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In a push to support more efficient care for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) is implementing bundled payments and quality metrics for numerous clinical episodes, including hip and knee replacement surgeries. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Kelly C. Price outlined the fundamentals of the Comprehensive Care for Joint […]
Read MoreAdapted from User:OgreBot/Uploads by new users/2014 December 05 12:00; Author: Pfree2014 I am typically the first person to walk into the O.R. in the morning. I turn on the lights and start running through a long check-list of items that must occur before I can bring the patient to the O.R. I run safety checks […]
Read MoreCritically ill patients who demonstrate an elevated modified shock index (MSI) within the first 24 hours of ICU admission have a significant risk for death. MSI, which is the ratio of elevated heart rate to mean arterial pressure, may be a better predictor of mortality than shock index (SI) because MSI incorporates both systolic and […]
Read MoreRadiofrequency denervation is effective in facet joint pain as it targets the medial branches of the primary dorsal rami of the spinal nerves that innervate the facet joints. Radiofrequency denervation improved chronic low back pain arising from the facet joints to a greater extent than sham procedures or epidural blocks, especially in patients with the […]
Read MoreThe Guardian · June 11, 2017 Thousands of people could be undergoing unnecessary, risky and expensive surgeries as most procedures have never been subjected to the rigorous testing drugs are required to have, a leading surgeon has said. Prof Andy Carr, an orthopaedic surgeon at Oxford University Hospitals, said there is emerging evidence that for certain types […]
Read MoreOlder adults with chronic pain have been found to have poorer memory and executive function than their younger counterparts. In a population-based cohort study described in JAMA Internal Medicine, older adults with persistent pain showed more rapid memory decline and greater dementia probability compared with adults without persistent pain.1 The prevalence of chronic pain in older […]
Read MoreHaving an internal jugular (IJ) catheter with a concurrent tracheostomy did not increase the risk for central line–associated bloodstream infections (CLABSIs) among ICU patients. “Our data challenges what seems to be the standard when placing lines in patients with tracheostomy,” said Dana L. Russell, MPH, the lead author of the single-center, retrospective, matched case-control study […]
Read MoreObese patients showed less respiratory insufficiency (RI) than their nonobese counterparts during endoscopic surgery, according to a new study. The result was counterintuitive. Because of their higher rates of obstructive sleep apnea, pulmonary hypertension and other cardiopulmonary disorders, obese patients generally are thought to be at increased risk for sedation-related complications, such as RI. Consequently, […]
Read MoreScientists have observed that standard timing for percutaneous endoscopic gastrostomy (PEG) placement in patients with traumatic brain injury (TBI), between seven and 14 days after the injury, is best for minimizing related mortality. However, further study is needed. PEG placement, a frequently performed procedure providing patients with nutrients via enteral feeding, comes with risks. Short-term […]
Read MoreA new initiative to identify preoperative patients who may be predisposed to developing dependence on opioid analgesics could facilitate treatment plans that reduce their exposure to opioids and mitigate that risk. The joint endeavor by specialty pharmaceutical manufacturer Pacira Pharmaceuticals and therapeutic management firm GeneAlign has incorporated behavioral histories and pharmacogenetic and pharmacogenomic testing into […]
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