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Uncategorized Published - 4 January, 2019    By - Dr Clemens
Pneumoperitoneum after Cardiopulmonary Resuscitation

Authors: Tanya Keverian, M.D. et al  Anesthesiology 1 2019, Vol.130, 153. A 71-yr-old female with a complicated medical history, most notable for laryngeal stenosis, was transferred from an outside hospital after an emergent cricothyroidotomy during cardiopulmonary resuscitation. Upon her arrival to our hospital, a chest tube was inserted for suspected tension pneumothorax in the setting of […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Stress from using electronic health records is linked to physician burnout

 Author: Mollie Rappe    Researchers found that health information technology-related stress was most common among primary care doctors. While electronic health records (EHRs) improve communication and access to patient data, researchers found that stress from using EHRs is associated with burnout, particularly for primary care doctors such as pediatricians, family medicine physicians and general internists. […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Low nurse staffing levels directly linked to higher patient mortality, study finds

Dive Brief: A new study on nurse staffing in BMJ found that the hazard of death increased by 3% for every day a patient experienced nurse staffing levels below England’s ward mean. Researchers looked at over 138,000 patient stays in English hospitals between 2012 and 2015. Relatively, researchers found that each additional hour of nurse care made available […]

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Uncategorized Published - 3 January, 2019    By - Dr Clemens
Dementia risk increased in female vets with brain injury, PTSD

Author: Linda Carroll Female military veterans with traumatic brain injury, post-traumatic stress disorder or depression are more likely to develop dementia later in life than peers without those conditions, a U.S. study suggests. Each of those conditions was associated with an increased risk for dementia, and if a female vet was diagnosed with more than […]

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Uncategorized Published - 3 January, 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 - 3 January, 2019    By - Dr Clemens
Blood Pressure and End-tidal Carbon Dioxide Ranges during Aneurysm Occlusion and Neurologic Outcome after an Aneurysmal Subarachnoid Hemorrhage

Authors: Annemarie Akkermans, M.D. et al  Anesthesiology 1 2019, Vol.130, 92-105. What We Already Know about This Topic: It remains unknown what end-tidal carbon dioxide and mean arterial pressure are optimal for surgical management of patients with an aneurysmal subarachnoid hemorrhage What This Article Tells Us That Is New: The investigators retrospectively evaluated 1,099 patients who had endovascular […]

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Uncategorized Published - 2 January, 2019    By - Dr Clemens
Major Adverse Cardiac Events and Mortality Associated with Electroconvulsive Therapy: A Systematic Review and Meta-analysis

Authors: Andreas Duma, M.D., M.Sc. et al  Anesthesiology 1 2019, Vol.130, 83-91. What We Already Know about This Topic: The incidence of major adverse cardiac events after electroconvulsive therapy is not knownWhat This Article Tells Us That Is New: Major adverse cardiac events and death after electroconvulsive therapy are infrequent and occur in about 1 of 50 patients […]

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Uncategorized Published - 2 January, 2019    By - Dr Clemens
Sleep Deprivation and Fatigue – Recognizing the Warnings and Finding Solutions

Authors: Amy M. Pichoff, M.D. et al  ASA Monitor 12 2018, Vol.82, 16-19. Is fatigue inevitable? It seems rare these days to ask a physician how they are doing and receive a reply other than “tired.” Demands on our time seem never-ending. Attempting to accomplish everything on the proverbial “to do” list and balancing an anesthesiologist’s work […]

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Uncategorized Published - 2 January, 2019    By - Dr Clemens
For the first time, a baby is born via a uterus transplant from a deceased donor

By ANDREW JOSEPH For the first time, a woman has given birth after receiving a uterus transplant from a deceased donor, researchers reported Tuesday. Until now, only uterus transplants from living donors have led to successful births. The whole field of uterus transplantation is in its early days. But researchers said that if transplant teams can […]

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Uncategorized Published - 2 January, 2019    By - Dr Clemens
The outlook for nonprofit hospitals in 2019 is bad—but it’s not that bad

Author: Tina Reed Fierce Healthcare Nonprofit hospitals are facing a tough road ahead, but the news is not as bad as it might seem, said Kevin Holloran, senior director at Fitch, who just gave the sector a “negative” but stable outlook. When it comes to nonprofit hospitals, the financial outlook for the sector has sounded pretty dismal […]

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