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…Low transfusion rates In a selected cohort of patients undergoing total hip arthroplasty, the use of hypotensive epidural anesthesia led to very low rates of transfusion and few cerebral oxygen desaturation events, according to a recent study. When used in healthy patients, this technique could lower intraoperative blood loss without compromising patient safety, the authors […]
Read MoreA study examining the relationship between blood requirements and outcomes in patients requiring extracorporeal membrane oxygenator (ECMO) support has shown that the total number of blood units transfused is predictive of mortality. Researchers also found that pediatric ECMO patients had a substantially lower mortality than adults. “The bottom line is that 37% of the pediatric […]
Read MoreA comparison of injection of local anesthetic through a catheter versus a needle for interscalene catheter placement has shown improved pain scores and reduced opioid requirements, suggesting that needle injection may be associated with secondary block failure. According to the study, patients receiving local anesthesia via a catheter rather than a needle had better pain […]
Read MoreAUTHORS: Kuza, Catherine M. MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1960–1966 BACKGROUND: The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few […]
Read MoreAUTHORS: Kim, Minjae MD, MS et al Anesthesia & Analgesia: September 7, 2017 BACKGROUND: Postoperative cardiac arrest is uncommon but associated with a high mortality risk in general surgery patients and is often preceded by postoperative complications. The relationships between previous complications and mortality after cardiac arrest in general surgery patients have not been completely evaluated. METHODS: retrospective, […]
Read MoreAUTHORS: Mincer, Joshua S. MD, PhD et al Anesthesia & Analgesia: September 7, 2017 BACKGROUND: Mechanistic aspects of cognitive recovery after anesthesia and surgery are not yet well characterized, but may be vital to distinguishing the contributions of anesthesia and surgery in cognitive complications common in the elderly such as delirium and postoperative cognitive dysfunction. This article […]
Read MoreThe potential risk to the brains of young children in relation to exposure to anesthesia remains undetermined and is a subject of contention. The answer may depend on how the question is posed—that is, the outcome measures used to define neurotoxicity. The issue is also important in that it determines how precious research dollars will […]
Read MoreBy Les Masterson Dive Brief: Hospitals are increasingly turning to palliative care programs as a way to offer value-based end-of-life care, according to a report in Health Affairs. Hospitals with more than 50 beds offering palliative programs tripled between 2000 and 2015 from 25% to 75%. In 2015, more than 90% of hospitals with 300 beds and […]
Read MoreFailing health of the United States BMJ published 07 February 2018 Author: Steven H. Woolf The role of challenging life conditions and the policies behind them Life expectancy in the US has fallen for the second year in a row. This is alarming because life expectancy has risen for much of the past century in developed […]
Read MoreImplementation at a single institution of a multidisciplinary rapid recovery care pathway has led to improved value-based care. According to a recent study, patients undergoing primary total knee arthroplasty under the perioperative surgical home (PSH) model had decreased hospital length of stay (LOS) and costs compared with those managed in a traditional fashion. In addition, […]
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