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Patient 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 MoreAuthors: N. Van Regenmortel et al BJA: British Journal of Anaesthesia, Volume 118, Issue 6, 1 June 2017, Pages 892–900, Background. Daily and globally, millions of adult hospitalized patients are exposed to maintenance i.v. fluid solutions supported by limited scientific evidence. In particular, it remains unclear whether fluid tonicity contributes to the recently established detrimental effects of […]
Read MoreAUTHORS: Yan Zhou, Ph.D. et al Anesthesiology 6 2017, Vol.126, 1171-1179. Background: The American Board of Anesthesiology administers written and oral examinations for its primary certification. This retrospective cohort study tested the hypothesis that the risk of a disciplinary action against a physician’s medical license is lower in those who pass both examinations than those who pass […]
Read MoreIncreases in urine progesterone levels were more predictive of headache onset days than measures of estrogen. Mechanisms involved in balancing reproductive hormones in girls may influence the patterns of migraine headache onset, according to a study recently published in Cephalgia.1 Headache patterns observed directly before and after puberty indicated correlations with greater variations in the urine levels […]
Read MoreAssessing a patient’s level of frailty before an operation can provide important insight into which individuals might develop postoperative complications. “For a long time, frailty was overlooked,” said Felix Balzer, MD, MSc, PhD, in the Department of Anesthesiology and Intensive Care Medicine at Charite Universitatsmedizin Berlin, in Germany. “Today, we know that frail patients are […]
Read MoreHe added: “It is hard to know if this will change practice. As a rule, observational data should not drive change.” Dr Goldstein noted that the policy at Duke at present is to use general anesthetic for these procedures. “Having people lie still is not the easiest.” Dr Ovbiagele elaborated: “There are challenges of doing […]
Read MoreAnesthesiology residents, despite having direct access to controlled substances, often are inadequately trained in the symptoms of substance abuse disorder (SUD) and resources for addressing it. A study conducted by Rutgers New Jersey Medical School, in Newark, found that 40% of surveyed residents felt underprepared for managing SUD. The results were presented at the PostGraduate […]
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 MoreAUTHORS: Kim, Won Ho MD, PhD et al Anesthesia & Analgesia: May, 2017 BACKGROUND: Although point-of-care (POC) analyzers are commonly used during liver transplantation (LT), the accuracy of hematocrit measurement using a POC analyzer has not been evaluated. In this retrospective observational study, we aimed to evaluate the accuracy of hematocrit measurement using a POC analyzer […]
Read MoreAUTHORS: Finge, Toufic MD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 762–769 BACKGROUND: This study assessed the ability of 3-hour postoperative urinary tissue inhibitor of metalloproteinases-2 × insulin-like growth factor binding protein-7 ([TIMP-2] × [IGFBP-7]) to predict postoperative acute kidney injury (AKI) in patients undergoing cardiopulmonary bypass during cardiac […]
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