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For the first time, researchers at the UNC School of Medicine showed they could target one brain region with a weak alternating current of electricity, enhance the naturally occurring brain rhythms of that region, and significantly decrease symptoms associated with chronic lower back pain. The results, published in the Journal of Pain and presented at the Society […]
Read MoreA Randomized Clinical Trial Authors: Hanan Aboumatar, MD, et al JAMA. Published online November 12, 2018. Question Can a hospital-initiated program result in reduced acute care use and better quality of life for patients hospitalized for chronic obstructive pulmonary disease (COPD)? Findings In this single-site randomized clinical trial that included 240 patients with COPD, a 3-month program that combined transition […]
Read MoreAuthors: Marilyn Green Larach, M.D., F.A.A.P. et al Anesthesiology November 12, 2018. What We Already Know about This Topic: Dantrolene effectively treats malignant hyperthermia, but there are discrepant recommendations for dantrolene availability in facilities that stock succinylcholine for airway rescue but do not use volatile anesthetics. What This Article Tells Us That Is New: The authors […]
Read MoreAuthors: Philip M. Hopkins, M.B., B.S., M.D., F.R.C.A. et al Anesthesiology November 12, 2018. “[Increased] patient safety is served by mandating that dantrolene be stocked where succinylcholine is available.” IN this issue, Larach et al.1 conclude a large database analysis and systematic review by advocating that dantrolene be stocked in all locations where succinylcholine is available, even if […]
Read MoreHeart attacks once characterized as a part of “old man’s disease” — are increasingly occurring in younger people, especially women, according to new research. The study, presented Sunday at the American Heart Association’s Scientific Sessions meeting in Chicago and published in the AHA journal Circulation, sought to investigate heart attacks in the young, a group frequently […]
Read MoreBy Aaron E. Carroll New York Times Nov 5, 2018 A look at the system’s weaknesses, and possible ways to combat them. Even before the recent news that a group of researchers managed to get several ridiculous fake studies published in reputable academic journals, people have been aware of problems with peer review. Throwing out the system — which deems whether research […]
Read MoreAuthors: Béatrice La Combe, M.D., M.Sc. et al Anesthesiology 12 2018, Vol.129, 1140-1148. What We Already Know about This Topic: Chlorhexidine is frequently used to reduce oropharyngeal bacterial colonization in mechanically ventilated patients. How effective the drug is remains unclear. What This Article Tells Us That Is New: Bacterial colonization was evaluated in 30 mechanically ventilated […]
Read MoreAuthors: Robert M. Kacmarek, Ph.D., R.R.T. et al Anesthesiology 12 2018, Vol.129, 1057-1059. “A small physiologic trial evaluate[d] the ability of titrated PEEP to prevent intraoperative atelectasis.” THE concept of lung-protective ventilation is well established in patients with acute lung injury and is now considered a fundamental approach when managing any patient under mechanical ventilation in […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 12 2018, Vol.129, 1121-1131. What We Already Know about This Topic: Neuraxial anesthesia use for hip fracture surgery has wide variation in use across hospitals, and hospitals using it for less than 25% of patients may have increased 30-day mortality The proportion of the variation in […]
Read MoreAuthors: Raphaël Cinotti, M.D., Ph.D. et al Anesthesiology 12 2018, Vol.129, 1111-1120. What We Already Know about This Topic: The authors developed a score for predicting the risk of postoperative complications What This Article Tells Us That Is New: The score was developed from 1,094 patients and validated in 830 patients from six French hospitals Severe […]
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