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Author: DR. JAY BHATT and LAURA ROMERO, ABC News Hospitals and blood centers are renewing their alarm over a shortage of blood donations amid the coronavirus pandemic in what they said could prove another stumbling block in getting hospitals back to the business of elective surgeries, not to mention the ongoing needs of COVID-19 and […]
Read MoreAuthor: Tony Mira Summary Not every anesthesia provider is on the same page when it comes to determining and documenting anesthesia time. Because of this, some providers may be losing money, while others are in violation of the billing rules. In this first installment of a two-part article, we will focus on the appropriate way […]
Read MoreAuthor: Nancy Anoruo MD, MPH abc News Treatment of COVID-19 has been a medical puzzle for front-line doctors largely learning about the disease in real-time without proven protocols. During the first crush of COVID-19, physicians in the U.S. relied heavily on mechanical ventilation to rescue oxygen-starved patients. Patients with COVID-19 can struggle to get enough […]
Read MoreAuthor: Lindsey Tanner Associated Press This X-ray image provided by Northwestern Medicine in June 2020 shows the chest of a COVID-19 patient before she received a new set of lungs because of severe lung damage from the coronavirus, at Northwestern Memorial Hospital in Chicago. (Northwestern Medicine via AP) Surgeons in Chicago have given a new […]
Read MoreAUTHORS: Adam, Elisabeth H. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1389-1395 BACKGROUND: Cardiothoracic surgery is associated with major blood loss and allogeneic transfusion of red blood cell concentrates. To minimize allogeneic red blood cell (RBC) transfusion, intraoperative cell salvage has been effectively used for years. The […]
Read MoreAUTHORS: Brooks Peterson, Melissa MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1435-1444 BACKGROUND: Vancomycin is used for antibiotic prophylaxis in pediatric surgical patients without a complete understanding of plasma and soft-tissue pharmacokinetics. Guidelines recommend incision within 60 minutes after administration; however, tissue vancomycin concentrations at that […]
Read MoreAUTHORS: Jia, Yuan MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1396-1406 BACKGROUND: Mechanical ventilation with low tidal volumes appears to provide benefit in patients having noncardiac surgery; however, whether it is beneficial in patients having cardiac surgery is unclear. METHODS: We retrospectively examined patients having elective cardiac […]
Read MoreDG Alerts New preliminary results from the RECOVERY trial suggest that low-dose dexamethasone can reduce the risk of death by up to one third in hospitalised patients with severe respiratory complications of COVID-19. In March 2020, the RECOVERY trial was established as a randomised clinical trial to test a range of potential treatments for COVID-19, including low-dose […]
Read MoreDG Alerts In a case series published in the journal Headache, Jyotika Singh, DO, Henry Ford Health System, Department of Neurology, Detroit, Michigan, US, and another colleague, describe 2 instances of women with a history of migraine whose first symptom of coronavirus disease 2019 (COVID-19) was a severe persistent headache. The first case involves a 31-year-old female, with a history of episodic […]
Read MoreAuthors: Marc-Olivier Fischer, M.D., Ph.D. et al Anesthesiology 7 2020, Vol.133, 31-40. Background: The present trial was designed to assess whether individualized strategies of fluid administration using a noninvasive plethysmographic variability index could reduce the postoperative hospital length of stay and morbidity after intermediate-risk surgery.Methods: This was a multicenter, randomized, nonblinded parallel-group clinical trial conducted in five hospitals. […]
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