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Authors: Catherine L. Chen, MD, MPH et al JAMA Ophthalmol. published January 18, 2018. Key Points Question Can the full extent of routine preoperative testing in patients undergoing cataract surgery be ascertained to update previous studies’ use of 30-day preoperative testing windows? Findings In this cross-sectional study of 440 857 Medicare beneficiaries undergoing cataract surgery, testing rates increased 41% during […]
Read MoreAuthors: Anesi, Judith A. MD et al Transplantation: January 2018 – Volume 102 – Issue 1 – p 21–34 Antibiotic prophylaxis in the perioperative period is the standard of care for nearly all surgical procedures and routinely prescribed during solid organ transplantation (SOT). The primary goal of perioperative antibiotic prophylaxis is to minimize postoperative surgical site […]
Read MoreDoximity’s Op-(m)ed · August 8, 2017 Author: Jonathan Kaplan, MD Crazy, I know — but regardless of your personal bent on the topic, medical marijuana is now legal in 29 states plus the District of Columbia. That’s a lot of places where patients can legally be prescribed, purchase, and take medical marijuana for an assortment of ailments, […]
Read MoreAuthors: Beesley, Sarah J. MD et al Critical Care Medicine: February 2018 – Volume 46 – Issue 2 – p 229–235 Objectives: The ICU is a complex and stressful environment and is associated with significant psychologic morbidity for patients and their families. We sought to determine whether salivary cortisol, a physiologic measure of acute stress, was associated […]
Read MoreAUTHORS: Esses, Gary MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 39–45 BACKGROUND: Aortic valve replacement is a high-risk surgery (3%–5%, 30-day mortality) performed on approximately 30,000 elderly patients a year in the United States. Currently, preoperative risk assessment is based on a composite of medical examination and a […]
Read MoreRisk for myocardial infarction (MI) appears elevated in the first week after influenza diagnosis, according to a study in the New England Journal of Medicine. Using Ontario health databases, researchers studied some 360 hospitalizations for acute MI that occurred within 1 year before to 1 year after a laboratory-confirmed flu diagnosis. There were 20 MI admissions […]
Read MoreAuthors: Alexander J. Butwick, M.B.B.S., F.R.C.A. et al Anesthesiology published on January 17, 2018. Background: It is unclear whether obesity is a risk factor for postpartum hemorrhage. The authors hypothesized that obese women are at greater risk of hemorrhage than women with a normal body mass index. Methods: The authors conducted a cohort study of women who underwent […]
Read MoreThis is another interesting article that I wanted to share. Author: Cheryl Platzman Weinstock The incidence of hip fractures in older women in the U.S. is rising after more than a decade of decline, according to a large new study of Medicare recipients. Hip fracture rates declined each year from 2002 to 2012, the researchers […]
Read MoreSmoking just one cigarette daily is associated with a “much greater than expected” increase in risk for coronary heart disease (CHD) and stroke, researchers conclude in The BMJ. In a meta-analysis, the researchers analyzed 141 prospective studies examining the association between smoking and CHD or stroke in millions of generally healthy people. Overall, compared with never-smoking, […]
Read MoreAUTHORS: Duce, Lorent MD et al Anesthesia & Analgesia: August 2017 BACKGROUND: Erythropoiesis-stimulating agents, such as erythropoietin (EPO), can be used to treat preoperative anemia. Some studies suggest an increased risk of mortality and thrombotic events, and use in cardiovascular surgery remains off-label. This study compares outcomes in cardiac surgery patients declining blood transfusion who received EPO […]
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