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Success of Intubation Rescue Techniques After Failed Direct Laryngoscopy in Adults: A Retrospective Comparative Analysis From the Multicenter Perioperative Outcomes Group Authors” Aziz MF, Brambrink AM, Healy DW, et al Anesthesiology. 2016 Aug 1. Study Summary A team of investigators retrospectively analyzed 346,861 anesthesia cases that involved attempted tracheal intubation from 2004 to 2013 at […]
Read MoreAnesthesia & Analgesia: September 23, 2016 AUTHORS: Monastesse, Audrey MD et al BACKGROUND: Few diagnostic tools are available to anesthesiologists when confronted with intraoperative hypoxemia. Lung ultrasonography is a safe and accurate bedside imaging modality. The aim of this study was to evaluate the feasibility of lung ultrasonography during the perioperative period and assess its […]
Read MoreAuthors: Ulm M, Watson C et al International Journal of Gynecological Cancer 26 (7), 1320-6 (Sep 2016) OBJECTIVE The aim of this study was to assess the incidence of and risk factors for hypomagnesemia in patients undergoing gynecologic surgery by a gynecologic oncologist. METHODS A retrospective chart review was performed on all patients undergoing surgery […]
Read MoreAuthors: Ludhmila Abrahao Hajjar, M.D., Ph.D. et al Connected Content Anesthesiology 1 2017, Vol.126, 85-93. Background: Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes. The objective of this study was to evaluate whether vasopressin is superior to norepinephrine in reducing postoperative complications in patients with vasoplegic syndrome. Methods: This prospective, […]
Read MoreAuthors: Panwar R et al. Am J Respir Crit Care Med 2016 Jan 1. Targeting to 88%–92% did not cause harm. The optimal oxygenation goal for patients who are receiving invasive mechanical ventilation remains unclear. Clinicians usually target resolution of hypoxemia and pay little attention to weaning levels of oxygen once 100% saturation has been achieved. However, […]
Read MoreAuthors: Neumann JT et al. JAMA Cardiol 2016 Jun 1. Carlton E et al. JAMA Cardiol 2016 Jun 1. Two large studies show that troponin levels that are normal at presentation and not increased 1 hour later can rule out myocardial infarction. Prior research has suggested that negative and nonincreasing high-sensitivity cardiac troponin (hsTn) levels measured at emergency department (ED) presentation […]
Read MoreAuthors: Girardis M et al. JAMA 2016 Oct 18. Ferguson ND.JAMA 2016 Oct 18. Outcomes were worse with a conventional high-oxygenation goal than with a conservative moderate-oxygenation goal. Increasingly, excess oxygen administration is recognized as a risk factor for adverse outcomes when used perioperatively (NEJM JW Infect Dis Nov 2009 and JAMA 2009; 302:1543) or after myocardial infarction (NEJM JW Hosp Med […]
Read MoreAuthors: Jaber S et al. JAMA 2016 Mar 15. Hernández G et al. JAMA 2016 Mar 15.Spoletini G et al. JAMA 2016 Mar 15. High-flow oxygen and noninvasive positive pressure ventilation lowered reintubation rates in selected patient populations. During the past few years, interest has grown in using high-flow oxygen (HFO) and noninvasive positive pressure ventilation (NPPV) in lieu of intubation and […]
Read MoreToday is the official New Year Holiday so there is no post so enjoy the family.
Read MoreCMS recently issued an interim final rule with comment period that exempts MIPS-eligible clinicians in disaster areas from submitting data for the quality, improvement activities and advancing care information performance categories. The interim final rule includes the Extreme and Uncontrollable Circumstances policy, which applies to MIPS clinicians who have been affected by the Northern California wildfires and Hurricanes […]
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