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Uncategorized Published - 13 November, 2018    By - Dr Clemens
The Ethics of the Opioid Epidemic: How We Got Here, and Where to Go From Here

Authors: Krishnan S. Ramanujan, M.D. et al  ASA Monitor 11 2018, Vol.82, 16-18. The opioid epidemic is one of the largest and most recent public health crises to strike the United States, with the rate of opioid-related overdose deaths nearly quadrupling between 1999 and 2014. To combat this growing epidemic, research has been conducted to identify those […]

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Uncategorized Published - 13 November, 2018    By - Dr Clemens
Drug Shortages and Physician Ethics

Authors: Jeffrey S. Jacobs, M.D., M.B.A., FASA et al  ASA Monitor 11 2018, Vol.82, 14-15. It’s another day in the O.R. with another day of surprises. Lately, however, the revelations aren’t the medical complexities of the patient or the cause of O.R. delay (never anesthesia, of course). For too long, the primary question has been, “what medications […]

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Uncategorized Published - 13 November, 2018    By - Dr Clemens
The Ethics of Pediatric Informed Consent

Authors: Dominic S. Carollo, M.D. et al  ASA Monitor 11 2018, Vol.82, 10-13. This article is excerpted in part from “Fundamentals of the Pediatric Informed Consent Process.”1  The process of obtaining informed consent for a pediatric patient is distinctly different from the adult patient. Competent patients (i.e., adults with decision-making capacity) act autonomously in the process of […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
Extortion Scam Targeting DEA Registrants

The Drug Enforcement Administration (DEA) recently released an alert warning of an extortion scam targeting DEA registrants, including anesthesiologists and CRNAs. Members are encouraged to be careful to avoid being impacted by the scam. According to the DEA, individuals are receiving telephone calls and emails from persons who identify themselves as DEA employees or other […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
Blood Pressure and End-tidal Carbon Dioxide Ranges during Aneurysm Occlusion and Neurologic Outcome after an Aneurysmal Subarachnoid Hemorrhage

Authors: Annemarie Akkermans, M.D et al  Anesthesiology October 31, 2018. What We Already Know about This Topic: It remains unknown what end-tidal carbon dioxide and mean arterial pressure are optimal for surgical management of patients with an aneurysmal subarachnoid hemorrhage What This Article Tells Us That Is New: The investigators retrospectively evaluated 1,099 patients who had […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
The troubling epidemic of unnecessary C-sections around the world, explained

The C-section rate has almost doubled in less than a generation. By Julia Belluz Vox Oct 27, 2018 Over the last century, medical advances have transformed childbirth from the most common cause of death for young women and infants into a much more survivable one. And the c-section has been an important tool — until doctors overused it. “Your […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
Prescience: Helping doctors predict the future

Author Sarah McQuate University of Washington News Oct 10, 2018 During surgery, anesthesiologists monitor and manage patients to make sure they are safe and breathing well. But these doctors can’t always predict when complications will arise. Prescience also provides real-world explanations behind its predictions. With this information, anesthesiologists can better understand why a patient is […]

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Uncategorized Published - 12 November, 2018    By - Dr Clemens
Keep calm, and give the Ancef

This was from the blog a Pen Point The observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist, writer, and mother. A true allergic reaction is one of the most terrifying events in medicine. A child or adult who is highly allergic to bee stings or peanuts, for instance, can die within minutes without a life-saving […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
Effect of a Low vs Intermediate Tidal Volume Strategy on Ventilator-Free Days in Intensive Care Unit Patients Without ARDS

A Randomized Clinical Trial JAMA. October 24, 2018. Question  In patients in the intensive care unit (ICU) who received invasive ventilation for reasons other than acute respiratory distress syndrome (ARDS), is a ventilation strategy with low tidal volume more effective than a strategy using intermediate tidal volume with respect to the number of ventilator-free days and alive […]

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Uncategorized Published - 9 November, 2018    By - Dr Clemens
ACS: opiate-free surgery feasible for elective colectomy

Opiate-free surgery is feasible for patients undergoing elective colon resections with anastomosis, with shorter length of stay for patients not receiving narcotics, according to a study presented at the annual meeting of the American College of Surgeons, held from Oct. 21 to 25 in Boston. Sophia A. Horattas, M.D., from Cleveland Clinic Akron General, and […]

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