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Microvascular decompression for trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia was found to be a largely safe procedure in a study published in Surgical Neurology International. However, patients with diabetes or obesity were at increased risk for reoperation within 30 days. Researchers evaluated 506 patients who had undergone craniotomy for trigeminal neuralgia, facial nerve disorder, or glossopharyngeal […]
Read MoreRestrictive or liberal? When it comes to transfusion strategies during cardiac surgery, that’s the question that has divided cardiac anesthesiologists and their surgical partners for decades. Now an international multicenter trial—the largest of its kind ever undertaken—seems to have definitively answered the question. The Transfusion Requirements in Cardiac Surgery III (TRiCS III) investigation concluded that […]
Read MoreAuthor: Dayton McMillan 1. Among patients at increased risk for complications undergoing abdominal surgery, those randomized to perioperative fluid restriction did not have increased disability-free survival at one year compared to patients who received liberal perioperative fluid management. 2. Patients managed with fluid restriction experienced higher rates of acute kidney injury. Evidence Rating Level: 1 (Excellent) […]
Read MoreAuthors: Lei C, et al. Am J Respir Crit Care Med. 2018 Patients undergoing multiple valve replacement with prolonged cardiopulmonary bypass who were given nitric oxide had a decreased risk for acute kidney injury, worsening of chronic kidney disease and major adverse kidney events, according to a study published in the American Journal of Respiratory and Critical Care Medicine. “Previous […]
Read MoreBy Evan Sweeney | Another year, another record-setting healthcare fraud takedown. This year, the Department of Justice charged 601 individuals involved in fraud schemes totaling $2 billion in losses to the federal government. That’s nearly 200 more people and an additional $700 million than the previous year’s takedown. There was a clear emphasis on opioid distribution, with 162 […]
Read MoreReducing the dose of buprenorphine during pregnancy is not associated with adverse outcomes, and lower doses of the opioid maintenance therapy at the time of delivery are in fact linked to benefits including reductions in the length of hospital stay and improved neonatal outcomes. A study presented here at The Pregnancy Meeting, the Annual Meeting […]
Read MoreMedicare, the federal health coverage mainly for people over 65, spends about $700 billion a year, and it’s estimated that about one-quarter of that spending on seniors goes to health care in the final year of life. That end-of-life spending has drawn scrutiny as potentially wasteful, involving heroic measures taken even though death looms inevitably. If health costs must be contained, […]
Read MoreNY Times June 26, 2018 by Paula Span One-third of patients over age 65 die in the hospital after they are put on ventilators. Doctors are beginning to wonder if the procedure should be used so often. Earlier this year, an ambulance brought a man in his 80s to the emergency room at Brigham and Women’s […]
Read MoreFierceHealthcare by Paige Minemyer Efforts to cut patient safety risks such as adverse drug events or falls saved 8,000 lives and $2.9 billion between 2014 and 2016, according to the Agency for Healthcare Research and Quality’s National Scorecard on Hospital-Acquired Conditions released this week. AHRQ estimates 350,000 hospital-acquired conditions were avoided in that window, reducing the rate of […]
Read MoreAuthors: Feinberg, Adina, E., MDCM et al Annals of Surgery: June 2018 – Volume 267 – Issue 6 – p 1056–1062 Background: Over the past 2 decades, there has been an increase in opioid use and subsequently, opioid deaths. The amount of opioid prescribed to surgical patients has also increased. The aim of this systematic review was to determine postdischarge opioid consumption in surgical patientscompared with […]
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