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by Todd Dodick, MD; Steven Greenberg, MD; and Michael O’Connor, MD An experienced health care provider can identify the septic patient with barely a glance, but were you to ask them to define sepsis, many providers would struggle to provide a clear definition. This difficulty likely stems from a failure of understanding of the underlying […]
Read MoreOne in seven U.S. hospitalizations among older adults is followed by an opioid prescription, and current practices of storing and disposing of these drugs are “suboptimal,” according to two JAMA Internal Medicine studies. In the first study, researchers examined nearly 625,000 Medicare beneficiaries who were hospitalized in 2011 and had no opioid prescription in the prior […]
Read MoreAnesthesiology published on 6 2016 Authors: Brian S. Rothman, M.D. et al Background: “Wrong surgery” is defined as wrong site, wrong operation, or wrong patient, with estimated incidence up to 1 per 5,000 cases. Responding to national attention on wrong surgery, our objective was to create a care redesign intervention to minimize the rate of wrong surgery. […]
Read MoreAnesthesiology published on 6 2016 Authors: Sayako Itakura, M.D. et al Background: Rapid fluid infusion resulting in increased hepatic blood flow may decrease the propofol plasma concentration (Cp) because propofol is a high hepatic extraction drug. The authors investigated the effects of rapid colloid and crystalloid infusions on the propofol Cp during target-controlled infusion. Methods: Thirty-six […]
Read MoreAnesthesiology published on 6 2016 Authors: Frédéric Heymans, M.D. et al Background: When conventional approaches to obtain effective ventilation and return of effective spontaneous breathing fail, surgical airway is the last rescue option. Most physicians have a limited lifetime experience with cricothyrotomy, and it is unclear what method should be taught for this lifesaving procedure. The aim […]
Read MoreBMC Musculoskelet Disord. 2016; 17: 176. Authors: Kari Paanalahti et al Background Manual therapy as spinal manipulation, spinal mobilization, stretching and massage are common treatment methods for neck and back pain. The objective was to compare the treatment effect on pain intensity, pain related disability and perceived recovery from a) naprapathic manual therapy (spinal manipulation, […]
Read MoreSevere anemia significantly increases the rate of necrotizing enterocolitis (NEC) in infants with very low-birth-weight (VLBW), new research shows. Ravi M. Patel, MD, MSc, and his team of researchers at Emory University School of Medicine, in Atlanta, studied the potential relationship between NEC and VLBW infants who had red blood cell transfusions and severe anemia. […]
Read MoreTo repair a weak or failing heart, a patient may undergo a delicate procedure to help restore normal pumping action. Patients may receive an implantable cardioverter defibrillator or perhaps a ventricular assist device to mimic the role of a healthy heart muscle. The hope is that implanting such a device will improve, even extend, a […]
Read MorePhysician practices are spending nearly 33 days per year, at a cost of $15.4 billion annually, reporting quality measures, a new survey suggests. The survey, which was published in the March issue of Health Affairs, analyzed the number of hours physician practices spend per week on reporting quality measures for Medicare, Medicaid and other entities (2016;35:401-406). […]
Read MoreRetained surgical instruments occur once in every 5,500 surgeries, and almost 70 percent of the items left behind are sponges, device maker says. While surgical screws or sponges can cost a hospital less than a penny each, when a surgeon accentially leaves one of these behind in a patient’s body the mistake can cost both […]
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