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by Karen A Penned Point How the ACGME and ABA are infantilizing resident training Not long ago, my patient in a complex thoracic case developed progressive bradycardia followed by a malignant-looking multifocal atrial arrhythmia that didn’t generate any blood pressure. “Get out some epinephrine!” I said to my resident, who was standing closer than I […]
Read MoreAdvisory Board Implementing bundled payments for several types of surgery helped health plans save nearly 11% on those services compared with previous payment models, and the plans were able to pass those savings along to employers and patients, according to a new study published in Health Affairs. Bundled payments saved an average of $4,229 per procedure, researchers find […]
Read MoreAuthor: Zawn Villines Medical News Today It may be possible to prevent migraine by avoiding triggers, adjusting dietary or lifestyle factors, or taking supplements. Preventive migraine medications are also available. The methods of migraine prevention that work best can vary depending on the individual. Sometimes, a person may need to try several approaches to see […]
Read MoreDG News Reducing the standard dose of IV-administered ketamine in half is as effective as the larger, standard dose in reducing pain in adults with acute pain, according to a study published in the journal Academic Emergency Medicine. Ketamine is known to provide pain relief comparable to opioid medications, which are highly addictive. For the current […]
Read MoreAuthor: Michael Walter Cardiovascular Business News MRI policies regarding patients with cardiac implantable electronic devices (CIEDs) have evolved in recent years, with specialty societies and even CMS acknowledging that scanning patients with such devices is quite safe. But what if the patient’s CIED has abandoned leads? Could that be a steadfast exception? A team of […]
Read MoreDG Journal Club Erin E Birmingham, Astrid G Stucke et al. Paediatr Anaesth. 2021 Feb 28 BACKGROUND Trisomy 18 or Edwards syndrome is the second most common aneuploidy with a prevalence between 1/3000 and 1/10 000 live births. The syndrome encompasses malformations of the central nervous, cardiac, respiratory, gastrointestinal, and genitourinary systems. Trisomy 18 carries a […]
Read MoreAuthors: Helene Beloeil, M.D., Ph.D. et al Anesthesiology April 2021, Vol. 134, 541–551. Background It is speculated that opioid-free anesthesia may provide adequate pain control while reducing postoperative opioid consumption. However, there is currently no evidence to support the speculation. The authors hypothesized that opioid-free balanced anesthetic with dexmedetomidine reduces postoperative opioid-related adverse events compared with […]
Read MoreASA Monitor Vol 84 Issue 11 Case presentation:A trauma patient from the emergency department showed up as a “surprise” to the OR with no known history. The patient was shot multiple times in the head, chest, and abdomen. The surgeon told us that the patient arrested in the trauma bay and a thoracotomy was done […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology April 2021, Vol. 134, 577–587. Background Preoperative frailty is strongly associated with postoperative complications and mortality. However, the pathways between frailty, postoperative complications, and mortality are poorly described. The authors hypothesized that the occurrence of postoperative complications would mediate a substantial proportion of the total effect […]
Read MoreDG Alerts Abnormal sodium levels during hospitalisation was a risk factor for poor prognosis, with hypernatremia and hyponatremia being associated with a greater risk of death and respiratory failure, respectively, in patients with coronavirus disease 2019 (COVID-19), according to a study published in The Journal of Clinical Endocrinology & Metabolism. “Hypernatremia at any timepoint during hospital […]
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