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New England Journal of Medicine · March 21, 2017 Authors: Giovanni Landoni et al Background: Acute left ventricular dysfunction is a major complication of cardiac surgery and is associated with increased mortality. Meta-analyses of small trials suggest that levosimendan may result in a higher rate of survival among patients undergoing cardiac surgery. Methods: We conducted a multicenter, […]
Read MoreWhile many patients who are critically ill may have altered levels of consciousness or be mechanically ventilated, they can still perceive pain. The Behavior Pain Assessment Tool (BPAT) is a brief, reliable, and valid tool for assessing pain in critically ill adults and in patients who cannot self-report pain, according to a study published in Pain.1 […]
Read MoreResearchers conducted a systematic literature review to evaluate the effect of pharmacologic treatments of diabetic peripheral neuropathy on pain and quality of life. Several classes of drugs reduce neuropathy-related pain better than placebo, according to a review recently published in Neurology.1 Julie M. Waldfogel, PharmD, from the Johns Hopkins Hospital in Baltimore, and colleagues conducted a […]
Read MoreUpper gastrointestinal endoscopic procedures may be commonplace, but they have surprisingly high complication and mortality rates. The advent of a modified laryngeal mask that can simultaneously protect the airway and facilitate the passage of an endoscope may reduce some of these adverse events. Preliminary results from an Australian study found that the mask facilitated endoscopic […]
Read MoreJAMA · April 11, 2017 Question: Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function? Findings: In this systematic review and meta-analysis of 26 randomized clinical trials, spinal manipulative therapy was associated with statistically significant benefits in both pain and function, of […]
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