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Authors: Filbin MR et al. Crit Care Med 2018 Jun 29 And not for the reasons you might think. Sepsis can be both deadly and difficult to recognize. It is not clear whether treatment delays, such as delayed antibiotic administration, reflect poor recognition, poor quality care, or something else. To examine whether absence of explicit infectious […]
Read MoreASA Monitor 7 2018, Vol.82, 40-42. 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 MoreAnticonvulsant medications like gabapentin and pregabalin don’t appear to improve low back pain, a meta-analysis in the Canadian Medical Association Journal finds. Researchers examined nine studies of nearly 900 patients with chronic low back pain or lumbar radicular pain. Patients received either anticonvulsants (gabapentinoids or topiramate) or placebo. Gabapentinoids had no effect on low back pain or […]
Read MoreAuthor: Carolyn Crist (Reuters Health) – Hospitals that allow family members of critically ill patients to attend doctors’ rounds in the intensive care unit (ICU) may improve healthcare quality by enhancing communication and satisfaction, a Canadian study suggests. Although family attendance could increase the time spent on rounds, it doesn’t affect the quality of rounds […]
Read MoreAuthor: Nicholas M. Dalesio, MD Anesthesia Patient Safety Foundation June 2018 Pediatric airway management remains a significant cause for perioperative morbidity and mortality. Emergencies arising from airway complications constitute 25 to 36% of all reported anesthesia closed-claims.1-3 Of those, respiratory events are more common in children (43%) than in adults (30%), and children suffer a higher […]
Read MoreAuthors: Tomoronori Takazawa, MD, PhD et al Circulation 122,210 • Volume 33, No. 1 • June 2018 Sugammadex is a synthetic cyclodextrin derivative that encapsulates aminosteroid muscle relaxants, especially rocuronium, to reverse their effect. Sugammadex (Bridion®, Merck Sharp & Dohme B.V., a subsidiary of Merck & Co., Inc.) was first released in the European Union […]
Read MoreThough his impact during the Korean War was significant, Michael Drake said his father, Dale, was not a volunteer. “He was drafted into the Army to serve as an anesthesiology physician. That was his first job,” said Michael, who himself is an anesthesiologist in Evansville. Dr. Dale Drake, who passed away on Tuesday, was stationed […]
Read MoreAuthors: Thomas W. Frederickson, MD, MBA, FACP, SFHM et al Circulation 122,210 Volume 33 No. 1June 2018 In the hospital, opioids are the most commonly prescribed class of medications and the second most common class of medications associated with adverse events.1,2 There are a range of adverse events associated with opioid use in the hospital. The […]
Read MoreSeniors who have cataract surgery are at slightly lower risk for being in a car accident, according to a self-matched study in JAMA Ophthalmology. Using Canadian health records, researchers identified over 550,000 seniors who underwent first cataract surgery between 2006 and 2016. During 5 years of observation, 6500 traffic crashes occurred in which these seniors were […]
Read MoreAuthors: Volgman AS et al. Circulation 2018 May 24 This population’s heightened risk for atherosclerotic cardiovascular disease can be explained by the higher prevalence of risk factors, especially those related to insulin resistance. Sponsoring Organization: American Heart Association (AHA) Background and Objective South Asians (individuals from Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan, and Sri Lanka) have […]
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