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Uncategorized Published - 13 February, 2019    By - Dr Clemens
Triple-low Alerts Do Not Reduce Mortality: A Real-time Randomized Trial

Authors: Daniel I. Sessler, M.D. et al  Anesthesiology 1 2019, Vol.130, 72-82. What We Already Know about This Topic: Intraoperative triple-low events (mean arterial pressure less than 75 mmHg, Bispectral Index less than 45, and minimum alveolar fraction of anesthetic less than 0.8) have been found to be associated with increased risk of mortalityWhat This Article Tells […]

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Uncategorized Published - 13 February, 2019    By - Dr Clemens
Anesthesia and Cancer Recurrence: Context for Divergent Study Outcomes

Authors: Daniel I. Sessler, M.D. et al  Anesthesiology 1 2019, Vol.130, 3-5. Intraoperative mortality is now so low that its rate is hard to measure. In contrast, postoperative mortality remains common, with about 2% of United States surgical inpatients dying within a month—mostly of cardiovascular causes. Longer-term mortality is even more common, with about 5% of […]

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Uncategorized Published - 13 February, 2019    By - Dr Clemens
Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery 2019: An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Visual Loss, the North American Neuro-Ophthalmology Society, and the Society for Neuroscience in Anesthesiology and Critical Care*

I know this is long but this is so important I wanted to give the entire report. Anesthesiology 1 2019, Vol.130, 12-30. Practice advisories are systematically developed reports that are intended to assist decision-making in areas of patient care. Advisories provide a synthesis of scientific literature and analysis of expert opinion, clinical feasibility data, open forum […]

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Uncategorized Published - 12 February, 2019    By - Dr Clemens
Risk Factors for 1-Year Mortality and Hospital Utilization Patterns in Critical Care Survivors

A Retrospective, Observational, Population-Based Data Linkage Study* Authors: Szakmany, Tamas, MD, PhD, EDIC, DESA, FRCA, FFICM et al Critical Care Medicine: January 2019 – Volume 47 – Issue 1 – p 15–22 Objectives: Clear understanding of the long-term consequences of critical care survivorship is essential. We investigated the care process and individual factors associated with long-term mortalityamong ICU […]

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Uncategorized Published - 12 February, 2019    By - Dr Clemens
Association Between Red Blood Cell Distribution Width and Outcomes of Open Airway Reconstruction Surgery in Adults

Authors: Deborah Xie MD et al JAMA Otolaryngol Head Neck Surg. published January 2019.  Question  Is red blood cell distribution width at the time of open airway reconstruction associated with the likelihood of achieving a prosthesis-free airway? Findings  In this case series study of 92 patients with laryngotracheal stenosis who underwent open airway reconstruction, 74 were prosthesis […]

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Uncategorized Published - 12 February, 2019    By - Dr Clemens
Giving plasma in helicopters, before hospital, may save trauma patients

Author: Brie Zeltner The Plain Dealer Giving plasma to trauma victims during air transport, rather than waiting until arrival at the hospital, saved lives, according to the results of a study that involved patients treated aboard MetroHealth Medical Center’s Life Flight helicopters. MetroHealth, with Case Western Reserve University, was one of six nationwide locations to […]

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Uncategorized Published - 12 February, 2019    By - Dr Clemens
Insulin Costs Double in Recent Years

Author: Colleen Hall Patients who have type 1 diabetes spent a lot more to treat themselves in 2016 than in 2012. Specifically, insulin prices alone almost doubled, according to a report issued this week by the Health Care Cost Institute.1 “We conclude that increases in insulin spending were primarily driven by increases in insulin prices, and […]

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Uncategorized Published - 12 February, 2019    By - Dr Clemens
Hospitals Check To See If Patients Are Donor-Worthy — Not Their Organs, But Pockets

Author: Phil Galeswitz Kaiser Health News Nonprofit hospitals across the United States are seeking donations from the people who rely on them most: their patients. Many hospitals conduct nightly wealth screenings — using software that culls public data such as property records, contributions to political campaigns and other charities — to gauge which patients are […]

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Uncategorized Published - 12 February, 2019    By - Dr Clemens
Electromagnetic Interference with Protocolized Electrosurgery Dispersive Electrode Positioning in Patients with Implantable Cardioverter Defibrillators

Authors: Peter M. Schulman, M.D. et al  Anesthesiology published on December 28, 2018. What We Already Know about This Topic: Electromagnetic interference from monopolar electrosurgery may disrupt implantable cardioverter defibrillators. Current management recommendations by the American Society of Anesthesiologists and Heart Rhythm Society are based on expert clinical opinion since there is a paucity of data […]

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Uncategorized Published - 11 February, 2019    By - Dr Clemens
Color-Coded Medication Labels Improve Patient Safety

Authors: Luke S. Janik, MD; Jeffery S. Vender, MD, FCCM apsf Newsletter Circulation 122.210 Vol 33 No 3 Feb 2019 In 2015, the American Society of Anesthesiologists released a statement supporting the practice of user-applied, color-coded medication labels.1 These labels come in nine distinct colors, each representing a specific drug class according to the American Society […]

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