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Uncategorized Published - 28 December, 2018    By - Dr Clemens
National Trends and Reported Risk Factors Among Pregnant Women With Syphilis in the United States, 2012–2016

AUTHORS: Trivedi, Shivika, MD, MSc et al Obstetrics & Gynecology: December 04, 2018 – OBJECTIVE: To describe recent syphilis trends among pregnant women and to evaluate the prevalence of reported high-risk behaviors in this population. METHODS: We analyzed U.S. national case report data for 2012–2016 to assess trends among pregnant women with all stages of syphilis. Risk behavior […]

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Uncategorized Published - 28 December, 2018    By - Dr Clemens
What’s New: 2018 Stroke Guidelines and Anesthesia Management

Authors: Matthew K. Whalin, M.D., Ph.D. et al    ASA Monitor 12 2018, Vol.82, 42-44. Expanded Time Windows for Thrombectomy During acute ischemic stroke (AIS), the expanding region of irreversibly damaged brain tissue is known as the infarct core. The core is surrounded by the ischemic penumbra, brain tissue that is at risk but salvageable. New […]

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Uncategorized Published - 27 December, 2018    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 mortality What This Article […]

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Uncategorized Published - 27 December, 2018    By - Dr Clemens
Ultrarestrictive Opioid Prescription Protocol for Pain Management After Gynecologic and Abdominal Surgery

Authors: Jaron Mark, MD et al  JAMA Netw Open. 2018;1(8) Question  Can postoperative pain be appropriately managed after hospital discharge with minimal or no opioids in patients undergoing gynecologic and abdominal surgery? Findings  In this case-control cohort study of 1231 patients undergoing gynecologic oncology surgery, implementation of an ultrarestrictive opioid prescription protocol was associated with a significant decrease in the […]

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Uncategorized Published - 27 December, 2018    By - Dr Clemens
Building a “Hospital-within-Hospital” Model for Joint Replacements

Authors: John Grady-Benson, MD et al NEJM Catalyst Connecticut Joint Replacement Institute International Consortium for Health Outcomes Measurement The Connecticut Joint Replacement Institute was established in 2007 as a private physician-governed service line within Saint Francis Hospital and Medical Center in Hartford, Connecticut. Since CJRI’s founding, surgeons have performed >30,000 joint replacements, making it the […]

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Uncategorized Published - 27 December, 2018    By - Dr Clemens
Antimicrobial exposure and the risk of delirium in critically ill patients

Authors: Jessica J et al Critical Care 201822:337 Prior retrospective cross-sectional work has associated antimicrobials with a non-specific phrase: encephalopathy without seizures. The purpose of this study is to determine whether different classes of antimicrobials have differential associations with the daily risk of delirium after critical illness is adjusted for. Methods Our study was a […]

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Uncategorized Published - 27 December, 2018    By - Dr Clemens
Data supports limiting blood transfusions for moderate anemia

1. The authors observed in this retrospective cohort study that transfusion rates decreased among patients from 2010 and 2014. 2. Paralleling decreasing transfusion rates, the authors observed a reduction in 6-month mortality rates among patients with moderate anemia from 2010 and 2014. Study Rundown: Anemia is a common condition in hospitalized patients and is managed with […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
VTE Prophylaxis: Orthopedic Versus Hospitalist Perspectives

Author: Chase Doyle Anesthesiology News Although prevention of venous thromboembolism (VTE) after major orthopedic surgery is considered a patient safety measure in most mandated quality initiatives, providers disagree on specific approaches for mechanical or pharmacologic prophylaxis. According to Linda A. Russell, MD, the director of perioperative medicine at the Hospital for Special Surgery, in New […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
Preferring Oral and Subcutaneous Over IV Opioids May Reduce Overall Use

Author: David Wild Anesthesiology News Educating inpatient prescribers on the benefits of oral and subcutaneous administration of opioids versus IV administration can markedly reduce the amount of opioids dispensed, researchers at Yale New Haven Hospital have found. Over a three-month period of rolling out a new standard of opioid administration and educating providers, they found […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
The Difficult Airway in Adults With Angioedema

Anesthesiology News Yvon F. Bryan, MD Anesthesiologist, Wake Forest Baptist Health Associate Professor, Anesthesiology Wake Forest School of Medicine Winston-Salem, North Carolina Kathleen N. Johnson, BS Clinical Research Assistant, Anesthesiology Wake Forest School of Medicine Winston-Salem, North Carolina   Angioedema is an immunologic disorder that results in the rapid progression of localized subcutaneous or submucosal […]

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