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Critically ill patients who demonstrate an elevated modified shock index (MSI) within the first 24 hours of ICU admission have a significant risk for death. MSI, which is the ratio of elevated heart rate to mean arterial pressure, may be a better predictor of mortality than shock index (SI) because MSI incorporates both systolic and […]
Read MoreRadiofrequency denervation is effective in facet joint pain as it targets the medial branches of the primary dorsal rami of the spinal nerves that innervate the facet joints. Radiofrequency denervation improved chronic low back pain arising from the facet joints to a greater extent than sham procedures or epidural blocks, especially in patients with the […]
Read MoreThe Guardian · June 11, 2017 Thousands of people could be undergoing unnecessary, risky and expensive surgeries as most procedures have never been subjected to the rigorous testing drugs are required to have, a leading surgeon has said. Prof Andy Carr, an orthopaedic surgeon at Oxford University Hospitals, said there is emerging evidence that for certain types […]
Read MoreOlder adults with chronic pain have been found to have poorer memory and executive function than their younger counterparts. In a population-based cohort study described in JAMA Internal Medicine, older adults with persistent pain showed more rapid memory decline and greater dementia probability compared with adults without persistent pain.1 The prevalence of chronic pain in older […]
Read MoreHaving an internal jugular (IJ) catheter with a concurrent tracheostomy did not increase the risk for central line–associated bloodstream infections (CLABSIs) among ICU patients. “Our data challenges what seems to be the standard when placing lines in patients with tracheostomy,” said Dana L. Russell, MPH, the lead author of the single-center, retrospective, matched case-control study […]
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