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Patients with a history of migraines are at increased risk for hospital readmission due to pain within 30 days. A database analysis concluded that migraineurs are more frequently readmitted for postoperative pain, headache and abdominal pain than their counterparts without migraines. “We are all familiar with the fact that unplanned hospital readmissions are of great […]
Read MoreaUTHORS: Mellor R et al. BMJ 2018 May 2. Hip function improvement was greater with education plus exercise than with corticosteroid injections. Lateral hip pain sometimes is called “greater trochanteric bursitis,” but the preferred term now is greater trochanteric pain syndrome (because this disorder usually is caused by gluteal tendinopathies, sometimes with adjacent bursitis). Although corticosteroids […]
Read MoreThe Old Kid on the Block ric S. Schwenk, MD Associate Professor of Anesthesiology Director of Orthopedic Anesthesia Sidney Kimmel Medical College Thomas Jefferson University Philadelphia, Pennsylvania Virtually anyone in health care who treats patients has witnessed the devastating effects that the current opioid epidemic has had on our communities. Patients who present with substance […]
Read MoreWhen it comes to safety, neuraxial anesthesia enjoys a slight upper hand over general anesthesia as a primary anesthetic technique in noncardiac surgery. A large database analysis concluded that adults receiving neuraxial anesthesia are more likely to be discharged earlier, have significantly less chance of developing venous thromboembolism (VTE), and have lower odds of 30-day […]
Read MoreA study has identified the top three surgical procedures in which high percentages of patients are discharged with prescriptions for more than 60 mg of oral morphine equivalents per day, and found that one of the procedures was surprising: cesarean delivery. Physicians can help control the current high opioid death rate in the United States […]
Read MoreThe FDA in conjunction with other organizations, including the Joint Commission, released new recommendations to ensure that all health care professionals are aware of the risk factors leading to surgical fires. By focusing on prevention of the “fire triangle”—the oxidizer, ignition source and fuel source—the FDA hopes to reduce the frequency of surgical fires and ensure that […]
Read MoreNearly half of patients who suffer an out-of-hospital cardiac arrest (OHCA) develop acute respiratory distress syndrome (ARDS) within 48 hours. Those patients who develop ARDS after an OHCA spend more days in the ICU and on a ventilator, die more often, and are less likely to recover with good functional status. “Cardiac arrest is not […]
Read MoreWritten by: David Ermak, DO Reviewed by: Sonia Vaida, MD A 31-year-old primigravida at 39 weeks’ gestation with no prenatal care presented to the labor and delivery unit in active labor. She had been diagnosed with multiple sclerosis (MS) at 28 years of age. She was treated with glatiramer acetate, but discontinued the medication due […]
Read MoreOlder patients undergoing hip fracture surgery have a greater risk of developing post-surgery pneumonia if they receive general anaesthesia rather than a spinal block during the procedure, according to a study presented here at the 2018 Annual Meeting of the American Geriatrics Society (AGS). Of the 66 patients in the study aged 70 years and […]
Read MoreAuthors: Lee H et al Journal of Ultrasound in Medicine (Sep 2018) OBJECTIVES To compare the efficacy of a conventional fluoroscopy-guided epidural nerve block and an ultrasound (US)-guided intercostal nerve block in patients with thoracic herpes zoster (HZ). METHODS This work was a comparative study of 38 patients with thoracic HZ pain and a chest […]
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