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Increases in urine progesterone levels were more predictive of headache onset days than measures of estrogen. Mechanisms involved in balancing reproductive hormones in girls may influence the patterns of migraine headache onset, according to a study recently published in Cephalgia.1 Headache patterns observed directly before and after puberty indicated correlations with greater variations in the urine levels […]
Read MoreAssessing a patient’s level of frailty before an operation can provide important insight into which individuals might develop postoperative complications. “For a long time, frailty was overlooked,” said Felix Balzer, MD, MSc, PhD, in the Department of Anesthesiology and Intensive Care Medicine at Charite Universitatsmedizin Berlin, in Germany. “Today, we know that frail patients are […]
Read MoreHe added: “It is hard to know if this will change practice. As a rule, observational data should not drive change.” Dr Goldstein noted that the policy at Duke at present is to use general anesthetic for these procedures. “Having people lie still is not the easiest.” Dr Ovbiagele elaborated: “There are challenges of doing […]
Read MoreAnesthesiology residents, despite having direct access to controlled substances, often are inadequately trained in the symptoms of substance abuse disorder (SUD) and resources for addressing it. A study conducted by Rutgers New Jersey Medical School, in Newark, found that 40% of surveyed residents felt underprepared for managing SUD. The results were presented at the PostGraduate […]
Read MoreCritically 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 […]
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