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Reducing the dose of buprenorphine during pregnancy is not associated with adverse outcomes, and lower doses of the opioid maintenance therapy at the time of delivery are in fact linked to benefits including reductions in the length of hospital stay and improved neonatal outcomes. A study presented here at The Pregnancy Meeting, the Annual Meeting […]
Read MoreMedicare, the federal health coverage mainly for people over 65, spends about $700 billion a year, and it’s estimated that about one-quarter of that spending on seniors goes to health care in the final year of life. That end-of-life spending has drawn scrutiny as potentially wasteful, involving heroic measures taken even though death looms inevitably. If health costs must be contained, […]
Read MoreNY Times June 26, 2018 by Paula Span One-third of patients over age 65 die in the hospital after they are put on ventilators. Doctors are beginning to wonder if the procedure should be used so often. Earlier this year, an ambulance brought a man in his 80s to the emergency room at Brigham and Women’s […]
Read MoreFierceHealthcare by Paige Minemyer Efforts to cut patient safety risks such as adverse drug events or falls saved 8,000 lives and $2.9 billion between 2014 and 2016, according to the Agency for Healthcare Research and Quality’s National Scorecard on Hospital-Acquired Conditions released this week. AHRQ estimates 350,000 hospital-acquired conditions were avoided in that window, reducing the rate of […]
Read MoreAuthors: Feinberg, Adina, E., MDCM et al Annals of Surgery: June 2018 – Volume 267 – Issue 6 – p 1056–1062 Background: Over the past 2 decades, there has been an increase in opioid use and subsequently, opioid deaths. The amount of opioid prescribed to surgical patients has also increased. The aim of this systematic review was to determine postdischarge opioid consumption in surgical patientscompared with […]
Read MoreCanadian Journal of Anesthesia Authors: Aaron Lau Purpose The purpose of this study was to evaluate the effects of preoperative forced-air warming on intraoperative hypothermia. Methods In this randomized-controlled trial, adult patients scheduled for elective, non-cardiac surgery under general anesthesia were stratified by scheduled surgical duration (< 2.5 hr or ≥ 2.5 hr) and then […]
Read MoreAs many as 116 million adults experience chronic pain each year in the United States, and treatment for these individuals often includes opioids.1 However, the use of opioids for chronic pain is controversial, highlighting the need for nonopioid therapies for this patient population. The potential for intravenous (IV) lidocaine to reduce postoperative pain was first proposed in the […]
Read MoreAUTHORS: Abdulrauf S et al World Neurosurgery (Feb 2018) OBJECTIVE The option of performing MVD under awake anesthesia protocol (‘awake’MVD) was examined in this initial series to assess whether intraoperative pain evaluation can identify and mitigate insufficient decompression of the trigeminal nerve, improving surgical outcomes. Additionally,’awake’MVD could expand procedure indications for those with comorbidities that […]
Read MoreWith 2.5 quintillion bytes of data created every day, the business of mining, storing and analyzing increasingly large and varied data sets is booming and yielding impressive results, but there are pitfalls. According to Julian M. Goldman, MD, an anesthesiologist at Massachusetts General Hospital and Harvard Medical School, and medical director of Partners HealthCare Systems […]
Read MoreAuthors: Lam SW et al. Crit Care Med 2018 Jan 2. Procalcitonin guidance for antibiotic cessation improves short-term mortality in ICU patients. Previous meta-analyses showed that procalcitonin-guided antimicrobial management, compared with standard care, resulted in less overall antibiotic exposure in intensive care unit (ICU) patients; however, differences in mortality or length of stay were not detected (NEJM […]
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