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The benefits of robot-assisted laparoscopic prostatectomy (RALP) have been clouded by doubts about its effect on blood pressure and fluid management, but a new study has found that RALP reduced the volume of fluids and alleviated the need for blood transfusion compared with open radical prostatectomy. According to Hidehisa Saito, MD, a resident at the […]
Read MoreSurgery is on the move: With enhanced recovery protocols, procedures that once required several days of in-hospital recovery are shifting to the outpatient setting without compromising patient care. However, there are still major barriers to consider. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Tong Joo (T.J.) Gan, MD, FRCA, MHS, assessed the feasibility of […]
Read MorePatient falls pose a significant risk in hospitals, resulting in bone fracture, traumatic head injury and visceral organ contusion, among other serious complications. “Implementation of preventive strategies for in-hospital falls is an important issue in health care,” said Colleen R. Walsh, DNP, RN, president of the National Association of Orthopaedic Nurses and clinical assistant professor […]
Read MoreBy Keith Chamberlin, MD, MBA Excuse me, doctor. Are you any good? I mean, are you any good at anesthesia stuff? If your answer is yes, how do you know, and why should I believe you? Have you collected any outcome data you can show me, or that you’ve published? What? Who am I to […]
Read MoreAlthough anesthesiologists have been performing regional blocks with nerve stimulation for years, the introduction of ultrasound guidance has improved efficiency dramatically, leading to faster block placement and onset in skilled hands. These advancements have come at an opportune time, said Sonia Szlyk, MD, as opioid-related adverse events have become an increasing burden on the health […]
Read MoreFifteen seconds. That is all it takes to clean your hands with hand sanitizers to provide optimal infection prevention and control. Alcohol-based hand sanitizers are increasingly popular as a quick, convenient way to protect against the spread of organisms. However, data regarding optimal usage have been slim. Researchers in Switzerland set out to determine how […]
Read MoreResearchers Change Practice; Selection Bias Could Explain Results; Proper Technique Key Surgeons speaking at the 2017 annual meeting of the Americas Hernia Society questioned the value of perioperative epidural analgesia in patients undergoing ventral hernia repair after results from a new analysis suggested epidurals may contribute to longer hospital length of stay without any obvious […]
Read MoreConcerns with the safety and adverse effects of opioids have grown with increases in prescribing and dose, and higher doses have been associated with worse patient-reported outcomes in a study by researchers at Veterans Affairs (VA) and Kaiser Permanente health systems. Benjamin Morasco, PhD, and his colleagues at the VA Portland Health Care System and […]
Read MoreKAREN S. SIBERT, MD | PHYSICIAN | AUGUST 16, 2017 A commencement address delivered on August 5, 2017, to the 2017 class of anesthesiologist assistants (AAs), Emory University. Distinguished faculty, graduates, honored guests: It is a great pleasure and an honor to be here, and to congratulate all the graduates of the Emory University Class of 2017 on your […]
Read MoreAUTHORS: McIsaac, Daniel I. MD, MPH, FRCPC et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1653–1661 BACKGROUND: Older patients undergoing emergency general surgery (EGS) experience high rates of postoperative morbidity and mortality. Studies focused primarily on elective surgery indicate that frailty is an important predictor of adverse outcomes […]
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