Authors: Minneci PC et al., J Am Coll Surg 2014 Apr 12; 218:905 The studies show that antibiotics are effective for uncomplicated appendicitis in adult and pediatric patients. Two studies offer additional evidence to support the nonoperative management of uncomplicated appendicitis. One study evaluated 230,000 California patients of all ages admitted between 1997 and 2008. […]
Read MoreGreat managers aren’t born, they’re made. And becoming a great manager requires honest self-analysis and periodic reassessments. The following checklist was designed to guide you in that analysis. Use it to take stock of your people skills. Be honest with yourself. Then, tuck it away and revisit it in six months. Ask yourself:Are you working […]
Read MorePublished in Dig Dis Sci. 2014 Apr 11 Authors: Jirapinyo P et al. BACKGROUND: Safety of conscious sedation for performing esophagoduodenoscopy (EGD) in obese and Roux-en-Y gastric bypass (RYGB) patients remains controversial. Additionally, it has been suggested that patients with higher body mass index (BMI) require higher sedation doses, imparting greater risk. […]
Read MorePublished in Am J Respir Crit Care Med. 2014 Apr Authors: Lonardo NW et al. Abstract Rationale: Mechanically ventilated ICU patients are frequently managed using a continuous infusion sedative. Though recent guidelines suggest avoiding benzodiazepines for sedation, this class of drugs is still widely employed. There are limited data comparing sedative agents in […]
Read MoreAuthors: Bot AG et al. BACKGROUND: In 2012, Medicare began to tie reimbursements to inpatient complications, unplanned readmissions, and patient satisfaction, including satisfaction with pain management. QUESTIONS/PURPOSES: We aimed to identify factors that correlate with (1) pain intensity during a 24-hour period after surgery; (2) less than complete satisfaction with pain control; (3) less […]
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