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AUTHORS: Nagappa, Mahesh MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1301–1308 BACKGROUND: The risk of postoperative complications increases with undiagnosed obstructive sleep apnea (OSA). The high-risk OSA (HR-OSA) patients can be easily identified using the STOP-Bang screening tool. The aim of this systematic review and meta-analysis is to […]
Read MoreAuthors: Onil Bhattacharyya, MD, PhD et al The Commonwealth Fund Women’s College Hospital The shift from volume- to value-based payment may constrain revenue, forcing organizations to consider dramatic changes to care delivery. Doing this may require increasing their capacity for innovation relative to incremental improvement. Innovation and improvement are sometimes used interchangeably, but the distinction […]
Read MoreAnesthesia & Analgesia · August 9, 2017 AUTHOR: Carl J Dyer et al BACKGROUND: Perioperative hypothermia may affect maternal and neonatal outcomes after obstetric spinal anesthesia. Core temperature is often poorly monitored during spinal anesthesia, due to the lack of an accurate noninvasive core temperature monitor. The aim of this study was to describe core temperature changes and […]
Read MoreAnnals of Internal Medicine · August 15, 2017 Background: Cannabis is increasingly available for the treatment of chronic pain, yet its efficacy remains uncertain. Purpose: To review the benefits of plant-based cannabis preparations for treating chronic pain in adults and the harms of cannabis use in chronic pain and general adult populations. Study Selection: Intervention trials and […]
Read MoreAnnals of Surgery · September 14, 2017 AUTHORS: Thomas A;Kim et al OBJECTIVES: The primary objective of this randomized trial was to compare thoracic epidural analgesia (TEA) to intravenous patient-controlled analgesia (IV-PCA) for pain control over the first 48 hours after hepatopancreatobiliary (HPB) surgery. Secondary endpoints were patient-reported outcomes, total narcotic utilization, and complications. BACKGROUND: Although adequate […]
Read MoreAnesthesia & Analgesia · August 9, 2017 AUTHORS: Stephan R Girard et al BACKGROUND: Total knee arthroplasty (TKA) reduces knee extensor muscle strength (KES) in the operated limb for several months after the surgery. Immediately after TKA, compared to either inguinal femoral nerve block or placebo, adductor canal block (ACB) better preserves KES. Whether this short-term increase in […]
Read MoreBy Joanne Finnegan | Physicians have a major impact on the country’s job market and economy, according to a new AMA report. Physicians don’t just improve the health of their patients, they also help keep the economy healthy, according to a report out this morning from the American Medical Association. Physicians across the country create and support […]
Read MoreFROM BMJ publish date: January 4, 2018 Authors: Gregory Twachtman and Frontline Medical News Hospital pay-for-performance programs are not leading to significant improvements in clinical process scores or 30-day mortality rates for Medicare beneficiaries, according to an analysis of Medicare claims data. “No evidence that hospitals [that were] operating under pay for performance programs for more than […]
Read MoreBy DONALD PLUMLEY I remember the day I realized that parents could be a positive presence in the trauma room where their child is being treated. The car in which a couple and their young daughter were riding was involved in a terrible accident. While the mother sustained only minor injuries, the father was taken to […]
Read MoreAuthor: Ralph Orlowski / Reuters This moment was inevitable. It just wasn’t supposed to happen so soon. Due to the inexorable aging of the country—and equally unstoppable growth in medical spending—it was long obvious that health-care jobs would slowly take up more and more of the economy. But in the last quarter, for the first […]
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