A new study finds medically assisted detox is better for moms and babies. At the age of 14, Brittany Scheihing started to get migraines. Doctors told her they’d eventually go away as she got older. Only they didn’t. In fact, as Scheihing aged, her migraines became only worse, with bouts of vomiting, impaired vision, and […]
Read MoreAUTHORS: Manuel Taboada, M.D., Ph.D. et al Anesthesiology published on May 21, 2018. Background: Tracheal intubation is a common intervention in the operating room and in the intensive care unit. The authors hypothesized that tracheal intubation using direct laryngoscopy would be associated with worse intubation conditions and more complications in the intensive care unit compared with the […]
Read MoreAUTHORS: Abirami Kumaresan, M.D. Anesthesiology 6 2018, Vol.128, 1187-1192. doi:10.1097/ALN.0000000000002159 Background: The effects of prone positioning on esophageal pressures have not been investigated in mechanically ventilated patients. Our objective was to characterize effects of prone positioning on esophageal pressures, transpulmonary pressure, and lung volume, thereby assessing the potential utility of esophageal pressure measurements in setting positive end-expiratory […]
Read MoreFluid restriction has no impact on disability-free survival; increases risk of acute kidney injury A restrictive fluid regimen is not associated with increased disability-free survival for patients at increased risk of complications during major abdominal surgery, but is associated with increased acute kidney injury, according to a study published online May 10 in the New England […]
Read MoreLocation of inflammation may determine which patients are successfully treated with steroid injections Authors: Daniel Albrecht, PhD et al Pain May 2018 A study by Massachusetts General Hospital (MGH) investigators has found, for the first time in humans, that patients with chronic sciatica — back pain that shoots down the leg — have evidence of inflammation […]
Read MoreAUTHORS: Kirk Hogan, M.D., J.D. Anesthesiology 6 2018, Vol.128, 1260-1261. The article by Block et al. reports that 94% of teenagers with broadly distributed, decreased white matter integrity and volume on magnetic resonance imaging of their brains inhaled nitrous oxide for over an hour during surgery and anesthesia in their first year of life. A manuscript cited by […]
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Read MoreThe U.S. Food and Drug Administration has approved erenumab (Aimovig™, Amgen and Novartis), a first-in-class calcitonin gene-related peptide (CGRP) antagonist, for the prevention of migraine in adults. Erenumab consistently demonstrated an ability to reduce monthly migraine days in patients with episodic and chronic migraine in 3 major clinical trials, ARISE, STRIVE, and LIBERTY. The drug, which is […]
Read Moreauthors: Evan M. Bloch, M.B., Ch.B., et al N Engl J Med May 2018; 378:1837-1841 The rapid, pandemic spread of Zika virus (ZIKV) spurred an international public health emergency in 2015. Cases of ZIKV infection have now been reported in 85 countries or territories1; in 72 of those locations, no such cases had been […]
Read MoreHarvard Business Review Dec 15, 2017 Authors: Jennifer Perry et al Rising pressure to achieve better medical outcomes with increasingly limited financial resources has created an acute need for more physician leaders. Several studies (including this one) have shown that doctors want to be led by other doctors; they trust physician leaders to make the right […]
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