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Uncategorized Published - 26 December, 2018    By - Dr Clemens
Randomized, Double-Blind, Placebo-Controlled Study of Intravenous Amisulpride as Treatment of Established Postoperative Nausea and Vomiting in Patients Who Have Had No Prior Prophylaxis

Authors: Candiotti K et al  Anesthesia & Analgesia (Aug 2018) BACKGROUND Postoperative nausea and vomiting (PONV) occurs commonly in surgical patients despite widespread prophylactic antiemetic use. Rescue options are currently limited. 5HT3 antagonists are most frequently used for prophylaxis, but if they fail, additional doses are not effective as rescue medication. Intravenous (IV) amisulpride, a […]

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Uncategorized Published - 26 December, 2018    By - Dr Clemens
Physician Oversight Is Essential to Control the Health Care Bureaucracy

Anesthesiology News Just Because the Joint Commission Says It Is So, Does Not Make It So John G. Brock-Utne, MD, PhD Professor of Anesthesia, Emeritus Department of Anesthesiology, Perioperative and Pain Medicine Stanford University Medical Center Stanford, Calif. Richard A. Jaffe, MD, PhD Professor of Anesthesiology, Perioperative and Pain Medicine, and, by courtesy, of Neurosurgery […]

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Uncategorized Published - 25 December, 2018    By - Dr Clemens
MERRY CHRISTMAS TO OUR READERS, THEIR FAMILIES AND FRIENDS

There will be no blogs today enjoy the day off with your loved ones.

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Anesthetic Management of Patients With Idiopathic Intracranial Hypertension

Author: David Ermak, DO Reviewed by: Sonia Vaida, MD Anesthesiology News A 28-year-old woman, with a body mass index of 38 kg/m2, presents to the emergency department with a severe headache; she had delivered a healthy newborn 2 days earlier. The headache is exacerbated in the upright position and significantly improved in the recumbent position; the pain […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Cardiac Anesthesiologists Increasingly Requested for Noncardiac Cases

Author: Chase Doyle Anesthesiology News Case volume for cardiac anesthesiologists is on the rise, and it’s not limited to just cardiac surgical procedures. Rather, according to a recent retrospective analysis, cardiac anesthesiology care is increasingly requested for cases traditionally covered by general anesthesiologists. Over the course of six months at a single academic institution, the […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Adjunctive Methadone Use May Reduce Post-Spinal Fusion Opioid Requirements in Pediatric Patients

Methadone vs desflurane as an adjunct to remifentanil may help reduce perioperative opioid requirements in adolescents undergoing spinal surgery, according to a study published in the Journal of Anesthesia. The study included 60 adolescents scheduled to undergo posterior spinal fusion to treat idiopathic scoliosis. Participants were randomly assigned to receive desflurane plus remifentanil, remifentanil plus methadone (0.1 mg/kg […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
National Provider Identifiers Are Vulnerable to Theft

National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice. Thousands of health care providers’ NPIs are stolen each year and are used for further fraudulent schemes, including Medicaid and Medicare fraud. NPIs are vulnerable because they are not confidential and are publicly available on the National Plan and […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Role of the Perioperative Surgical Home in the Context of the Opioid Epidemic

Author: Tori Rodriguez, MA, LPC Minimizing the risk for opioid-related side effects and preventing opioid abuse are among the major challenges involved in the provision of optimal perioperative care. In the postoperative period, opioid-naive individuals have an increased risk for chronic opioid use, with one study showing prolonged opioid use in 3% of this population after major […]

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Uncategorized Published - 24 December, 2018    By - Dr Clemens
Using Regional Anesthesia in Difficult Airway Patients

Anesthesiology News Ying (Amy) Ye, MD, MPH Resident Physician, CA-3 Department of Anesthesiology NYU Langone Health New York, New York Taoyuan (Robert) Feng, MD Resident Physician, CA-2 Department of Anesthesiology NewYork-Presbyterian Hospital/Weill Cornell Medical Center New York, New York D. John Doyle, MD, PhD Consultant Anesthesiologist Department of General Anesthesiology Cleveland Clinic Abu Dhabi Abu […]

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Uncategorized Published - 21 December, 2018    By - Dr Clemens
Two Cases of Bilateral Vocal Fold Mobility Impairment After LMA Use In 7 Months

Authors: Gorbea E et al Annals of Otology Rhinology & Laryngology 3489418784061 (Jul 2018) OBJECTIVES To increase awareness of vocal fold mobility impairment secondary to laryngeal mask airway (LMA) use in the operating room. METHODS We report 2 cases of bilateral vocal fold mobility impairment after LMA use within 7 months of each other. One […]

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