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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Transcutaneous Electrical Nerve Stimulation Improves Pain, Fatigue in Women With Fibromyalgia

Transcutaneous electrical nerve stimulation (TENS) improves pain and fatigue, compared with no treatment, in women with fibromyalgia, according to a study presented here at the 2018 Annual Scientific Meeting of the American College of Rheumatology/Association of Rheumatology Health Professionals (ACR/ARHP). “Most women who received active TENS reported global improvement in their condition,” reported Leslie Crofford, […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Novel Sedation Therapy Decreases Anxiety, Need for IV Medication During Cataract Surgery

A therapy that combines midazolam, ketamine, and ondansetron is more effective for sedation in cataract surgery than standard therapy, according to a study presented here at the 2018 Annual Meeting of the American Academy of Ophthalmology (AAO). In addition, the combination therapy decreased patient anxiety and reduced the need intravenous medications, reported Maggie Jeffries, MD, […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Prolonged perioperative thoracic epidural analgesia may improve survival after cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for colorectal peritoneal metastases: A comparative study

Authors: Lorimier G et al European Journal of Surgical Oncology (EJSO) 44 (11), 1824-1831 (2018) OBJECTIVE To assess the effectiveness of prolonged perioperative thoracic epidural analgesia (PEA) on long term survival of patients who underwent a complete cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for colorectal peritoneal metastases (CPM). BACKGROUND Grade III-IV morbidity affects […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Caring for Critically Ill Patients with the ABCDEF Bundle: Results of the ICU Liberation Collaborative in Over 15,000 Adults

Authors: Pun B, Balas M, Barnes-Daly M et al Critical Care Medicine (Oct 2018) OBJECTIVE Decades-old, common ICU practices including deep sedation, immobilization, and limited family access are being challenged. We endeavoured to evaluate the relationship between ABCDEF bundle performance and patient-centered outcomes in critical care. DESIGN Prospective, multicenter, cohort study from a national quality […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
Hospitals Stopped Readmitting So Many Medicare Patients. Did That Cost Lives?

By Paula Span New York Times Jan. 18, 2019 A new government program was supposed to prevent certain Medicare recipients from cycling in and out of hospitals. Now experts worry some older patients are being denied necessary care. It was a well-intended policy. Almost all parties agree on that much. A decade ago, when Medicare beneficiaries […]

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Uncategorized Published - 8 March, 2019    By - Dr Clemens
What ASC anesthesia groups should know about the 2019 final payment rule: 6 insights

Anesthesia practices should prepare to see procedure mix changes at ASCs beginning in 2019 because of CMS’ final payment rule, according to Anesthesia Business Consultants President and CEO Tony Mira. Here are six insights: 1. CMS published the Outpatient Prospective Payment System and ASC Payment System Final Rule, which adds 12 cardiac catheterization procedures and five additional […]

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Uncategorized Published - 7 March, 2019    By - Dr Clemens
Causal Analysis of World Health Organization’s Surgical Safety Checklist Implementation Quality and Impact on Care Processes and Patient Outcomes

Secondary Analysis From a Large Stepped Wedge Cluster Randomized Controlled Trial in Norway Authors: Haugen, Arvid Steinar, MSc, PhD et al Annals of Surgery: February 2019 – Volume 269 – Issue 2 – p 283–290 Objective: We hypothesize that high-quality implementation of the World Health Organization’s Surgical Safety Checklist (SSC) will lead to improved care processes and subsequently reduction of peri- and […]

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Uncategorized Published - 7 March, 2019    By - Dr Clemens
Opioid epidemic spilling over onto roads, study says

CNN News source Increase in crashes involving drugs seen Patients who are prescribed opioids and the clinicians who prescribe them have more to be concerned about than steadily rising rates of opioid overdoses, according to a new study. The research, published Friday in the journal JAMA Network Open, shows that drivers who are onprescribed opioids are twice […]

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Uncategorized Published - 6 March, 2019    By - Dr Clemens
Lab-grown human blood vessels promise breakthroughs in the fight against diabetes

Author: Dario Borghino New Atlas Jan 19 Stem cell researchers at the University of British Columbia (UBC) have successfully managed to grow human blood vessels in the lab. The finding could mark a giant leap forward in the fight against vascular diseases such as Alzheimer’s, cancer, and diabetes by allowing risk-free experimentation on live human […]

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Uncategorized Published - 6 March, 2019    By - Dr Clemens
Acetaminophen significantly reduced in-hospital delirium

Beth Israel Deaconess Medical Center Summary: Patients treated with acetaminophen demonstrated a significant reduction in in-hospital delirium. Moreover, those given acetaminophen also were more likely to have shorter stays in the intensive care unit, less breakthrough pain. Those patients who did experience delirium had shorter bouts of the acute confusion. In addition, adding acetaminophen to […]

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