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AUTHORS: Conway, Aaron et al European Journal of Anaesthesiology (EJA): December 2017 – Volume 34 – Issue 12 – p 808–813 BACKGROUND The association between the quality of evidence in systematic reviews and authors’ conclusions regarding the effectiveness of interventions relevant to anaesthesia has not been examined. OBJECTIVE The objectives of this study were: to determine the proportion […]
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: George Molina, MD, MPH eet al JAMA. 2015;314(21):2263-2270. doi:10.1001/jama.2015.15553 Importance Based on older analyses, the World Health Organization (WHO) recommends that cesarean delivery rates should not exceed 10 to 15 per 100 live births to optimize maternal and neonatal outcomes. Objectives To estimate the contemporary relationship between national levels of cesarean delivery and maternal and neonatal mortality. Design, Setting, […]
Read MoreBy Alexandria Bachert MPH Noninvasive testing modalities could benefit high-risk patients Patients with inflammatory bowel disease (IBD) had more complications requiring hospitalization or emergency department (ED) care after colonoscopy than patients without IBD, according to researchers here. In an analysis of 2014 all-payer administrative claims data, the 7-day all-cause unplanned visit rate was 1.6 higher for […]
Read MoreBy LEAH SAMUEL Wartime medicine is an incredibly challenging setting for the doctors, nurses, and paramedics who practice it: Not only are the injuries frequently serious ones, but the tools at hand are often more limited than in a traditional hospital. Over the centuries, that has meant that battlefield medical personnel have had to innovate. Those […]
Read MoreBy Nicole Lou Stricter approach deemed noninferior to liberal strategy in cardiac surgery Being stricter on red-cell transfusion during cardiac surgery can save surgical departments valuable blood products without increasing risk for patients, a 5,000-person randomized trial showed. Only if hemoglobin concentrations fell under 7.5 g/dL did patients get intraoperative and postoperative transfusion in a restrictive […]
Read MoreAuthors: M Jaensson et al BJA: British Journal of Anaesthesia, Volume 119, Issue 5, 1 November 2017, Pages 1030–1038, Background Many patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on […]
Read MoreAuthors: Julia Ma, B.Sc., M.P.H. et al Anesthesiology published on November 16, 2017. Background: Early postoperative ambulation is associated with enhanced functional recovery, particularly in the postpartum population, but ambulation questionnaires are limited by recall bias. This observational study aims to objectively quantify ambulation after neuraxial anesthesia and analgesia for cesarean delivery and vaginal delivery, respectively, by […]
Read MoreAuthors: Christine A. Sinsky, MD Mayo Clinic Procedures November 2017 Volume 92, Issue 11, Pages 1625–1635 To evaluate the relationship between burnout, satisfaction with electronic health records and work-life integration, and the career plans of US physicians. Participants and Methods Physicians across all specialties in the United States were surveyed between August 28, 2014, and October […]
Read MoreThe goal is simple: a drug that can relieve chronic pain without causing addiction. But achieving that goal has proved difficult, says Edward Bilsky, a pharmacologist who serves as the provost and chief academic officer at Pacific Northwest University of Health Sciences in Yakima, Wash. “We know a lot more about pain and addiction than we […]
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