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AUTHORS: Segal, Scott MD, MHCM et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1549-1556 BACKGROUND: Frequent hand hygiene by anesthesia personnel may be an important factor in reducing contamination of IV lines and medication access ports and may reduce hospital-acquired infections. Measurement of hand hygiene frequency at the […]
Read MoreAUTHORS: Vinclair, Marc MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1540-1546 BACKGROUND: Pupillary reflex dilation is a reliable indicator of response to noxious stimulation. In a proof of concept study, we investigated the performance of pupillary pain index, a new score derived from pupillary reflex dilation […]
Read MoreAUTHORS: Aouad, Marie T. MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1504-1511 BACKGROUND: Dexmedetomidine provides smooth and hemodynamically stable emergence at the expense of hypotension, delayed recovery, and sedation. We investigated the optimal dose of dexmedetomidine for prevention of cough, agitation, hypertension, tachycardia, and shivering, with […]
Read MoreBy American Osteopathic Association Hospitals can dramatically reduce the length of a patient’s stay (by up to 67%) when their provider teams hold integrated care conferences (ICCs), a daily meeting for providers to share information at once. However, the seemingly obvious concept is rarely implemented, according to researchers in The Journal of the American Osteopathic Association. […]
Read MoreBy: Faye Flam Bloomberg The U.S. has a weirdly high maternal death rate. It’s a symptom of a sick health care system. The number of women dying of complications of pregnancy and childbirth is going down in all developed countries except the United States. New statistics released last week show that the U.S. maternal death rate has […]
Read MoreAUTHORS: Oh, Tak Kyu MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1494-1501 BACKGROUND: Postoperative hyperchloremia is known to be related to increases in mortality and morbidity after surgery. However, the relationship between preoperative hyperchloremia and hypochloremia and postoperative mortality and morbidity is not well established. Our […]
Read MoreAUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1482-1491 BACKGROUND: Acute traumatic coagulopathy is common in trauma patients. Prompt diagnosis of hypofibrinogenemia allows for early treatment with cryoprecipitate or fibrinogen concentrate. At present, optimal cutoffs for diagnosing hypofibrinogenemia with kaolin thrombelastography (TEG) have […]
Read MoreAUTHORS: Meersch, Melanie MD et al Anesthesia & Analgesia: December 2019 – Volume 129 – Issue 6 – p 1474-1481 BACKGROUND: Acute kidney injury is a common complication after cardiac surgery, with a high impact on morbidity and mortality. Vascular adhesion protein-1 is involved in inflammation, which, in turn, is part of the development of […]
Read MoreAuthors: Håvard Egge Medical press In cold conditions, it is very likely that the human body will develop hypothermia following an accident. Maintaining a patient’s body temperature on the way to hospital can be crucial to survival. The prototype of a new and improved solution is now ready. There has been too little focus on […]
Read MoreBy: Ron Regan News 3 Cleveland Their surgery is successful, they’re moved to a room reserved for low risk patients, then they wind up “Dead in Bed.” Now News 5 has learned hospitals in Ohio and across the country have been slow to take advantage of a life-saving device that could prevent patients from dying within hours […]
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