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Clinical Radiology (Jul 2016) AUTHORS: O’Reilly M et al AIM To explore the morphology of neuromas and to determine the differences, if any, between asymptomatic and symptomatic neuromas using ultrasound. MATERIALS AND METHODS Eighty patients with symptomatic neuromas were included in this retrospective review. High-resolution ultrasound examination was performed. Transducer pressure allowed real-time analysis of […]
Read MoreBecause traumatically injured patients with early-onset ventilator-associated pneumonia (VAP) are more likely to be sensitive to narrow-spectrum antibiotics than those with late VAP, empirical treatment of early VAP with narrow-spectrum antibiotics is a reasonable choice, a study has found. The results also concluded that broad-spectrum antibiotics should continue to be standard empirical therapy for late […]
Read MoreTransfusion of higher ratios of fresh frozen plasma (FFP) platelets to red blood cells (RBC) may be associated with decreased mortality in cardiac surgery patients with massive intraoperative hemorrhage, a study has found. According to the researchers, the results point to optimal management that includes aggressive, early hemostatic resuscitation followed by aggressive volume removal. “When […]
Read MoreCESAR PADILLA, MD | PHYSICIAN | JULY 12, 2016 KevinMD.com There’s a lot of fear and anxiety about the job market with recent medical school graduates. The 2008 crisis almost collapsed the housing market and many of our large banks, prized institutions, and beacons of financial stability, dissolved overnight. If you combine these events with the […]
Read MoreReumatología Clinica (Jun 2016) AUTHORS: Hernández-Hernández M et al OBJECTIVES Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting diarthrodial joints, in which patients tend to perform less physical activity (PA) than recommended. This review focuses on the existing evidence about the relationship of PA and RA, specifically how the former influences joint inflammation, disability, […]
Read MoreA new study has found that postoperative atrial fibrillation (POAF) lasting two days or more is associated with worse long-term survival after cardiac surgery. Even after close matching on operative variables and comorbidity burden, patients with prolonged atrial fibrillation had significantly worse survival compared with patients who experienced POAF less than two days. According to […]
Read MoreA quick bedside assessment may one day help determine the long-term prognosis for patients undergoing coronary artery bypass graft (CABG) surgery. According to the results of an observational study, poor functional status before CABG was associated with significantly increased risk for long-term mortality. “We demonstrated that poor baseline functional status in CABG patients is associated […]
Read MoreEducation, along with bedside ventilator cards, significantly increased use of correct initial tidal volume settings for mechanically ventilated patients. The goal of the study was to correctly set the ventilator for patients based on their ideal body weight (IBW), rather than using consistent settings for all patients, said Rotem Friede, MD, medical director of the […]
Read MoreAnesthesiologists who use perioperative clonidine in the hope of reducing acute postoperative pain or opioid consumption need to reconsider their efforts. According to a randomized controlled trial at the Cleveland Clinic, in Ohio—the largest such trial ever—researchers found that the drug has neither of these perceived benefits, and its use may come at the expense […]
Read MoreAuthors: Anke J. M. Oerlemans et al BMC Anesthesiol. 2016;16(25) Background: Internationally, there is no consensus on how to best deal with admission requests in cases of full ICU bed occupancy. Knowledge about the degree of dissension and insight into the reasons for this dissension is lacking. Information about the opinion of ICU physicians can […]
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