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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 MoreThis is very important to know if you do OB anesthesia. Ultrasound in Obstetrics & Gynecology April 2018 Author: D. Jurkovic MD Cesarean scar pregnancy is still considered a novel clinical entity, although the first reports describing its clinical presentation appeared nearly a quarter of a century ago1. It was recognized from the outset that […]
Read MoreThis is obviously very important to our specialty since most of us work in a hospital. Fitch Ratings said its “Rating Watch” for U.S. nonprofit hospitals and health systems is over after the organizations showed improved or stable results this year. During a six-month review of 125 existing issuers, Fitch affirmed 52% of the graded facilities […]
Read MoreA blood test administered within 12 hours of a suspected traumatic brain injury (TBI) could help clinicians identify injuries like hemorrhage and contusion before having to resort to CT imaging, according to the preliminary results of a study published this week in the Lancet Neurology. Jeffrey Bazarian, MD, MPH, a co-leader of the paper and a professor at […]
Read MoreASA Monitor 8 2018, Vol.82, 48-49. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreOff-label, epidural use of Depo-Medrol (methylprednisolone acetate) injections for back pain is increasing as clinicians limit their opioid prescribing — but the treatment is risky and often ineffective — the New York Times reports. Depo-Medrol’s manufacturer, Pfizer, requested in 2013 that epidural use be banned owing to risks for blindness, paralysis, stroke, and death. The FDA declined […]
Read MoreAuthors: Weick, Jack, MD et al Journal of Bone and Joint Surgery: July 18, 2018 – Volume 100 – Issue 14 – p 1171-1176 Background: Prescription opioid use is epidemic in the U.S. Recently, an association was demonstrated between preoperative opioid use and increased health-care utilization following abdominal surgeries. Given that primary total knee arthroplasty (TKA) and […]
Read MoreScience Daily August 2018 Twenty patients at Penn Medicine have been cured of the Hepatitis C virus (HCV) following lifesaving kidney transplants from deceased donors who were infected with the disease, according to a study published today in Annals of Internal Medicine. The researchers also report that the kidney transplants for these 20 patients are functioning […]
Read MoreAuthors: William A. Grobman, M.D. et al N Engl J Med 2018; 379:513-523 The perinatal and maternal consequences of induction of labor at 39 weeks among low-risk nulliparous women are uncertain. METHODS In this multicenter trial, we randomly assigned low-risk nulliparous women who were at 38 weeks 0 days to 38 weeks 6 days of […]
Read MoreThe Jury Is Still Out Elizabeth L. Whitlock, MD, MSc1 et al JAMA Surg published online August 8, 2018. Perioperative delirium is an incredibly complex multifactorial syndrome, which despite a rapidly growing body of inquiry into its risk factors remains one of the most common complications of surgery and anesthesia. Acknowledging that most risk factors, such as underlying […]
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