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Authors: Juch JNS et al., JAMA 2017 Jul 4; 318:68 The procedure conferred no clinically important improvement in pain related to facet or sacroiliac joints or intervertebral discs. Radiofrequency denervation, or nerve ablation, is used to treat patients with chronic low back pain associated with facet or sacroiliac joints or intervertebral discs. However, evidence of the procedure’s […]
Read MoreAUTHORS: Pustavoitau, Aliaksei MD, MHS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1644–1652 BACKGROUND: Patients undergoing liver transplantation frequently but inconsistently require massive blood transfusion. The ability to predict massive transfusion (MT) could reduce the impact on blood bank resources through customization of the blood order schedule. […]
Read MoreThe 16% of Americans who have mental health disorders receive over half of all opioids prescribed in the United States. Improving pain management among this population is critical to reduce national dependency on opioids, noted the authors. By Vickie Connor and Kaiser Health News Adults with a mental illness receive more than 50% of the 115 million opioid […]
Read MoreAuthors: Paul J. Zufferey, M.D., Ph.D. et al Anesthesiology 9 2017, Vol.127, 413-422. Background: Preoperative administration of the antifibrinolytic agent tranexamic acid reduces bleeding in patients undergoing hip arthroplasty. Increased fibrinolytic activity is maintained throughout the first day postoperation. The objective of the study was to determine whether additional perioperative administration of tranexamic acid would further reduce […]
Read MoreAnesthesiology 9 2017, Vol.127, 423-431. Authors: Eun-Hee Kim, M.D. et al Background: We evaluated the posterior tibial artery as an alternative arterial cannulation site to the radial artery in small children. Methods: A two-stage study was conducted. First, we evaluated the anatomical characteristics of the posterior tibial artery compared with the radial and dorsalis pedis arteries. Next, a […]
Read MoreAuthors: Binks MJ et al. Am J Emerg Med 2017 Jun 24; Two meta-analyses used different methods but have similar findings. Apneic oxygenation is the delivery of high-flow oxygen by nasal cannula during endotracheal intubation. Two separate meta-analyses provide pooled results from trials of apneic oxygenation. The first meta-analysis included 8 studies and 1953 patients in […]
Read MoreIn a push to support more efficient care for beneficiaries, the Centers for Medicare & Medicaid Services (CMS) is implementing bundled payments and quality metrics for numerous clinical episodes, including hip and knee replacement surgeries. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Kelly C. Price outlined the fundamentals of the Comprehensive Care for Joint […]
Read MoreAdapted from User:OgreBot/Uploads by new users/2014 December 05 12:00; Author: Pfree2014 I am typically the first person to walk into the O.R. in the morning. I turn on the lights and start running through a long check-list of items that must occur before I can bring the patient to the O.R. I run safety checks […]
Read MoreCritically ill patients who demonstrate an elevated modified shock index (MSI) within the first 24 hours of ICU admission have a significant risk for death. MSI, which is the ratio of elevated heart rate to mean arterial pressure, may be a better predictor of mortality than shock index (SI) because MSI incorporates both systolic and […]
Read MoreRadiofrequency denervation is effective in facet joint pain as it targets the medial branches of the primary dorsal rami of the spinal nerves that innervate the facet joints. Radiofrequency denervation improved chronic low back pain arising from the facet joints to a greater extent than sham procedures or epidural blocks, especially in patients with the […]
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