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Uncategorized Published - 13 December, 2018    By - Dr Clemens
SHARE The Age That Women Have Babies: How a Gap Divides America

By QUOCTRUNG BUI and CLAIRE CAIN MILLER The Upshot Ages of first-time mothers in 1980 Becoming a mother used to be seen as a unifying milestone for women in the United States. But a new analysis of four decades of births shows that the age that women become mothers varies significantly by geography and education. The result is that […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Delirium Associated With Unplanned Extubations

Author: Thomas Rosenthal Anesthesiology News As in previous studies, unplanned extubation (UE) has been found in new research to be associated with delirium, a greater reintubation rate, and longer stays in the ICU and hospital. The researchers called for increased exploration into factors involved in UE. “The most important finding is that unplanned extubation was associated […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Cardiac Arrest During Emergency Intubation Outside the Operating Room: Incidence, Risk Factors, and Trends

Authors: Thomas C. Mort, MD et al Anesthesiology News The current rate of perioperative cardiac arrest (CA) is estimated to be between 1 and 1,400 to 1,800 anesthetic interventions (0.05%-0.07%).1 The number of CAs directly attributable to anesthesia as a primary causative factor has decreased over the last 5 decades, and is estimated to occur from 0.5 […]

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Uncategorized Published - 13 December, 2018    By - Dr Clemens
Tumor-Related Headache: Path to Diagnosis, Treatment Isn’t Always Obvious

Headaches are a common occurrence in the general population and are often present in patients with an underlying brain tumor, although it is not yet clear to what degree they are related.1 Contrary to conventional thinking, however, headache associated with a brain tumor may be essentially the same as headache without a brain tumor. The International Classification of […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
IV Lidocaine May Be Safe, Efficacious for Pediatric Status Migraine

Intravenous (IV) lidocaine may be safe and effective for the treatment of children and adolescents with status migraine, according to a study published in Pediatric Critical Care Medicine. Prospective studies are needed to further investigate effectiveness, safety, and duration of effects of the treatment after discharge. This study included 26 participants with status migraine whose average age was 14.9±2.4 […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Remifentanil During Labour Could Halve the Number of Women Needing an Epidural

Half as many women in labour given remifentanil to help manage their pain need a subsequent epidural, compared with women given pethidine — the current standard of care, according to a study published in The Lancet. “Previous studies have shown that at least 1 in 3 women given pethidine to manage pain during labour require a […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Peripheral Nerve Block Provides Relief for Severe Facial Pain

Use of peripheral nerve blocks in the treatment of trigeminal neuralgia may produce long-term pain relief, according to a study published in The American Journal of Emergency Medicine. For the study, Michael Perloff, MD, Boston University School of Medicine, Boston, Massachusetts, and colleagues examined 9 patients with intractable primary trigeminal neuralgia who underwent peripheral trigeminal nerve […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Emergency Intubation Outside the Operating Room

Feasibility of Topical Local Anesthesia Preparation For Video–Assisted Laryngoscopy Author Thomas C. Mort, MD Anesthesiology News Emergent tracheal intubation outside the operating room (OR) is challenging in terms of complications and patient safety concerns. The acute and critical nature of the patient’s need for airway control escalates the dangers with both recognized and unrecognized difficult […]

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Uncategorized Published - 12 December, 2018    By - Dr Clemens
Prolonged Opioid Use Before Knee, Hip Replacement Surgery Increases Risk of Poor Outcomes

Patients who take prescription opioids for more than 60 days before total knee or hip replacement surgery are at significantly higher risk of being readmitted to the hospital and of undergoing repeat joint-replacement surgery, compared with patients with no preoperative opioid use, according to a study published in The Journal of Bone & Joint Surgery. “Opioid […]

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Uncategorized Published - 11 December, 2018    By - Dr Clemens
Artificial Intelligence for Anesthesia: What the Practicing Clinician Needs to Know: More than Black Magic for the Art of the Dark

Authors: Michael R. Mathis, M.D. et al  Anesthesiology 10 2018, Vol.129, 619-622. “…machine-learning properties include an ability to capture…variables…[called] model features…[too numerous for humans] to perceive or simultaneously consider…[and] the ability…to model complex relationships between model features which otherwise eclipse human understanding.” MACHINE learning, the quintessential tool currently driving forward the development of artificial intelligence, was […]

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