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Authors: Davinder Ramsingh, M.D. et al Anesthesiology 5 2016, Vol.124, 1012-1020 Background: Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with […]
Read MoreA new survey shows that almost 70% of headache specialists report having episodic migraine (EM), much higher than the lifetime incidence of EM in the general population. Overall, only about 30% of respondents said they have no personal history of any of seven possible headache types. The survey also showed that many clinicians prefer treating […]
Read MoreAuthors: Jeff Simmons, M.D. et al ASA Monitor 05 2016, Vol.80, 16-18. Scenario: You have just performed the most altruistic act in the practice of anesthesia: giving a lunch break to someone in the GI lab. Of course, the ERCP is just getting started and the morbidly obese patient has just been positioned prone. He is […]
Read MoreAuthors: Robert S. Lagasse, M.D. et al ; ASA Monitor 05 2016, Vol.80, 12-14. Get Permissions Obtaining informed consent to administer anesthesia is both an ethical and legal obligation for physician anesthesiologists.Standards vary slightly across states, but most ethicists and lawyers agree that sufficient information for informed decision-making requires knowledge by the patient of material risks. […]
Read MoreGiven the shifting economics of health care, it’s more important than ever for physicians to prove their value to their institutions and to become leaders in their local hospital communities while helping redesign their specialty for the future. As Salvatore Vitale, MD, director of cardiac and thoracic anesthesia at Mount Sinai Beth Israel, in New […]
Read MoreAuthors: Dickman E et al. Am J Emerg Med 2016 Mar. Pain relief at 2 and 3 hours was similar whether the fracture was intracapsular or extracapsular. Ultrasound-guided femoral nerve block is increasingly used for analgesia in emergency department patients with hip fracture. Given the anatomy of innervation, a logical question is whether intracapsular fractures might be […]
Read MoreAuthors: Kim E-H et al. Am J Emerg Med 2016 Feb 11. The length of puncturable subclavian vein and the available angle for needle insertion were significantly greater with caudal traction compared with a neutral position of the arm. There is some evidence that a supraclavicular approach to subclavian vein cannulation with ultrasound guidance may be safer […]
Read MoreAuthors: Goto T et al. West J Emerg Med 2016 Mar. First-attempt intubation success rate was 60%, but only a quarter of patients received rapid sequence intubation and nearly all were intubated with direct laryngoscopy. To determine predictors of first-pass intubation success in children, researchers analyzed data from the Japanese Emergency Airway Network for 293 pediatric intubations […]
Read MoreAuthors: Joel J. Gagnier, ND, MSc, PhD et Spine. 2016;41(2):116-133. Study Design. Systematic review of randomized controlled trials (RCTs). Objectives. To determine the effectiveness of herbal medicine for nonspecific low back pain (LBP). Summary of Background Data. Many people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported […]
Read MoreAuthors: Ubaidullo Kurbon et al Background: Management of asthma in chronically affected patients is a serious health problem. Our aim was to show that surgical treatment of chronic bronchial asthma by unilateral resection of the internal branch of the superior laryngeal nerve (ib-SLN) is an adequateand lasting remedial response. Patients and methods: In a retrospective study, 41 […]
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