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Authors: Sofie Højlund, M.D. et al Anesthesiology November 5, 2018. What We Already Know about This Topic: Recurrent manifestations of anaphylaxis after treatment, termed biphasic reactions, are estimated to occur in 1 to 23% of reactions However, little is known about the incidence, triggers, symp toms, and management of biphasic reactions What This Article Tells Us […]
Read MoreRodriguez RM et al. Ann Emerg Med 2018 Oct 1 Many patients with small hemothoraces or pneumothoraces were observed without tube thoracostomy. Treatment recommendations for hemothorax and pneumothorax were codified when most of these injuries were identified with plain films. However, increased use of computed tomography (CT) allows detection of smaller injuries, raising the question of which […]
Read MoreAnother example on why you can’t trust insurance companies. By Harris Meyer In an unusual enforcement action against an insurer for out-of-network billing, Humana will pay Texas a $700,000 fine for failing to maintain an adequate number of in-network anesthesiologists at its contracted hospitals in four counties. It’s the latest development in a running national battle over surprise […]
Read MoreEven as alcohol and tobacco use continue to decline among pregnant women in the U.S., a new study offers fresh evidence that more American mothers are using cannabis during pregnancy. Other recent studies have also documented a rise in cannabis use among pregnant women of all ages, with some evidence of particularly sharp increases for […]
Read MoreAuthors: Ali Azarbarzin et al European Heart Journal, 30 October 2018 Apnoea–hypopnoea index (AHI), the universal clinical metric of sleep apnoea severity, poorly predicts the adverse outcomes of sleep apnoea, potentially because the AHI, a frequency measure, does not adequately capture disease burden. Therefore, we sought to evaluate whether quantifying the severity of sleep apnoea […]
Read MoreA massive database analysis has confirmed the suspicions of thousands of practicing anesthesiologists the world over: Multimodal analgesia for joint arthroplasty is, indeed, a good thing. Data from more than 1.5 million patients demonstrated that the most tried and true medications provide the biggest bang for the buck when it comes to maximizing pain control […]
Read MoreThe FDA has approved the sublingual opioid sufentanil (Dsuvia) for moderate-to-severe acute pain. Sufentanil is already approved for intravenous and epidural use. The drug is dispensed in a single-use applicator under medical supervision. The FDA said that its delivery mechanism makes it suited to situations where an IV cannot be placed and a patient cannot […]
Read MoreWhat happens in a brain under anesthesia? Researchers at the University of Turku, in Finland, are curious to find out, diving into brain waves and dreaming. In a series of studies—the first batch of which was published in Anesthesiology and the British Journal of Anaesthesia in July—the researchers found interesting patterns of brain activity and responses to stimuli using […]
Read MoreBy LAURAN NEERGAARD Scientists have found a new clue that Parkinson’s disease may get its start not in the brain but in the gut — maybe in the appendix. People who had their appendix removed early in life had a lower risk of getting the tremor-inducing brain disease decades later, researchers reported Wednesday. Why? A […]
Read MoreClinicians commonly overprescribe opioids — and the larger the opioid prescription, the more pills a patient uses — a JAMA Surgery study suggests. Using a Michigan surgery database, researchers studied 2400 adults who received opioid prescriptions after 12 common surgical procedures in 2017. At 30 days after surgery, patients reported how many opioid pills they had taken; […]
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