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Author: Reddy YNV et al. Circulation 2018 May 23 A 10-point risk score based on noninvasive characteristics might be helpful in identifying patients who need further testing. Establishing the diagnosis of heart failure (HF) in people presenting with dyspnea can be challenging when they lack corroborative structural abnormalities like reduced left ventricular ejection fraction (LVEF) […]
Read MoreAuthors: Zalewski NL et al. JAMA Neurol 2018 Sep 24 Hyperacute or acute onset was the most consistent clinical symptom. Spinal cord infarction is an underrecognized etiology of myelopathy that is sometimes misdiagnosed as transverse myelitis (NEJM JW Neurol Mar 2018 and Neurology 2018; 90:e96). Investigators reviewed data from 133 adults (median age, 60; interquartile […]
Read MoreMany outpatient opioid prescriptions have no documented medical indication, according to a research letter published in the Annals of Internal Medicine. Tisamarie B. Sherry, M.D., Ph.D., from the RAND Corporation in Boston, and colleagues examined the percentage of opioid prescriptions with a documented medical indication between 2006 and 2015 using data from the National Ambulatory […]
Read MoreThe use of morphine and ziconotide is consistently recommended as first-line intrathecal (IT) therapy in the management of cancer- and non-cancer chronic pain, respectively, according to a literature review and analysis of evidence-based guidelines from the 2016 Polyanalgesic Consensus Conference (PACC) published in Pain Medicine. For morphine, the studies examined were mainly non-controlled and prospective or retrospective in […]
Read MoreAuthors: Gong Y et al Department of Anesthesiology, Beijing Luhe Hospital, Beijing, China. BACKGROUND: Flexible reinforced laryngeal mask airway (FLMA®) has gained popularity in thyroid surgery, but air leak and displacement are still concerns. METHODS: In this randomized, single-blinded, noninferiority, controlled trial, we randomized patients scheduled for elective radical thyroidectomy to an endotracheal tube (ETT) group or a FLMA group. The primary outcomes were ventilation leak volume, […]
Read MoreAuthors: Kyoung-Woon Joung et al BMC Anesthesiology201818:135 Background The analgesic effects of dexamethasone have been reported previously, and the present study determined the effects of preoperative dexamethasone on postoperative pain in patients who received thoracotomy. Methods Forty patients participated in this randomized, double-blind study. All patients received either dexamethasone via a 0.1 mg/kg intravenous bolus before anesthetic […]
Read MoreAnesthesiology News Evolving as a Small- to Medium-Sized Practice Butch Parker, MD Anesthesiologist President, Columbia Anesthesia Group Vancouver, Washington As a representative of a small anesthesia practice, you find yourself in a hospital executive’s office discussing the anesthesia needs of your community hospital. Catching you by surprise, she asks, “Why don’t you bring in CRNAs? […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Nearly one in four patients is given opioids immediately before surgical intervention, according to a large cross-sectional, observational study at a tertiary care academic medical center. The study, which appears in JAMA Surgery, collected information from 34,186 patients, with a mean age of 53.1 years, from March 2010 through April 2016 […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Increasing the duration of anesthesia from five hours to 12 hours for microvascular reconstruction of the head and neck significantly increases the risk for surgical complications and the need for postoperative transfusion, according to a study in JAMA Facial Plastic Surgery(2018;20[3]:188-195). “When surgeons are performing this type of surgery, they should […]
Read MoreAuthor: Thomas Rosentnal Anesthesiology News Although the number of adult patients requiring mechanical ventilation (MV) declined from 2005 to 2011, approximately 9% of the 1,209,185 patients who were admitted to California community hospitals with community-acquired pneumonia (CAP) required invasive MV (IMV) within 48 hours of admission. That rate has remained relatively stable over the years […]
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