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Non-steroidal anti-inflammatory drugs (NSAIDs) increase one’s risk of upper gastrointestinal bleeding. However, when taken in combination with other drugs, this risk is significantly higher, according to a study published in the October issue of the journal Gastroenterology. “These findings may help clinicians tailor therapy to minimise upper gastrointestinal bleeding, and are especially valuable in elderly […]
Read MoreSignificant airway changes occur during the administration of general anaesthesia, including a decrease in patients’ intraoral space and an increase in their neck thickness, according to results of a prospective cohort study. After extubation following general anaesthesia, the risk of difficult laryngoscopy and intubation can increase when airway management is required — particularly in patients […]
Read MoreIntraoperative use of dexmedetomidine does not significantly affect post-operative agitation in children under 12 years of age, according to results of a single-centre, retrospective. Post-operative (or emergence) agitation refers to restlessness, disorientation, crying, delusions, and non-purposeful thrashing movements that occur after general anaesthesia in up to 80% of children. Emergence agitation can cause patient self-injury […]
Read MorePublished in Surg Today. 2014 Oct 11 Authors: Ba YF1 et al Abstract This study was designed to compare the analgesic effects of cryoanalgesia and parecoxib in lung cancer patients after lobectomy. A total of 178 lung cancer patients awaiting large-sized lobectomy were enrolled in the study. The patients were randomly divided into Group A […]
Read MoreThe rising out-of-pocket costs for health insurance force millions of middle-class Americans to forego checkups and other needed medical care. The newspaper reported that even an employer-sponsored health plan “now often requires workers to pay so much out-of-pocket that many feel they must skip doctor visits, put off medical procedures, avoid filling prescriptions and ration […]
Read MoreAdherence rates on six core Surgical Care Improvement Project (SCIP) measures improved annually between 2008 and 2012 by hospitals performing heart valve surgery. The research was performed at the University of Chicago. “SCIP is a national initiative to help improve surgical care by reducing surgical complications,” said Lisa Sun, MD, an investigator who is now […]
Read MoreAn audit of a hospital pharmacy’s drug accountability system uncovered a significant discrepancy rate with the anesthesia department of opioid and sedative use and emphasized the need for an electronic dispensing and auditing system. Opioid and sedative use in the operating room at the University of Oklahoma Medical Center (UOMC), Oklahoma City, is reconciled by […]
Read MoreMedicare beneficiaries have seen a substantial drop in wait times for hearings of appeals, according to a report from Market Watch. Last year, the Office of Medicare Hearings and Appeals announced appeals from individual beneficiaries would be prioritized, while appeals from hospitals and physicians would be put on hold for at least a couple years, […]
Read MoreAnesthesiologists are adjusting induction doses of fentanyl, propofol and midazolam in older patients to account for age, but the reduced doses nonetheless have a tendency to hover at the upper end of recommended limits for these often-fragile patients, leaving the door ajar to a host of potential complications. “It is well known that elderly patients […]
Read MorePublished in Ann R Coll Surg Engl. 2014 Sep;96(6):462-5 Authors: Fernandez MA1 et al INTRODUCTION: Postoperative urinary retention requiring urethral catheterisation increases the risk of joint sepsis following arthroplasty. Spinal anaesthesia with opiate administration is used widely in lower limb arthroplasty. We sought to establish whether the choice of opiate agent had any effect on […]
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