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The long-running debate about which surgical method is best for removing a cancerous prostate is over, a urologic surgeon declares in an editorial published in the July issue of the Journal of Urology. “Robotic prostatectomy has superior or at least equal oncologic efficacy and complication rates compared to open prostatectomy,” writes Michael O. Koch, MD, from the Indiana University […]
Read MoreBody mass index (BMI) is not as important to cancer outcomes as previously thought, according to the ABCPP (After Breast Cancer Pooling Project), which analyzed the effects of BMI, comorbidities and physical activity on mortality. Previous studies showed that being overweight increases breast cancer recurrence, breast cancer–specific mortality and overall mortality. The investigators used data […]
Read MoreThe Multidrug Resistant Organism Repository and Surveillance Network (MRSN) at the Walter Reed Army Institute of Research (WRAIR) characterized a transferable gene for colistin resistance in the United States that may herald the emergence of truly pan–drug-resistant bacteria (Antimicrob Agents Chemother2016 May 26. Colistin is the last agent used to combat bacteria that are resistant […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 359–360 AUTHORS: Sessler, Daniel I. MD et al Myocardial injury is the most common cause of death during the 30 days after noncardiac surgery. Only 14% of patients who are experiencing a perioperative myocardial infarction will have chest pain, and 65% are […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 420–429 AUTHORS: Willems, Ariane MD, MSci Biomed, PhD et al BACKGROUND: Children undergoing cardiac surgery are frequently exposed to red blood cell (RBC) transfusions mainly in the case of hemorrhage or low oxygen transport. However, in this population, RBCs are sometimes added […]
Read MoreMore than 40% of women with both obesity and migraine leave their headaches untreated, whereas the majority of those who do treat the pain rely on nonsteroidal anti-inflammatory drugs (NSAIDs) either alone or in combination with another medication, rather than migraine-specific treatments, a new study indicates. Using smartphone technology to gather near-real-time data, the researchers […]
Read MoreLong-acting opioid medications are associated with an increased risk for death among patients treated for noncancer pain in comparison with patients treated with other pain medications, including gabapentin (multiple brands) and cyclic antidepressants, particularly in the first month after starting therapy, the results of a large US study reveal. In a study of more than […]
Read MoreBy Linda Wong, MD I looked at the next patient on my schedule and saw: “Reason for referral: Evaluate for adrenalectomy.” In the next several minutes, visions of pheochromocytomas and aldosteronomas danced through my head. I thought about all of those algorithms about how to work up an incidental adrenal mass. It had been awhile, […]
Read MoreThe use of acupuncture for craniotomy may improve analgesia, reduce the required anesthetic dosage, and decrease postoperative nausea and vomiting (PONV), according to a Cochrane systematic review and meta-analysis published in the Journal of Neurosurgical Anesthesiology (2016 Mar 10. Acupuncture also might have protective effects on brain tissue, according to this analysis. “Acupuncture treatment has been used in […]
Read MoreThanks to genetic analysis of a porcine model, researchers from the University of California, Los Angeles (UCLA) are one step closer to understanding the effect of myocardial infarction on the cardiac nervous system. According to preliminary data, chronic myocardial infarction induces remote changes in both the peripheral and central nervous systems. The fact that these […]
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