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Authors: Kentish-Barnes, Nancy PhD et al Critical Care Medicine: December 2017 – Volume 45 – Issue 12 – p 1965–1971 Objectives: Family members of patients who die in the ICU often remain with unanswered questions and suffer from lack of closure. A letter of condolence may help bereaved relatives, but little is known about their experience of […]
Read MoreAuthors: R Lawrence et al BJA: British Journal of Anaesthesia, Volume 119, Issue 6, 1 December 2017, Pages 1092–1109 Background. Misuse of prescription opioids, and other drugs prescribed for chronic pain, has increased, with major concerns about harm. This review was undertaken to identify validated measurement tools for risk assessment and monitoring of chronic non-cancer pain […]
Read MorePersistent pain is associated with accelerated memory decline and development of dementia in the elderly. According to researchers, elderly patients who reported having persistent pain experienced an accelerated decline in functional independence. After 10 years, the additional amount of memory decline expected in participants with persistent pain shows they would be significantly less likely to […]
Read MoreDonovan Slack, USA TODAY Nov. 27, 2017 A months-long USA TODAY Network investigation reveals that for years, the U.S. Department of Veterans Affairs concealed mistakes and misdeeds by staff members entrusted with caring for veterans. The Department of Veterans Affairs failed to report 90% of potentially dangerous medical providers in recent years to a national database […]
Read MoreAuthors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology 11 2017, Vol.127, 800-812. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter have […]
Read MoreWith Wai Chung Yong, MD, and Michael Atwell, FNP-C Chronic widespread non-specific pain in patients with fibromyalgia and other conditions is marked by reduced pain thresholds, multiple tender points, and decreased quality of life. Findings presented at the American College of Rheumatology 2017 Annual Meeting in San Diego suggests that paying attention to Vitamin D […]
Read MoreA collaborative, multimodal protocol for the delivery of opioid-sparing analgesics effectively manages postoperative pain in patients undergoing above- and below-the-knee amputation, with minimal adverse events, according to retrospective research presented at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Presenter Joseph Myers, MD, MedStar Georgetown University Hospital, Washington, DC and colleagues demonstrated […]
Read MoreAuthors: Angèle Gayet-Ageron, MDet al Lancet: 07 November 2017 Background Antifibrinolytics reduce death from bleeding in trauma and post-partum haemorrhage. We examined the effect of treatment delay on the effectiveness of antifibrinolytics. Methods We did an individual patient-level data meta-analysis of randomised trials done with more than 1000 patients that assessed antifibrinolytics in acute severe […]
Read MoreAuthors: Brian M. Howard, MD et al JAMA Surg. November 8, 2017. Key Points Question Is overlapping surgery associated with increased morbidity and mortality and worsened outcome measures compared with nonoverlapping surgery? Findings In this retrospective cohort study that included 2275 neurosurgical cases, no difference between overlapping and nonoverlapping surgery was identified for mortality, morbidity, or worsened functional status […]
Read MoreWomen are less likely than men to get CPR from a bystander and more likely to die, a new study suggests, and researchers think reluctance to touch a woman’s chest might be one reason. Only 39 percent of women suffering cardiac arrest in a public place were given CPR versus 45 percent of men, and […]
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