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The standard of care in cardiac surgery, intraoperative transesophageal echocardiography (TEE), is safe, according to researchers. A recent review found an overall complication rate of 1.4% related to the imaging and diagnostic technique. It also pinpointed several significant risk factors for complications. “The use of transesophageal echocardiography is ubiquitous in cardiac surgical practice,” said Razvan […]
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 […]
Read MoreWith exponential growth in the number of procedures being done under anesthesia, especially in the gastrointestinal suite, providers are wondering about the best way to provide safe, efficient and affordable care but also prevent adverse events (AEs), such as aspiration. A review of the current gastroenterology literature about AEs using propofol sedation reveals some insights […]
Read MorePostoperative and post-discharge nausea may be very common in children, but it is woefully undertreated, according to a Baylor College of Medicine study. Researchers there concluded that use of the Baxter Retching Faces (BARF) scale may help stem the issue, as it is both easy to use and reliable in the clinical setting. “Postoperative nausea […]
Read MoreYoga is as good as physical therapy (PT) in reducing chronic low back pain, the most common pain problem in the United States, new research shows. “Our study showed that yoga was noninferior to physical therapy for a diverse group of low-income patients,” said Robert B. Saper, MD, director of integrative medicine, Boston Medical Center, […]
Read MoreDoes it make good clinical and financial sense to send a patient home with a continuous peripheral nerve block (CPNB)? Experts at the 2016 International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine, and Peri-operative Application argued yay and nay. Philippe Macaire, MD, consultant in anesthesiology and pain management at Rashid Hospital Trauma Center, Dubai […]
Read MoreEdited by David G. Fairchild, MD, MPH The American College of Physicians now recommends nonpharmacologic therapies — including superficial heat, massage, acupuncture, and spinal manipulation — as first-line treatment for patients with acute or subacute low back pain (lasting 12 weeks or less). The new guideline, published in the Annals of Internal Medicine, is a major change […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on February 9, 2017 Background: Frailty is a risk factor for adverse postoperative outcomes. Hospitals that perform higher volumes of surgery have better outcomes than low-volume providers. We hypothesized that frail patients undergoing elective surgery at hospitals that cared for a higher volume of similarly frail […]
Read MoreAlthough eating disorders and chronic pain may occur with comparable severity, eating disorders tend to go undetected for twice as long in adolescents who are also experiencing chronic pain, perhaps compromising effective treatment. With Leslie A. Sim, PhD, LP and commentary by Alix Timko, PhD Adolescents who present with chronic pain may also have an […]
Read MoreAuthors: Timm FP et al., BMJ 2017 Jan 10; 356:i6635 Surgical patients with migraine, particularly those with aura, are at increased risk for perioperative ischemic stroke and postsurgical 30-day hospital readmission. To explore the association of migraine with perioperative stroke and 30-day hospital readmission, investigators reviewed prospective hospital registry data for all patients who underwent surgery under […]
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