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Radiofrequency denervation for chronic low back pain displayed no clinically relevant improvement in pain for patients, according to a study conducted by 16 multidisciplinary pain clinics in the Netherlands and published in JAMA (2017;318:68-81). Radiofrequency denervation is a commonly used treatment for patients with chronic low back pain, but the treatment had lacked quality evidence […]
Read MoreIntranasal ketamine causes more minor side effects, such as dizziness, than intranasal fentanyl used as analgesia for children with assumed single-extremity fractures, according to researchers. The double-blind, randomized controlled trial (Acad Emerg Med 2017 Sep 19. [Epub ahead of print], doi:10.1111/acem.13313) in 82 children found that while pain relief was similar at 20 minutes between […]
Read MoreAuthor: Tanya Albert Henry Physician leaders have given the international modern-day Hippocratic Oath the most substantial update that it has seen in nearly 70 years, with revisions reflecting changes in the relationship between patients and physicians, and changes in interactions between physicians and their colleagues. The World Medical Association (WMA) first adopted the Declaration of […]
Read MoreConcurrent surgeries in which a surgeon runs two operations at once increase the risk of surgical complications for patients undergoing hip surgery, according to a study published in JAMA Internal Medicine. Members of the healthcare community have argued over the safety of overlapping surgeries ever since The Boston Globe‘s Spotlight Team issued a controversial report about Boston-based Massachusetts General […]
Read MoreAuthor: Christopher A. Troianos, M.D., FASE ASA Monitor 12 2017, Vol.81, 44-45. Christopher A. Troianos, M.D., FASE, is President, Society of Cardiovascular Anesthesiologists, and Professor and Chair of the Anesthesiology Institute, Cleveland Clinic, Lerner College of Medicine of Case Western Reserve University. Adult cardiothoracic anesthesiology (ACTA) is now firmly established as a subspecialty within anesthesiology as it […]
Read MoreAuthors: Dorothea S. Rosenberger, M.D., Ph.D. et al ASA Monitor 12 2017, Vol.81, 38-40. The Brain Trauma Foundation published its updated guidelines for the management of severe traumatic brain injury (sTBI) in fall 2016 on its website braintrauma.org, followed by an executive summary published in Neurosurgery in January 2017. The fourth edition of guidelines of sTBI is based on systematic […]
Read MoreASA Monitor 12 2017, Vol.81, 32. According to a recent single-center study reporting on neuraxial anesthesia in parturients with platelet counts less than 100,000/mm3, which of the following is most likely true? (A) Preeclampsia was the most common etiology of a platelet count below 100,000/mm3. (B) Ten percent of parturients had a platelet count below 100,000/mm3. (C) Approximately […]
Read MoreASA Monitor 12 2017, Vol.81, 30-31. 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 MoreAuthor: Jonathan D. Katz, M.D. ASA Monitor 12 2017, Vol.81, 18-20. Jonathan D. Katz, M.D., is Clinical Professor of Anesthesiology, Yale University School of Medicine; Professor of Anesthesiology, Frank Netter School of Medicine; Attending Anesthesiologist, St. Vincent’s Medical Center, Bridgeport, Connecticut. “Physicians are useless after age 60 and as such should retire to a college for […]
Read MoreBronchoscopist-directed infusion with propofol can be administered in procedures that require moderate sedation such as endobronchial ultrasound (EBUS), according to results of a retrospective analysis presented at the 2017 Annual Meeting of the American College of CHEST Physicians. “We have demonstrated the safety of propofol infusion,” explained presenting author Ara A. Chrissian MD, FCCP, Loma […]
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