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Women who waited an hour after full cervical dilation to begin pushing out their babies were nearly twice as likely to require a cesarean delivery as women who began pushing in the first 30 minutes, according to an analysis of 21,034 women in 25 hospitals across the United States, published online October 6 and in […]
Read MoreNearly all clinicians agree that imaging is unnecessary for patients with nonspecific low back pain, but that does not mean they find it easy to follow the recommendations against such imaging, suggests a study published October 17 in JAMA Internal Medicine. The Choosing Wisely campaign, which aims to reduce unnecessary procedures to improve patient care, includes seven recommendations […]
Read MoreSteven M. Frank, MD Medical Director, Center for Bloodless Medicine and Surgery Medical Director, Johns Hopkins Health System Blood Management Clinical Community Professor, Department of Anesthesiology/Critical Care Medicine The Johns Hopkins Medical Institutions Baltimore, Maryland Andrew V. Scott, BS Medical Student The Johns Hopkins Medical Institutions Baltimore, Maryland Linda M. S. Resar, MD Co-Director, Center […]
Read MoreRepeated or lengthy use of general anesthetic and sedation drugs in infants, toddlers and pregnant women in their third trimester might damage children’s developing brains, the U.S. Food and Drug Administration warned this month. Upset that the warning about pregnant women was based solely on animal studies, the American College of Obstetricians and Gynecologists, or […]
Read MoreNo posts today in honor of it being a national holiday! Enjoy your time off!
Read MoreMyron Yaster, MD Following on the heels of a 2015 inpatient study, researchers at the Johns Hopkins University School of Medicine have found that health care providers dispense far more medicine than is necessary to treat pain after pediatric outpatient surgery. They hypothesized that the tremendous amount of unused medications may be contributing to the […]
Read MoreChronic hypertension is seen in 30% of adults in the United States, and patients presenting with hypertension for elective surgery is an everyday occurrence in U.S. health care. Nonetheless, elective surgical procedures are commonly canceled due to elevated blood pressure on the day of surgery. However, a new study indicates that postponing surgery to treat […]
Read MoreAge, severity of illness and benzodiazepine exposure are the strongest predictors of delirium in critically ill children. According to a new study, given the prevalence of delirium in this vulnerable population, studies targeting benzodiazepine exposure as a potentially modifiable target are warranted to reduce the burden of cognitive impairment. “Unfortunately, delirium is extremely prevalent among […]
Read MoreThe FDA has identified a recent recall on normal saline flush syringes (Nurse Assist Inc.) as Class I. This is the agency’s most serious type of recall, where “there is a reasonable probability that the use of or exposure to a violative product will cause serious adverse health consequences or death.” The recall was initiated […]
Read MoreDue to an aging population, higher rates of obesity and an increase in the overall number of surgical procedures, more surgical patients are likely to present with obstructive sleep apnea (OSA). To address the challenges that anesthesiologists face perioperatively while managing patients with OSA, the Society of Anesthesia and Sleep Medicine (SASM) released new practice […]
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