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This was from the blog a Pen Point The observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist, writer, and mother. A true allergic reaction is one of the most terrifying events in medicine. A child or adult who is highly allergic to bee stings or peanuts, for instance, can die within minutes without a life-saving […]
Read MoreA Randomized Clinical Trial JAMA. October 24, 2018. Question In patients in the intensive care unit (ICU) who received invasive ventilation for reasons other than acute respiratory distress syndrome (ARDS), is a ventilation strategy with low tidal volume more effective than a strategy using intermediate tidal volume with respect to the number of ventilator-free days and alive […]
Read MoreOpiate-free surgery is feasible for patients undergoing elective colon resections with anastomosis, with shorter length of stay for patients not receiving narcotics, according to a study presented at the annual meeting of the American College of Surgeons, held from Oct. 21 to 25 in Boston. Sophia A. Horattas, M.D., from Cleveland Clinic Akron General, and […]
Read MoreI thought this was interesting so I wanted to share with our readers. By Meg Bryant Dive Brief: Rochester, Minnesota topped the list of healthiest cities in terms of access to care, quality hospitals and other measures in Healthgrades’ National Health Index of American cities, with Orlando, Florida, coming in last. Healthgrades’ analysis shows hospitals in close […]
Read MorePatients 65 and older undergoing surgery are at increased risk for developing perioperative neurocognitive disorders, including postoperative delirium (POD), with detrimental effects on their recovery. POD is the most common surgical complication in older adults, occurring in 5 to 50 percent of older adults after an operation, according to the American Geriatrics Society. It’s estimated […]
Read MoreAuthors: Waters, Janet F. R., MD, MBA et al Obstetrics & Gynecology: November 2018 – Volume 132 – Issue 5 – p 1180–1184 OBJECTIVE: To estimate whether vaginal delivery or neuraxial anesthesia poses a risk of neurologic deterioration in women with uncorrected Chiari I malformation. METHODS: To assemble this case series, electronic record databases were used to identify […]
Read MoreResearchers from the University of California at San Francisco (UCSF) have developed a novel therapeutic that can deliver oxygen specifically to under-oxygenated tissues, thereby restoring the contractile function of cardiac cells, which is heavily affected under hypoxic conditions. The study is published in the journal PLoS Biology. A new oxygen-delivery therapeutic restored the function of oxygen-starved heart tissue in an animal […]
Read MoreNeither typical nor atypical antipsychotics proved more effective than placebo in shortening the duration of delirium in intensive care units, according to a New England Journal of Medicine study presented at the European Society of Intensive Care Medicine’s Annual Congress. In the multicenter study, nearly 600 patients developing delirium in the ICU underwent randomization to intravenous doses […]
Read MoreThe IRIS Randomized Clinical Trial Authors: Aurélie Birenbaum, MD et al JAMA Surg. October 17, 2018. Question Does the cricoid pressure prevent pulmonary aspiration in patients undergoing rapid sequence induction of anesthesia? Findings In this randomized, noninferiority double-blind trial involving 3472 patients, the results failed to demonstrate the noninferiority of a sham procedure in preventing pulmonary aspiration compared with the cricoid […]
Read MoreErenumab helps prevent migraine in adults who haven’t responded to other preventive treatments, according to an industry-funded study in The Lancet. The monoclonal antibody targets calcitonin gene-related peptide; it was approved in May for migraine prevention. Roughly 250 adults with episodic migraine who’d been treated unsuccessfully with two to four preventives were randomized to receive two […]
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