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Uncategorized Published - 15 February, 2019    By - Dr Clemens
Inferior Vena Cava Filters in the Elderly

Authors:  Bikdeli B et al.  JAMA Intern Med 2018 Dec 10 In analyses of observational data on Medicare patients, IVC filters are associated with greater 30-day and 1-year mortality. Data on the benefits of inferior vena cava (IVC) filters in elderly patients with pulmonary embolism (PE) are mixed. These researchers used three statistical approaches to explore the […]

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Uncategorized Published - 15 February, 2019    By - Dr Clemens
Analgesic Effects of Hydromorphone versus Buprenorphine in Buprenorphine-maintained Individuals

Authors: Andrew S. Huhn, Ph.D. et al  Anesthesiology 1 2019, Vol.130, 131-141. What We Already Know about This Topic: The prevalence of patients prescribed buprenorphine for treatment of opioid use disorder is increasing Managing acute pain in buprenorphine-maintained individuals can be challenging What This Article Tells Us That Is New: Large doses of intravenous hydromorphone can provide analgesia in […]

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Uncategorized Published - 15 February, 2019    By - Dr Clemens
Bone has a new blood vessels

Author: Clare Wilson It’s time to rewrite the anatomy books: a new kind of blood vessel has been discovered in our bones. These previously unknown vessels cross from the bones’ surface to their internal cavity and may shed light on bone diseases, such as osteoporosis, and conditions involving the immune system. “It’s totally crazy there are […]

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Uncategorized Published - 14 February, 2019    By - Dr Clemens
Americans more likely to die of opioid overdose than car crash, council report says

Author: Brett Molina USA TODAY A new report from the National Safety Council points a dangerous picture of opioid use in America. For the first time, Americans’ odds of dying from an accidental opioid overdose are higher than from a motor vehicle crash, a data analysis found. Injury Facts, an analysis from the nonprofit group National […]

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Uncategorized Published - 14 February, 2019    By - Dr Clemens
Hospital: Doc gave near-death patients excessive pain med

Author: KANTELE FRANK An intensive care doctor ordered “significantly excessive and potentially fatal” doses of pain medicine for at least 27 near-death patients in the past few years after families asked that lifesaving measures be stopped, an Ohio hospital system announced after being sued by a family alleging an improper dose of fentanyl actively hastened […]

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Uncategorized Published - 14 February, 2019    By - Dr Clemens
Total Intravenous Anesthesia versus Inhalation Anesthesia for Breast Cancer Surgery: A Retrospective Cohort Study

Authors: Seokha Yoo, M.D. et al  Anesthesiology 1 2019, Vol.130, 31-40. What We Know about This Topic: IV anesthesia may impair anticancer immunity less than volatile anesthesia and therefore reduce recurrence risk What This Article Tells Us That Is New: In a large propensity-matched retrospective cohort analysis, the authors compared total IV and volatile anesthesia for breast cancer […]

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Uncategorized Published - 14 February, 2019    By - Dr Clemens
Norepinephrine Infusion for Preventing Postspinal Anesthesia Hypotension during Cesarean Delivery: A Randomized Dose-finding Trial

Authors: Ahmed M. Hasanin, M.D., D.E.S.A. et al  Anesthesiology 1 2019, Vol.130, 55-62. What We Already Know about This Topic: Hypotension after spinal anesthesia for cesarean delivery is common, usually treated with phenylephrine or ephedrineNorepinephrine was recently introduced in obstetric anesthesia but the optimal dose is unknown What This Article Tells Us That Is New: This randomized, double-blinded […]

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Uncategorized Published - 14 February, 2019    By - Dr Clemens
Succinylcholine Use and Dantrolene Availability for Malignant Hyperthermia Treatment: Database Analyses and Systematic Review

Authors: Marilyn Green Larach, M.D., F.A.A.P. et al  Anesthesiology 1 2019, Vol.130, 41-54. What We Already Know about This Topic: Dantrolene effectively treats malignant hyperthermia, but there are discrepant recommendations for dantrolene availability in facilities that stock succinylcholine for airway rescue but do not use volatile anesthetics. What This Article Tells Us That Is New: The authors performed […]

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Uncategorized Published - 14 February, 2019    By - Dr Clemens
Anesthesiologist Specialization and Use of General Anesthesia for Cesarean Delivery

Authors: Benjamin T. Cobb, M.D. et al  Anesthesiology 2 2019, Vol.130, 237-246. What We Already Know about This Topic: Obstetric specialty societies recommend neuraxial anesthesia, when possible, for cesarean delivery Current data regarding the association of obstetric anesthesiologist specialization and use of general anesthesia for cesarean delivery remain lacking What This Manuscript Tells Us That Is […]

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Uncategorized Published - 13 February, 2019    By - Dr Clemens
Outcomes of a Citywide Campaign to Reduce Medicaid Hospital Readmissions With Connection to Primary Care Within 7 Days of Hospital Discharge

Authors: Dawn Wiest, PhD et al   JAMA Netw Open. 2019;2(1):e187369 Question  Is connection to primary care within 7 days of hospital discharge associated with reduced readmissions? Findings  In this cohort study of 1531 hospital discharges among adult Medicaid patients in Camden, New Jersey, patients attending a primary care follow-up appointment as part of the 7-Day Pledge program had fewer 30- […]

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