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Institutions looking to reduce their incidence of acute kidney injury (AKI) after cardiac surgery should consider following the lead of researchers at the Johns Hopkins University School of Medicine, in Baltimore. Their goal-directed protocol was associated with a reduced incidence of the sometimes devastating adverse event within 72 hours of surgery, prompting them to suggest […]
Read MoreThe trial primary outcome was change in the number of monthly migraine days. A monthly subcutaneous injection of 70 mg erenumab may represent an effective prophylactic treatment for episodic migraine, as it was shown to reduce migraine frequency and the use of acute migraine-specific medications in a study published in Cephalalgia. In this placebo-controlled randomized phase […]
Read MoreJonathan Kline, CRNA Director of Education Twin Oaks Anesthesia Wesley Chapel, Florida Brian Selai, CRNA Senior Faculty Twin Oaks Anesthesia Wesley Chapel, Florida Michele Ardigo, DNP, CRNA Associate Program Director of Effectiveness and Innovation Texas Wesleyan University Fort Worth, Texas Marilyn A. Pugh, PhD Associate Professor of Psychology Texas Wesleyan University Fort Worth, Texas An […]
Read MoreBy Virgil Dickson | March 19, 2018 The Medicare Payment Advisory Commission has found that hospitals’ Medicare margins are continuing to plummet this year, sparking concerns about seniors’ access to care. Hospitals’ aggregate Medicare margin was negative 9.6% in 2016, compared to negative 5.3% in 2009, according to MedPAC’s March 15 report to Congress. Not-for-profit hospitals had the lowest margins […]
Read MoreNew protocols may have reduced the mortality for all age groups, burn sizes, and genders Burn injury survival has dramatically increased over the past 30 years, according to a study published March 9 in the Journal of the American College of Surgeons. Karel D Capek, M.D., from Shriners Hospitals for Children in Galveston, Texas, and colleagues […]
Read MoreAuthors: Anoop Ramgolam, Ph.D. et al Anesthesiology March, 2018. Background: Limited evidence suggests that children have a lower incidence of perioperative respiratory adverse events when intravenous propofol is used compared with inhalational sevoflurane for the anesthesia induction. Limiting these events can improve recovery time as well as decreasing surgery waitlists and healthcare costs. This single center open-label […]
Read MoreAuthors: Dennis M. Fisher, M.D. et al Anesthesiology March, 2018. Background: Desirable product attributes for treatment of moderate-to-severe acute pain in many medically supervised settings are rapid onset and a route of administration not requiring intravenous access. The pharmacokinetic characteristics of sublingually administered tablets containing 15 or 30 µg of sufentanil are described. Methods: Blood was sampled from […]
Read MoreAuthor: Layne Bettini, M.D., J.D. ASA Monitor 03 2018, Vol.82, 56-57. Layne Bettini, M.D., J.D., is a CA-1 resident, Mayo Clinic, Rochester, Minnesota. In the medical profession, the idea of lawyers spawns a litany of thoughts – few of them good. During my medical training, I took a slight detour and attended law school. When I emerged […]
Read MoreASA Monitor 03 2018, Vol.82, 40-41. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreAuthor: RICHARD HARRIS Rosemary Grant is a registered nurse and helps coordinate sepsis care at Harborview Medical Center in Seattle. The center’s goal, she says, is to get a patient who might be developing sepsis antibiotics within three hours. A quarter of a million Americans die every year from sepsis, which is the body’s reaction […]
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