized Published - 25 March, 2019    By - Dr Clemens
Cleaning routine shows promise in curbing superbug infection

By MARILYNN MARCHIONE Associated Press Think of it as decontaminating yourself. Hospitalized patients who harbor certain superbugs can cut their risk of developing full-blown infections if they swab medicated goo in their nose and use special soap and mouthwash for six months after going home, a study found. It’s a low-tech approach to a big […]

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Uncategorized Published - 25 March, 2019    By - Dr Clemens
Study finds acetaminophen significantly reduced in-hospital delirium

by Beth Israel Deaconess Medical Center As many as half of all patients who undergo cardiac surgery may experience delirium, a form of acute confusion that can result in disorientation, impaired memory, delusions, and abrupt changes in mood and behavior, including aggression. In a new study published in the Journal of the American Medical Association, physician-researchers at […]

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Uncategorized Published - 25 March, 2019    By - Dr Clemens
Making Delirium Prevention the Standard of Care at VUMC

“Delirium shouldn’t be the norm.” January 21, 2019 by Sandra Gordon for ASA Making Delirium Prevention the Standard of Care at VUMC Christopher Hughes, M.D., medical director of the Neuro Intensive Care Unit and program director of the Anesthesia Critical Care Medicine Fellowship at Vanderbilt University Medical Center (VUMC), discusses the pioneering efforts his intensive […]

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Uncategorized Published - 25 March, 2019    By - Dr Clemens
More Millennials Are Having Strokes

By Dina Fine Maron A Scientific American analysis finds this trend differs based on where one lives Not all of Mitchell Elkind’s stroke patients are on social security. In recent years he has treated devastating attacks in people as young as 18. And he is not alone. A growing body of research indicates strokes among U.S. […]

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Uncategorized Published - 23 March, 2019    By - Dr Clemens
The Impact of Postoperative Intensive Care Unit Admission on Postoperative Hospital Length of Stay and Costs

AUTHORS: Thevathasan, Tharusan, Cand Med et al Anesthesia & Analgesia: November 21, 2018  BACKGROUND: In this prespecified cohort study, we investigated the influence of postoperative admission to the intensive care unit versus surgical ward on health care utilization among patients undergoing intermediate-risk surgery. METHODS: Of adult surgical patients who underwent general anesthesia without an absolute indication for […]

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Uncategorized Published - 22 March, 2019    By - Dr Clemens
Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults

Authors: Jonathan D. Casey, M.D., et al The New England Journal of Medicine BACKGROUND Hypoxemia is the most common complication during tracheal intubation of critically ill adults and may increase the risk of cardiac arrest and death. Whether positive-pressure ventilation with a bag-mask device (bag-mask ventilation) during tracheal intubation of critically ill adults prevents hypoxemia […]

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