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Anesthesiologists must be key participants in the process of reducing surgical site infections, including ensuring that the correct prophylactic antimicrobial therapy is given 30 to 60 minutes before incision. This is just one of many updated SSI guidelines that were recently published in the Journal of the American College of Surgeons (2017;224:59-74). “Anesthesiologists need to embrace their […]
Read MoreWhen it comes to surgery for patients with hip fractures, earlier is better. A database analysis by a team of Cleveland Clinic researchers concluded that for every 10-hour increase in time from hospital admission to surgery, one-year mortality in these patients increased by 5%. “There is considerable debate regarding the timing of surgery after hip […]
Read MoreAnemia either before or after surgery is associated with an incremental risk for postoperative acute kidney injury, and perhaps long-term mortality, a database analysis has concluded. Although prior research identified both preoperative and postoperative anemia as potential risk factors for complications after coronary artery bypass graft surgery, their relationship with AKI had not been defined […]
Read MoreAuthor: Veronica Hackethal, MD Several interventions improve success rates for extubation from mechanical ventilation in preterm infants, a new systematic review suggests. “Preterm infants should be extubated to noninvasive respiratory support, and routinely be given caffeine; corticosteroids should be used cautiously; and chest physiotherapy should be avoided owing to important adverse effects,” write Kristin Ferguson, […]
Read MoreAuthors: Bret S. Stetka, MD et al Editor’s Note: Medscape recently interviewed Stephen Caleb Haskins, MD, a clinical assistant professor of anesthesiology at Hospital for Special Surgery (HSS) in New York City, about the emerging role that point-of-care ultrasound is playing in his field. Medscape: To start, what is point-of-care ultrasound? Dr Haskins: Point-of-care ultrasound is utilizing […]
Read MoreThe possibility of symptomatic or permanent phrenic nerve palsy (PNP) need not loom over every patient administered an interscalene nerve block. Ki Jinn Chin, MD, associate professor in the Department of Anesthesia at Toronto Western Hospital, University of Toronto, told attendees of the 2016 International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine, and Peri-operative […]
Read MorePostoperative and post-discharge nausea may be very common in children, but it is woefully undertreated, according to a Baylor College of Medicine study. Researchers there concluded that use of the Baxter Retching Faces (BARF) scale may help stem the issue, as it is both easy to use and reliable in the clinical setting. “Postoperative nausea […]
Read MoreAuthors: Fuller BM et al., Crit Care Med 2017 Feb 2; A quality improvement approach to this proven strategy lowered associated mortality, with a number needed to treat between 6 and 7. Lung-protective ventilation has been shown to improve outcomes for patients with acute respiratory distress syndrome (ARDS) but compliance is poor in the emergency department (ED). […]
Read MoreHospitals vary considerably in how often epinephrine administration is delayed beyond 5 minutes in cardiac arrest with nonshockable rhythm, suggests a new study, in which more frequent delays were also related to lower survival[1]. “Based on the findings of our study, cardiologists and other physicians should actively engage in understanding how well currently accepted resuscitation […]
Read MoreOne surgeon can safely be responsible for two overlapping surgeries when critical parts of the procedures are not coincident, a retrospective study from Mayo Clinic suggests. Overlapping surgeries showed no difference in patient outcomes, but increased effectiveness and time management. Overlapping surgeries are common and differ from “concurrent” surgeries, during which critical portions of the […]
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