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Scientists have observed that standard timing for percutaneous endoscopic gastrostomy (PEG) placement in patients with traumatic brain injury (TBI), between seven and 14 days after the injury, is best for minimizing related mortality. However, further study is needed. PEG placement, a frequently performed procedure providing patients with nutrients via enteral feeding, comes with risks. Short-term […]
Read MoreAnesthesia type is a significant predictor of postoperative delirium in patients undergoing unilateral total knee arthroplasty. According to a retrospective analysis of anesthesia billing data, International Classification of Diseases, Ninth Revision (ICD-9) codes and demographic information, patients who have received general anesthesia may be twice as likely to develop delirium postoperatively when compared with combined […]
Read MoreCaudal blocks are increasingly being used in the pediatric population to provide pain control after abdominal surgery. Caudal block for postoperative analgesia in pediatric populations may result in an increase in intracranial pressure when performed with a high volume of local anesthetic, or at certain concentrations of anesthetic, according to a study recently published in […]
Read MoreHaving an internal jugular (IJ) catheter with a concurrent tracheostomy did not increase the risk for central line–associated bloodstream infections (CLABSIs) among ICU patients. “Our data challenges what seems to be the standard when placing lines in patients with tracheostomy,” said Dana L. Russell, MPH, the lead author of the single-center, retrospective, matched case-control study […]
Read MorePatient falls pose a significant risk in hospitals, resulting in bone fracture, traumatic head injury and visceral organ contusion, among other serious complications. “Implementation of preventive strategies for in-hospital falls is an important issue in health care,” said Colleen R. Walsh, DNP, RN, president of the National Association of Orthopaedic Nurses and clinical assistant professor […]
Read MoreAuthors: N. Van Regenmortel et al BJA: British Journal of Anaesthesia, Volume 118, Issue 6, 1 June 2017, Pages 892–900, Background. Daily and globally, millions of adult hospitalized patients are exposed to maintenance i.v. fluid solutions supported by limited scientific evidence. In particular, it remains unclear whether fluid tonicity contributes to the recently established detrimental effects of […]
Read MoreAUTHORS: Yan Zhou, Ph.D. et al Anesthesiology 6 2017, Vol.126, 1171-1179. Background: The American Board of Anesthesiology administers written and oral examinations for its primary certification. This retrospective cohort study tested the hypothesis that the risk of a disciplinary action against a physician’s medical license is lower in those who pass both examinations than those who pass […]
Read MoreIncreases in urine progesterone levels were more predictive of headache onset days than measures of estrogen. Mechanisms involved in balancing reproductive hormones in girls may influence the patterns of migraine headache onset, according to a study recently published in Cephalgia.1 Headache patterns observed directly before and after puberty indicated correlations with greater variations in the urine levels […]
Read MoreAssessing a patient’s level of frailty before an operation can provide important insight into which individuals might develop postoperative complications. “For a long time, frailty was overlooked,” said Felix Balzer, MD, MSc, PhD, in the Department of Anesthesiology and Intensive Care Medicine at Charite Universitatsmedizin Berlin, in Germany. “Today, we know that frail patients are […]
Read MoreHe added: “It is hard to know if this will change practice. As a rule, observational data should not drive change.” Dr Goldstein noted that the policy at Duke at present is to use general anesthetic for these procedures. “Having people lie still is not the easiest.” Dr Ovbiagele elaborated: “There are challenges of doing […]
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