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Authors: Michael Vlessides Anesthesiology News Administration of gabapentinoids on the day of arthroplasty is associated with several negative postoperative outcomes, including naloxone use, noninvasive ventilation, mechanical ventilation and ICU admission, according to a large database analysis. The study also found no improvement in hospital length of stay or opioid consumption with gabapentinoids. “Gabapentinoids have been […]
Read MoreDiscontinuation of chronic opioid therapy is associated with an increased risk of overdose death, according to a study published in the Journal of General Internal Medicine. “We are worried by these results, because they suggest that the policy recommendations intended to make opioid prescribing safer are not working as intended,” said Jocelyn James, MD, University of […]
Read MoreAuthors: Epstein, Richard H. MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1265-1272 BACKGROUND: For emergent procedures, in-house teams are required for immediate patient care. However, for many procedures, there is time to bring in a call team from home without increasing patient morbidity. Anesthesia providers taking […]
Read MoreI wanted to share this with our readers. HealthDay News More than two-thirds of Americans don’t know that heart disease is the leading cause of death among U.S. women, a new survey reveals. Overall, 68% of respondents weren’t aware that heart disease is the top killer of women, but the rate was much higher (80%) […]
Read MoreAuthor: Jordan Rau Kaiser Health News Hundreds of hospitals across the nation, including a number with sterling reputations for cutting-edge care, will be paid less by Medicare after the federal government pronounced that they had higher rates of infections and patient injuries than others. The Centers for Medicare & Medicaid Services on Wednesday identified 786 hospitals that […]
Read MoreBy Jim Parker Hospice News Anesthesiologist and intensivist Silvia Perez-Protto, M.D., is leading the charge to standardize advance care planning processes in her institution. At Cleveland Clinic, she is director of the Center for End of Life Care and a faculty member at the Center for Excellence in Healthcare Communication. The center’s objective is to standardize […]
Read MoreAuthors: Clivio, Sara MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1249-1255 BACKGROUND: It remains unclear to what extent intravenous lidocaine prevents cough and whether there is dose-responsiveness and risk of harm. METHODS: We searched electronic databases to January 1, 2017 for randomized trials comparing intravenous lidocaine […]
Read MoreAuthors: Hasselgren, Emma MD et al Anesthesia & Analgesia: November 2019 – Volume 129 – Issue 5 – p 1232-1239 BACKGROUND: Albumin may persist intravascularly for a shorter time in patients after major surgery than in healthy volunteers due to a surgery-induced breakdown (shedding) of the endothelial glycocalyx layer. METHODS: In this nonrandomized clinical trial, […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Although peripheral nerve stimulation is commonly used to assess neuromuscular transmission when dosing neuromuscular blocking agents and reversal drugs, quantitative twitch monitors have been shown to be more accurate than palpation for measuring the train-of-four (TOF) ratio. But which type of monitor—mechanomyography, acceleromyography or electromyography—is most accurate? New research has […]
Read MoreAn alarming number of people in the United States are developing infective endocarditis, in large part, due to the current opioid epidemic, according to a study published in the Journal of the American Heart Association. “Infective endocarditis related to drug abuse is a nationwide epidemic,” said Serge Harb, MD, Cleveland Clinic Lerner College of Medicine, Cleveland, […]
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