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Uncategorized Published - 11 January, 2019    By - Dr Clemens
FDA Votes to Support Co-Prescribing Naloxone with Opioids, Consistent with ASA Recommendations

Earlier this week, a Food and Drug Administration (FDA) Committee voted to recommend the co-prescribing of naloxone with an opioid for patients at high risk of an overdose.  The recommendation is consistent with the American Society of Anesthesiologists (ASA) position on this issue – a position formally conveyed to the FDA Committee last week. The decision […]

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Uncategorized Published - 11 January, 2019    By - Dr Clemens
ASA Urges Members to Comment on Revised AORN Guideline for Surgical Attire

On January 2, 2019, the Association of periOperative Registered Nurses (AORN) opened a public comment period on revisions to its Guideline for Surgical Attire. The revised guideline includes a number of changes sought by the American Society of Anesthesiologists (ASA). ASA members are encouraged to read and provide their perspectives on the guideline through the public comment […]

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Uncategorized Published - 11 January, 2019    By - Dr Clemens
Muscle atrophy among critically ill kids occurs within one week of mechanical ventilation

By Children’s National Medical Center Children with life-threatening respiratory failure who require mechanical ventilation in a pediatric intensive care unit commonly experience rapid muscle atrophy, according to a study published online Dec. 19, 2018, in PLOS ONE. More than 80 percent of children enrolled in the study experienced atrophy in at least one muscle group, and […]

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Uncategorized Published - 11 January, 2019    By - Dr Clemens
How The Government Shutdown Affects Health Programs

By Shefali Luthra There seems to be no end in sight for the current partial government shutdown, the third since the beginning of the Trump administration. For the vast majority of the federal government’s public health efforts, though, it’s business as usual. That’s because Congress has already passed five of its major appropriations bills, funding about three-fourths […]

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Uncategorized Published - 10 January, 2019    By - Dr Clemens
Invasive Mechanical Ventilation for Pneumonia Declines in Very Old Patients

Author: Thomas Rosenthal Anesthesiology News Although the number of adult patients requiring mechanical ventilation (MV) declined from 2005 to 2011, approximately 9% of the 1,209,185 patients who were admitted to California community hospitals with community-acquired pneumonia (CAP) required invasive MV (IMV) within 48 hours of admission. That rate has remained relatively stable over the years […]

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Uncategorized Published - 10 January, 2019    By - Dr Clemens
Effects of propofol/remifentanil-based total intravenous anesthesia versus sevoflurane-based inhalational anesthesia on the release of VEGF-C and TGF-β and prognosis after breast cancer surgery: a prospective, randomized and controlled study

Authors: Tao Yan et al  BMC Anesthesiology 2018 18:131 Background Vascular endothelial growth factor (VEGF) and transforming growth factor-β (TGF-β) have been involved in tumor growth and metastasis. Sevoflurane may promote angiogenesis, whereas propofol can present an anti-angiogenic effect. In this study, we compared the effects of propofol/remifentanil-based total intravenous anesthesia (TIVA) and sevoflurane-based inhalational anesthesia on the […]

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Uncategorized Published - 10 January, 2019    By - Dr Clemens
Gender Differences in the Epidemiology of Migraine

Gender differences between women and men with migraine indicate that men may have less severe migraine attacks and less disability than women, and may also be less likely to be diagnosed with migraine than women, according to a study published in Cephalalgia. To assess gender differences in prognosis, comorbidity, and disease presentation for migraine, the Chronic Migraine Epidemiology […]

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Uncategorized Published - 10 January, 2019    By - Dr Clemens
Pediatric Prescriptions for Tramadol Frequently Contraindicated

Tramadol, although seldom prescribed in children, was found to be prescribed for almost half of children with contraindications for its use, and predominantly to girls vs boys and whites vs other race children, according to a retrospective review to be presented at the World Congress on Pain 2018 in Boston, Massachusetts. Electronic medical records of children prescribed tramadol […]

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Uncategorized Published - 10 January, 2019    By - Dr Clemens
Terminally Ill Cancer Patients’ Concordance Between Preferred Life-Sustaining Treatment States in Their Last Six Months of Life and Received Life-Sustaining Treatment States in Their Last Month: An Observational Study

Authors: Fur-Hsing Wen, PhD et al Journal of Pain and Symptom Management  Oct 18 Vol 56 Issue 4 pages 509-518 Context/Objective The extent to which patients’ preferences for end-of-life (EOL) care are honored may be distorted if preferences are measured long before death, a common approach of existing research. We examined the concordance between cancer […]

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Uncategorized Published - 10 January, 2019    By - Dr Clemens
A paralyzed man just walked the length of a football field

Author: Antonio Regalado Two new reports suggest that electrically stimulating the spinal cords of accident victims can let them walk again. Long walk: Jered Chinnock was paralyzed at the waist in 2013 while riding a snowmobile. After having an electric stimulator implanted, he was able to walk 111 yards with assistance. The Mayo Clinic reported the results […]

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