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Authors: Allison J. Lee, M.D. Background: Current recommendations for women undergoing cesarean delivery include 15° left tilt for uterine displacement to prevent aortocaval compression, although this degree of tilt is practically never achieved. We hypothesized that under contemporary clinical practice, including a crystalloid coload and phenylephrine infusion targeted at maintaining baseline systolic blood pressure, there would […]
Read MoreEdited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM Concurrent prescription of psychotropic medications and opioids in pregnant women may put their infants at increased risk for neonatal drug withdrawal, according to a study in The BMJ. Using Medicaid data, researchers studied over 200,000 women who were prescribed opioids in the last 45 days of […]
Read MoreAuthors: Stephens RJ et al., Chest 2017 Jun 29; In a prospective study of mechanically ventilated emergency department patients, deeper sedation levels were associated with increased mortality. Deeper sedation levels within the first 48 hours of intensive care unit admission have been associated with longer duration of mechanical ventilation and increased mortality. Unclear, however, is whether deeper […]
Read MoreAuthors: Jacqueline M. Leung, M.D., M.P.H. et al Anesthesiology published on July 20, 2017 Background: Postoperative pain and opioid use are associated with postoperative delirium. We designed a single-center, randomized, placebo-controlled, parallel-arm, double-blinded trial to determine whether perioperative administration of gabapentin reduced postoperative delirium after noncardiac surgery. Methods: Patients were randomly assigned to receive placebo (N = 347) […]
Read MoreAuthors: Juch JNS et al., JAMA 2017 Jul 4; 318:68 The procedure conferred no clinically important improvement in pain related to facet or sacroiliac joints or intervertebral discs. Radiofrequency denervation, or nerve ablation, is used to treat patients with chronic low back pain associated with facet or sacroiliac joints or intervertebral discs. However, evidence of the procedure’s […]
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