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Although general anesthesia is preferred by many anesthesiologists because of a perceived superior safety profile, a study has found that it is no safer than sedation in patients undergoing transcatheter aortic valve replacement (TAVR). The retrospective trial concluded that compared with sedation, TAVR patients who receive general anesthesia do not have smaller volume requirements, fewer […]
Read MoreUsing biomarkers such as procalcitonin (PCT) in the ER can help physicians assess the risk for sepsis before patients are admitted to the ICU. The Society of Critical Care Medicine recently updated its sepsis guidelines, recommending early empirical broad-spectrum antibiotics that are then adjusted or de-escalated as more information becomes available. “The early identification of sepsis […]
Read MoreAuthor: Landisch RM et al., JAMA Pediatr 2017 Jun 19; The time to appendectomy, if performed within 24 hours of presentation, was not associated with perforation or other complications. Although studies are inconclusive, many physicians feel that a delay in appendectomy may result in complications (perforation) and prolonged hospital stay. Using the Pediatric National Surgical Quality Improvement […]
Read MoreAlthough extracorporeal membrane oxygenation (ECMO) continues to grow in use for patients with fulminant cardiac or respiratory failure unresponsive to conventional treatment, the rescue therapy is still associated with significant morbidity and mortality, according to a team of University of Chicago Hospitals researchers. Their national database study described the characteristics of patients undergoing the procedure, […]
Read MoreEpidural steroid injections resulted in nearly twice the incidence of serious neurologic complications as epidural injections without steroids, according to a retrospective study, which also found soluble steroid injections to be just as safe as nonsteroid injections. Since 2012, when the FDA issued a letter of warning, “steroids have not been approved for epidural injections,” […]
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