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Authors: Kristen K. MacKenzie, M.D. et al Anesthesiology 9 2018, Vol.129, 417-427. What We Already Know about This Topic: Up to 20% of patients undergoing major surgery experience postoperative delirium or cognitive dysfunction Intraoperative management strategies to reduce the risk of postoperative delirium remain unclear What This Article Tells Us That Is New: The heterogeneity of […]
Read MoreAuthors: Amie L. Severino, Ph.D. et al Anesthesiology 9 2018, Vol.129, 544-556. What We Already Know about This Topic: Pain resolves more quickly from cesarean delivery than other abdominal surgeries Pregnancy-related hormones such as oxytocin may reduce postoperative pain in women, although similar systems may function in men as well What This Article Tells Us That […]
Read MoreAuthors: Huras H et al European Journal of Obstetrics & Gynecology and Reproductive Biology 225 185-188 (Jun 2018) INTRODUCTION Relaparotomy is a serious complication of caesarean section. The aim of this study was to investigate its risk factors and postoperative outcome. METHODS We conducted a retrospective case-control study examining 48 reoperations between January 2013 and […]
Read MoreAuthors: Raza D et al Acta Anaesthesiologica Scandinavica (May 2018) BACKGROUND Mallampati class has been shown to increase during labor. There are no prospective studies evaluating airway changes in hypertensive parturients during labor. The aim of our study was to observe the frequency of change in Mallampati class during labor in hypertensive compared to normotensive […]
Read MoreExposure to hyperoxia in the immediate post-intubation period after admission to the emergency department (ED) is associated with worse outcomes in mechanically ventilated patients, according to researchers. “We found that the unnecessary administration of excessive amounts of oxygen and resultant elevated levels of oxygen in the bloodstream were very common in the emergency department,” said […]
Read MoreAuthors: Christopher M Petrilli et al BMJ June 2018 Objective Several large studies have shown that improving the patient experience is associated with higher reported patient satisfaction, increased adherence to treatment and clinical outcomes. Whether physician attire can affect the patient experience—and how this influences satisfaction—is unknown. Therefore, we performed a national, cross-sectional study to examine […]
Read MoreUse of a continuous quality improvement (CQI) program indicates that the safety of rapid sequence intubation in emergency departments can be improved with basic data collection and targeted interventions. According to the investigators, the program enabled assessment of airway performance of emergency medicine residents and identification of airway issues. Interventions were introduced throughout the decade-long […]
Read MorePatients with a history of migraines are at increased risk for hospital readmission due to pain within 30 days. A database analysis concluded that migraineurs are more frequently readmitted for postoperative pain, headache and abdominal pain than their counterparts without migraines. “We are all familiar with the fact that unplanned hospital readmissions are of great […]
Read MoreaUTHORS: Mellor R et al. BMJ 2018 May 2. Hip function improvement was greater with education plus exercise than with corticosteroid injections. Lateral hip pain sometimes is called “greater trochanteric bursitis,” but the preferred term now is greater trochanteric pain syndrome (because this disorder usually is caused by gluteal tendinopathies, sometimes with adjacent bursitis). Although corticosteroids […]
Read MoreThe Old Kid on the Block ric S. Schwenk, MD Associate Professor of Anesthesiology Director of Orthopedic Anesthesia Sidney Kimmel Medical College Thomas Jefferson University Philadelphia, Pennsylvania Virtually anyone in health care who treats patients has witnessed the devastating effects that the current opioid epidemic has had on our communities. Patients who present with substance […]
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