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AUTHORS: Gaudard, Philippe, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1234–1240 BACKGROUND: Nitric oxide (NO) has a well-known efficacy in pulmonary hypertension (PH), with wide use for 20 years in many countries. The objective of this study was to describe the current use of NO in real life […]
Read MoreThis is an interesting article for our readers who treat pain. Johansen ME. JAMA Intern Med 2018 Jan 2. Much of the increased use is in patients who also are using opioids and benzodiazepines for chronic conditions. Gabapentin and pregabalin are approved for treating patients with several specific neurological and neuropathic conditions (e.g., gabapentin and pregabalin for […]
Read MoreThe choice between disposable and reusable airway management devices is more than a question of convenience, requiring consideration of patient- and practice-related factors as well as economic and environmental issues. For P. Allan Klock Jr., MD, the switch to disposable laryngoscope handles and blades stemmed from reviewing Joint Commission standards for cleaning, disinfection and storage. “The crux […]
Read MoreEdward R. Mariano, MD, MAS Chief, Anesthesiology and Perioperative Care Service Associate Chief of Staff, Inpatient Surgical Services VA Palo Alto Health Care System Palo Alto, California Professor Department of Anesthesiology, Perioperative, and Pain Medicine Stanford University School of Medicine Stanford, California There are numerous clinical and financial benefits to creating an acute pain medicine […]
Read MoreA comparison of anesthesia closed claims from ambulatory surgery centers (ASCs) and hospital operating rooms (HORs) has found some noteworthy differences, and also spotlights areas where underperforming can result in liability. Procedures performed in ASCs have become markedly more common since the 1980s. The researchers, including Richard D. Urman, MD, MBA, of the Center for Perioperative Research […]
Read MoreThis is an interesting article for our readers who treat pain patients A study published in Diseases of the Colon & Rectum suggest that women who underwent laparoscopic colorectal resection for endometriosis not responding to hormonal treatment reported significant reductions in pain intensity associated with menstrual periods, between periods and less pain associated with bowel […]
Read MoreI thought this was interesting so I wanted to share it Source: J Clin Rheumatol OBJECTIVE Racial variation in total knee replacement (TKR) utilization in the United States has been reported in administrative database studies. We investigated racial variation in TKR procedures in a diverse cohort with severe knee pain followed in an ongoing clinical trial. […]
Read MoreAm J Emerg Med Coronary artery spasm (CAS) rarely worsens from single-vessel to simultaneous multivessel CAS naturally, and simultaneous multivessel CAS leads to serious conditions such as cardiopulmonary arrest (CPA). A 77-year-old Japanese man who took medications for CAS was transferred to our hospital due to persistent chest pain. On arrival, his vital signs were […]
Read MoreAlthough there is a significant association between elevated baseline pulse pressure and acute kidney injury (AKI) after coronary artery bypass graft (CABG) surgery, no association exists with the weighted duration of intraoperative hemodynamic perturbations, such as hypotension or hypertension. “It’s known that elevated pulse pressure is a predictor of acute kidney injury after CABG surgery,” […]
Read MoreIMPROVE Trial Investigators. BMJ 2017 Nov 14. Three-year mortality was lower with endovascular repair. In a previously reported U.K. trial of 613 patients with clinically suspected rupture of abdominal aortic aneurysm (AAA), 30-day mortality and hospital costs were similar in patients randomized to endovascular repair (in those with suitable aortic anatomy) and patients randomized to open repair; […]
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