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Uncategorized Published - 20 November, 2018    By - Dr Clemens
Should Blood Pressure Medications Be Given Just Before Vascular Surgery?

Authors: Duceppe E et al.  J Vasc Surg 2018 Jun Giving two or more antihypertensive drugs on the morning of surgery increased risk for postoperative kidney injury. Opinions vary on which of their prescribed antihypertensive medications patients should take on the morning of major surgery. In this retrospective study, researchers examined rates of postoperative acute kidney […]

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Uncategorized Published - 20 November, 2018    By - Dr Clemens
Reproductive Dysfunction Risk in Women Taking Long-Term Opioids for Musculoskeletal Pain

Women prescribed long-term vs short-term opioids for chronic musculoskeletal pain may be at increased risk for menopause and abnormal menstruation, according to a study published in European Journal of Pain. Whereas many studies have suggested that long-term opioid therapy can harm the male reproductive system, little has been reported on the association between opioid prescription and reproductive dysfunction […]

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Uncategorized Published - 20 November, 2018    By - Dr Clemens
Risky Opioid Prescriptions Linked to Higher Chance of Death

When patients are prescribed opioids in risky ways, their chance of dying increases and their odds of death go higher as the number of risky opioid prescriptions increase, according to a study published in the Journal of General Internal Medicine. Studying prescription records for residents of Massachusetts over a 5-year period, researchers identified 6 types of […]

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Uncategorized Published - 20 November, 2018    By - Dr Clemens
New OR Checklist Tool Kit Combats ‘Print and Pluck’ Practices

First introduced to the medical community in 2012, the Ariadne Labs Operating Room Crisis Checklists have been shown to provide a significant boost to the completeness of clinician response to operating room (OR) critical events. Yet success depends on comprehensive implementation. Now, however, a collaboration between Ariadne and Stanford School of Medicine has resulted in […]

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Uncategorized Published - 20 November, 2018    By - Dr Clemens
Low Incidence of Biphasic Allergic Reactions in Patients Admitted to Intensive Care after Anaphylaxis

Authors: Sofie Højlund, M.D. et al  Anesthesiology November 5, 2018. What We Already Know about This Topic: Recurrent manifestations of anaphylaxis after treatment, termed biphasic reactions, are estimated to occur in 1 to 23% of reactions However, little is known about the incidence, triggers, symp toms, and management of biphasic reactions What This Article Tells Us […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
Management of Pneumothorax or Hemothorax Detected on CT but Not X-Ray

 Rodriguez RM et al. Ann Emerg Med 2018 Oct 1 Many patients with small hemothoraces or pneumothoraces were observed without tube thoracostomy. Treatment recommendations for hemothorax and pneumothorax were codified when most of these injuries were identified with plain films. However, increased use of computed tomography (CT) allows detection of smaller injuries, raising the question of which […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
Texas fines Humana for out-of-network anesthesiology bills

Another example on why you can’t trust insurance companies. By Harris Meyer In an unusual enforcement action against an insurer for out-of-network billing, Humana will pay Texas a $700,000 fine for failing to maintain an adequate number of in-network anesthesiologists at its contracted hospitals in four counties. It’s the latest development in a running national battle over surprise […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
More pregnant women in U.S. smoking pot

Even as alcohol and tobacco use continue to decline among pregnant women in the U.S., a new study offers fresh evidence that more American mothers are using cannabis during pregnancy. Other recent studies have also documented a rise in cannabis use among pregnant women of all ages, with some evidence of particularly sharp increases for […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
The hypoxic burden of sleep apnoea predicts cardiovascular disease-related mortality: the Osteoporotic Fractures in Men Study and the Sleep Heart Health Study

Authors: Ali Azarbarzin et al   European Heart Journal, 30 October 2018 Apnoea–hypopnoea index (AHI), the universal clinical metric of sleep apnoea severity, poorly predicts the adverse outcomes of sleep apnoea, potentially because the AHI, a frequency measure, does not adequately capture disease burden. Therefore, we sought to evaluate whether quantifying the severity of sleep apnoea […]

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Uncategorized Published - 19 November, 2018    By - Dr Clemens
Pain and Complications After Arthroplasty Controlled Best With Multimodal Analgesia

A massive database analysis has confirmed the suspicions of thousands of practicing anesthesiologists the world over: Multimodal analgesia for joint arthroplasty is, indeed, a good thing. Data from more than 1.5 million patients demonstrated that the most tried and true medications provide the biggest bang for the buck when it comes to maximizing pain control […]

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