Cardiac Anesthesiologist blog We conclude that there is low-level evidence to support the use of oral ketamine (150 mg/d or 0.5 mg/kg every 6 hours) and other NMDA-receptor antagonists such as dextromethorphan (0.5–1 mg/kg every 8 hours) as follow-up therapy following IV infusions, and moderate evidence to support intranasal ketamine (1–5 sprays of ketamine 10 […]

By Steven Reinberg HealthDay News Smoking during pregnancy is never a good idea, but new research shows it might double the risk of a baby dying from sudden infant death syndrome (SIDS). “Any maternal smoking during pregnancy — even just one cigarette a day — doubles the risk of sudden unexpected infant death [SUID, another term for unexplained infant deaths],” said lead researcher Tatiana Anderson. She is […]

By Tina Reed Fierce Healthcare A focus on handwashing in hospitals has made a big dent in infection control. But a new study found that cleaning patients with antiseptic made a big impact on hospital-acquired infection rates among patients with central lines or drains. (Getty/monkeybusinessimages) When it comes to preventing infections in hospitals, officials may […]

By Denise Powell CNN Dementia not only affects memory and quality of life, it can be fatal. A report released Thursday by the National Center for Health Statistics shows that the rate of Americans who died from dementia has more than doubled from 30.5 deaths per 100,000 people in 2000 to 66.7 in 2017. The term dementia […]

Authors: Disma, Nicola et al European Journal of Anaesthesiology (EJA): March 2019 – Volume 36 – Issue 3 – p 173–174 Guidelines for the management of pre-operative paediatric clear fluid fasting historically recommend a minimum of 2 h. In particular, the published guideline from European Society of Anaesthesiology (ESA) in 2011, dedicated a section to peri-operative […]

Authors: Sherman, Julia B., BA et al A&A Practice: February 15, 2019 – Volume 12 – Issue 4 – p 125–127 Traditional systems of anesthesia evaluation do not routinely incorporate cognitive screening into preoperative assessments of vital organ systems. Increasing recognition of the importance of preoperative cognitive assessment of the elderly surgical patient has resulted in […]

Cardiac Anesthesiologist As corticosteroids are hormones, they can have a wide range of side effects. the range and severity of the side effects will depend on two factors: what type of corticosteroid medicine how long patient is using it for. With oral corticosteroids the effects are spread throughout the body. Long-term corticosteroid use is more likely to lead […]

A group endorsed restrictive thresholds for blood transfusion but ignored some key aspects of patient blood management (PBM) in a new expert consensus statement, some said. Among the clinical recommendations suggested at the International Consensus Conference held in Frankfurt/Main, Germany in April 2018 and now published in the March 12 issue of JAMA are calls for the […]

Kaiser Health News The U.S. military is devising major reductions in its medical corps, unnerving the system’s advocates who fear the cuts will hobble the armed forces’ ability to adequately care for health problems of military personnel at home and abroad. The move inside the military coincides with efforts by the Trump administration to privatize […]