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Daniel J. Pallin, MD, MPH and Rory Spiegel, MD A new 1-hour sepsis care bundle was ill conceived and may have unintended negative consequences. In April 2018, the Surviving Sepsis Campaign (SSC) — an initiative sponsored by the Society of Critical Care Medicine and the European Society of Intensive Care Medicine — issued guidelines that promote adherence […]
Read MoreAccording to a recent study published in the Journal of the Egyptian National Cancer Institute, phrenic nerve infiltration is significantly more effective than suprascapular nerve block in preventing acute ipsilateral shoulder pain that can occur after thoracic surgery. One common theory is that acute ipsilateral shoulder pain, which affects 21% to 97% of patients who undergo […]
Read MoreSOURCE: The BMJ, online June 18, 2018. Advanced imaging tests for many common health problems may catch something else entirely: abnormalities, known as “incidentalomas,” that can create anxiety about tumors but more often than not, don’t turn out to be cancer, a research review suggests. Incidentalomas are accidental discoveries unrelated to the diagnosis or symptoms that […]
Read MoreAuthors: Robert Fong, M.D., Ph.D. et al Anesthesiology published on July 23, 2018. What We Already Know about This Topic: Caffeine may speed anesthetic emergence What This Article Tells Us That Is New: The authors tested the hypothesis that caffeine speeds anesthetic emergence Volunteers anesthetized with isoflurane were given caffeine (equivalent to 7.5 mg base) […]
Read MoreEdited by Susan Sadoughi, MD, and André Sofair, MD, MPH Patients hospitalized for hip fracture rarely receive osteoporosis medications afterward, according to a JAMA Network Open study. Using 2004–2015 files from a U.S. health claims database, researchers identified nearly 100,000 adults aged 50 and older who were hospitalized for hip fracture and were not taking osteoporosis medications at the […]
Read MoreAuthors: Gianluca Cappelleri, M.D. et al Anesthesiology 8 2018, Vol.129, 241-248. What We Already Know about This Topic: Reducing the volume of local anesthetic administered for neural blockade may increase safety Local anesthetic administration can result in nerve damage What This Article Tells Us That Is New: The low volume intraneural injection of ropivacaine 1% provided […]
Read MoreCirculation, online July 9, 2018. After a cardiac arrest in the hospital, older black patients don’t survive as long as older white patients, new data show. “The magnitude and persistence of the difference in long-term survival is sobering,” Dr. Lena M. Chen from University of Michigan, Ann Arbor, told Reuters Health in an email interview. […]
Read MoreRoutine brain magnetic resonance imaging (MRI) is not necessary for those with migraine who have normal neurologic function unless there is a clear clinical indication that there are underlying structural abnormalities, according to an observational study published in the American Journal of Medicine. Investigators evaluated clinical data from 100 patients with diagnosed migraine and normal neurologic […]
Read MoreFewer major complications and less post-op morbidity with no sacrifice in survival Kristin Jenkins, Contributing Writer, MedPage Up to 70% of patients with colorectal liver metastasis are likely candidates for minimally invasive liver surgery (MILS) in high-volume centers, according to an Italian research group. A single-center cohort study comparing outcomes in 885 resections for liver metastasis […]
Read MoreMultidrug-resistant “superbugs” that can cause dangerous infections in hospitals are becoming increasingly resistant to alcohol-based hand sanitizers and disinfectants designed to hold them at bay, scientists said. In a study of what the researchers described as a “new wave of superbugs”, the team also found specific genetic changes over 20 years in vancomycin-resistant Enterococcus, or […]
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