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ASA Monitor 1 2019, Vol.83, 44-45. The director of nursing has announced that disposable bouffant hats will be the only headgear allowed in the surgical suites. You wonder whether there is evidence to show disposable bouffant hats are superior to cloth hats or disposable surgical caps. According to a recent study reviewing the relative performance of […]
Read MoreASA Monitor 1 2019, Vol.83, 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 MoreStaff News Writer American Medical Association About 40 percent of physicians are likely to marry another physician or health professional, according to an AMA Insurance Agency Inc. survey of nearly 5,000 doctors. And with about half of physicians reporting at least one symptom of burnout, that means many dual physician households have a heightened risk […]
Read MoreAuthors: MIKE STOBBE The U.S. cancer death rate has hit a milestone: It’s been falling for at least 25 years, according to a new report. Lower smoking rates are translating into fewer deaths. Advances in early detection and treatment also are having a positive impact, experts say. But it’s not all good news. Obesity-related cancer deaths […]
Read MoreSufentanil sublingual tablets (SST) may be effective for the short-term postoperative or emergency department (ED) management of moderate to severe pain in patients with all body mass index (BMI) levels, according to a study to be presented at the 2018 World Congress on Pain in Boston, Massachusetts. Investigators recently submitted a New Drug Application for SST 30 […]
Read MoreAuthors: Michael S Calderwood et al BMJ Dec 2018 Background Quality improvement (QI) campaigns appear to increase use of evidence-based practices, but their effect on health outcomes is less well studied. Objective To assess the effect of a multistate QI campaign (Project JOINTS, Joining Organizations IN Tackling SSIs) that used the Institute for Healthcare Improvement’s Rapid Spread […]
Read MoreAlexander J. Butwick, MBBS, FRCA, MS et al JAMA Netw Open. 2018;1(8) Question Does the prevalence of neuraxial labor analgesia vary across US states? Findings In this population-based, cross-sectional analysis of 2 625 950 pregnant women who underwent labor, Maine had the lowest adjusted neuraxial analgesia prevalence (36.6%) and Nevada the highest (80.1%). The odds of receiving neuraxial analgesia were 1.5-fold higher […]
Read MoreAuthors: De Gregorio, Danilo et al PAIN: January 2019 – Volume 160 – Issue 1 – p 136–150 Clinical studies indicate that cannabidiol (CBD), the primary nonaddictive component of cannabis that interacts with the serotonin (5-HT)1A receptor, may possess analgesic and anxiolytic effects. However, its effects on 5-HT neuronal activity, as well as its impact on models of neuropathic pain are […]
Read MoreAuthor: Will Boggs MD JAMA Pediatr Dec 28 2018. Intranasal ketamine is noninferior to intranasal fentanyl at relieving pain in children with acute extremity injuries, a new study found. “We were happy to discover similar results to the two other prior pediatric trials and pleasantly surprised to see how similar the rates of rescue analgesia were […]
Read MoreaUTJOHRS: Munoz-Price LS, et al. Infection Control & Hospital Epidemiology 2019, 40, 1–17. Purpose The potential for clinically significant microbial cross transmission in the intraoperative environment poses a threat to patient safety. A growing body of literature has shown contamination in the anesthesia work area, including the anesthesia medical work cart, stopcocks, laryngeal masks and laryngoscope blades, […]
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