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Uncategorized Published - 31 January, 2019    By - Dr Clemens
The Trap of Overspecialization

What follows is an excerpt from “Medical Catastrophe: Confessions of an Anesthesiologist,” written by Ronald W. Dworkin, MD. In addition to his work as an anesthesiologist, Dr. Dworkin teaches political philosophy in the George Washington University Honors Program and has written essays on medicine, culture and politics for a variety of publications, including The Wall […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
Ketamine Infusion Yields Chronic Pain Dividend in the Perioperative Period

Anesthesiology News Case Study Praba Boominathan, MD Yale New Haven Hospital Yale School of Medicine New Haven, Connecticut Pavan Tankha, DO VA Connecticut Healthcare System Department of Anesthesiology Yale School of Medicine New Haven, Connecticut Robert Schlessel, MD VA Connecticut Healthcare System Department of Surgery Yale School of Medicine New Haven, Connecticut Jessica Feinleib, MD, […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
Perioperative Pain Management in Patients With Opioid Use Disorder

Although there has been an increasing focus on addressing opioid use disorders (OUDs) in outpatient settings, there is a dearth of research regarding perioperative pain management in people with a history of OUD. Opioid tolerance and medications used for OUD treatment present significant challenges in this setting. “Patients with OUD have been shown to have lowered pain […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
The Renin–Angiotensin System: The Good, the Bad, and the Ugly

Anesthesiology News Ehab Farag, MD, FRCA Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Director of Clinical Research Department of General Anesthesiology and Outcomes Research Anesthesia Institute, Cleveland Clinic Cleveland, Ohio Since the discovery of renin in 1898, the renin–angiotensin system (RAS) is considered a crucial signaling system for […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
Arterial Catheterization Preferences Vary Among Cardiac Anesthesiologists

Author: Chase Doyle Anesthesiology News Adherence to CDC Sterility Precautions Imperfect An anonymous survey of cardiac anesthesiologists has revealed significant variability in preferences for cannulation site selection and technique used, as well as unexpectedly low compliance with the CDC recommendations on sterility precautions. “There’s been a lot of discussion about sterility precautions for the line […]

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Uncategorized Published - 30 January, 2019    By - Dr Clemens
The 5 Biggest Fears Doctors Confess To Other Doctors

I thought this was very interesting so I wanted to share it. Forbes Author: Robert Pearl, M.D. Like prep sports or prime-time television, medical meetings have seasons. In the spring and fall, my calendar fills with invitations to keynote national conferences. I try to get to the venue a few hours before I’m scheduled to speak, […]

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Uncategorized Published - 29 January, 2019    By - Dr Clemens
Tracheal tubes lubricated with water to reduce sore throat after intubation: A randomized non-inferiority trial

Authors: Eugene Kim et al  Background Sore throat is common after tracheal intubation. Water can be used to lubricate tracheal tubes, but its benefit has not been validated. We thus did a randomised non-inferiority trial to test the hypothesis that a tube lubricated with water does not reduce sore throat after tracheal intubation. Methods We […]

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Uncategorized Published - 29 January, 2019    By - Dr Clemens
Comparison between general, spinal, epidural, and combined spinal-epidural anesthesia for cesarean delivery: a network meta-analysis

Authors: W.H. Kim et al International Journal of Obstetric Anesthesia Highlights •There are four different anesthetic techniques for cesarean delivery. •Neuraxial anesthesia is considered superior to general anesthesia for fetal outcomes. •Previous studies and meta-analyses reported mixed results. •This network analysis shows advantages of neuraxial anesthesia for Apgar score. Background This study is a network meta-analysis […]

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Uncategorized Published - 29 January, 2019    By - Dr Clemens
Own an anesthesia practice? Tony Mira urges caution when expanding endoscopy services

Anesthesia practices expanding their endoscopy services should proceed cautiously, as payers have begun changing their reimbursement policies to limit claims, according to Anesthesia Business Consultants President and CEO Tony Mira. Here’s what you should know: 1. After CMS implemented its policy for anesthesia payment for endoscopy four years ago and other payers followed suit, there […]

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Uncategorized Published - 29 January, 2019    By - Dr Clemens
Quantifying How Big Is Too Big for Ambulatory Surgery

Author: Michael Vlessides Anesthesiology News A higher body mass index (BMI) is a significant predictor of 30-day hospital readmission after ambulatory open hernia repair, a study has found. The investigators’ regression model indicated that a BMI of 45.7 kg/m2 could be used as a threshold value for deciding whether obese patients should undergo the surgery as […]

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