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Uncategorized Published - 23 November, 2018    By - Dr Clemens
Noninvasive Respiratory Volume Monitoring Effective for Nonintubated Patients

Although capnography remains the gold standard for monitoring ventilation in patients undergoing general anesthesia and monitored anesthesia care (MAC), the technology is more challenging in nonintubated patients. In these situations, a noninvasive respiratory volume monitor may be helpful. One such monitor has been found to provide reliable measurements when capnography data are unavailable, and seems […]

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Uncategorized Published - 23 November, 2018    By - Dr Clemens
Propofol Bolus Fails to Decrease Cough

The administration of propofol as a bolus fails to decrease cough after use of desflurane in general anaesthesia, according to a study presented here at the 2018 Annual Meeting of the Canadian Anesthesiologists Society (CAS). Cough is not just bothersome, but it can interfere with clinical outcomes, making the prevention of cough clinically significant in […]

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Uncategorized Published - 23 November, 2018    By - Dr Clemens
Reducing the Incidence of Substance Use Disorders in Anesthesiology Residents: 13 Years of Comprehensive Urine Drug Screening

Authors: Michael G. Fitzsimons, M.D. et al  Anesthesiology 10 2018, Vol.129, 821-828. What We Already Know about This Topic: Substance abuse remains common among anesthesia clinicians Whether routine, random drug testing deters use remains unknown What This Article Tells Us That Is New: The Massachusetts General Hospital randomly tested residents over a period of 13 yr […]

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Uncategorized Published - 23 November, 2018    By - Dr Clemens
Buprenorphine Can Cause Serious Health Consequences for Exposed Children

From January 2007 through December 2016 there were more than 11,000 calls to US Poison Centers for paediatric exposures to buprenorphine, according to study published in Pediatrics. Most (86%) of the calls were about exposures among children aged younger than 6 years. Most (98%) buprenorphine exposures among younger children were unintentional. Nearly half (45%) of the […]

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Uncategorized Published - 22 November, 2018    By - Dr Clemens
HAPPY THANKSGIVING

I want to wish all of our readers a Happy Thanksgiving and I want you to spend your time with friends, family and loved ones instead of reading anesthesia posts.

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Uncategorized Published - 21 November, 2018    By - Dr Clemens
Impact of the Choice of Risk Model for Identifying Low-risk Patients Using the 2014 American College of Cardiology/American Heart Association Perioperative Guidelines

Authors: Laurent G. Glance, M.D. et al  Anesthesiology 11 2018, Vol.129, 889-900. What We Already Know about This Topic: The Revised Cardiac Risk Index, and the risk calculators based on the National Surgical Quality Improvement Program can be used to assess the risk of cardiac adverse events after noncardiac surgery Recent clinical practice guidelines recommend the […]

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Uncategorized Published - 21 November, 2018    By - Dr Clemens
Further Support for an Inverse Relation Between Coffee Drinking and Mortality

I thought this was interesting so I wanted to share with our readers. Authors: Loftfield E et al.  JAMA Intern Med 2018 Jul 2 Mortality was lower across all levels of intake, regardless of genetic influences on caffeine metabolism. Most studies have shown an inverse relation between coffee consumption and mortality (e.g., NEJM JW Gen Med Jan […]

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Uncategorized Published - 21 November, 2018    By - Dr Clemens
Greater Occipital Nerve Block Effective for Acute Relief of Refractory Migraine

In patients in which intravenous metoclopramide fails to relieve moderate or severe headache, greater occipital nerve block with bupivacaine may be an effective treatment, according to study results presented at the 2018 American Headache Society Annual Scientific Meeting, June 28-July 1, 2018, in San Francisco, California. The randomized, 32-month study conducted in 2 urban emergency departments included 28 patients […]

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Uncategorized Published - 21 November, 2018    By - Dr Clemens
IF CVS BETS BIG ON URGENT CARE, HOSPITALS SHOULD WORRY

This is important because so many of our readers work in hospitals so I wanted to share it. Bruce Japsen a contributing editor for HealthLeaders. The pharmacy chain could be a threat to hospitals and health systems by entering into the urgent care market. CVS Health, which already has more than 9,800 locations with space allocated […]

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Uncategorized Published - 21 November, 2018    By - Dr Clemens
Stress might lead to memory loss and brain shrinkage, study says

By Sandee LaMotte, CNN Story highlights High levels of stress hormones are linked to memory loss, study says Effects are evident in mid-life years, before symptoms appear Listen up, gen-Xers and millennials, and, well, everybody who has a brain. If you live a high-stress life, you could have memory loss and brain shrinkage before you […]

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