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Using deep neural network (DNN) models to predict in-hospital mortality and identify high-risk surgical patients produces better or similar results as currently published risk scores, a new study suggests. This application of deep learning could lead to more effective care for high-risk patients and better allocation of hospital resources, according to the researchers. “Patients undergoing […]
Read MoreLower limb compression using a sequential compression device (SCD) significantly decreased the incidence of maternal hypotension in women receiving epidural anesthesia, researchers reported here at the annual meeting of the American College of Gynecologists and Obstetricians. Studies find that 30% of patients who choose epidural anesthesia during labor experience hypotension despite the standard prophylaxis of […]
Read MoreAuthor: West JR et al., Am J Emerg Med 2017 Apr 2; In patients undergoing endotracheal intubation who had apnea for >60 seconds, DAO correlated with increased pH and decreased PaCO2. Diffuse apneic oxygenation (DAO) uses high-flow nasal cannula oxygen during laryngoscopy for endotracheal intubation. This approach is believed to flush CO2 from the lungs and to improve […]
Read MoreAuthor: James DuCanto, MD It is a tenet of the scientific method to make systematic observations and measurements, and to experiment for the purpose of testing a hypothesis, leading to the modification or complete refutation of that hypothesis. In this case, a bunch of guys got together on a Sunday to chew up some food […]
Read MoreSurgery is on the move: With enhanced recovery protocols, procedures that once required several days of in-hospital recovery are shifting to the outpatient setting without compromising patient care. However, there are still major barriers to consider. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Tong Joo (T.J.) Gan, MD, FRCA, MHS, assessed the feasibility of […]
Read MoreThere are headaches, and then there is post–dural puncture headache (PDPH)—a severe and debilitating side effect of spinal and epidural anesthesia that may last three weeks or more without treatment. Epidural steroid injections are regarded as a safe and effective treatment for PDPH, but minor complications such as wrong-site tissue injection and dural puncture can […]
Read MoreThe Cardiac Surgery Score (CASUS), which includes parameters for mechanical circulatory support, appears to be an accurate predictor of mortality in patients admitted to the ICU after cardiac surgery. “CASUS is essentially a sequential organ failure score modified for unique pathophysiologies and therapies seen in patients admitted to the ICU after cardiac surgery,” said Brock […]
Read MoreThe patch used in the study is approved in the United States for postherpetic neuralgia and in Europe for PNP arising from any etiology. Results from the ASCEND study recently published in BioMed Central Neurology indicate that an 8% capsaicin patch is effective in relieving peripheral neuropathic pain resulting from a wide range of etiologies.1 […]
Read MorePresurgical factors that were predictive of chronic postsurgical pain included presurgical pain intensity, child anxiety and pain coping efficacy, and parental pain catastrophizing. According to a meta-analysis published in the Journal of Pain, an estimated 20% of children have chronic postsurgical pain (CPSP) 12 months after surgery; several presurgical factors predict CPSP in these patients.1 Between 10% and […]
Read MoreThe term clearance implies that a patient can proceed with surgery and will have no risk for complications — which is a fictional state. As a cardiologist, I am often asked to perform preoperative cardiovascular “clearance” — whatever that means — on patients prior to elective procedures. The term clearance implies that a patient can proceed with […]
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