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Authors: Motov S et al., Ann Emerg Med 2016 Dec 16; Limiting the assessment of pain relief with ketorolac to 30–120 minutes after administration limits the conclusions we can draw from this study. To determine the optimal dose of ketorolac, investigators at a single U.S. emergency department conducted a randomized double-blind trial in 240 patients with moderate-to-severe […]
Read MoreAuthors: Upchurch CP et al., Ann Emerg Med 2017 Jan 69:24 An observational study suggests that these two agents are similarly safe but sends a possibly worrisome signal. Several studies have sought — and failed to find — evidence that etomidate is bad for patients due to the adrenal suppression it is known to cause (NEJM JW […]
Read MoreAuthors: Driver BE et al., Ann Emerg Med 2017 Jan 69:1 High-flow oxygen through a nonrebreather mask is noninferior to bag-valve-mask for preoxygenation. Preoxygenation is a key step in rapid sequence intubation and involves allowing the patient to breath spontaneously with supplemental oxygen. The classic method, thought to achieve the highest alveolar oxygen concentration, is to use […]
Read MoreAuthors: Lukas Lannemyr, M.D. et al Anesthesiology 2 2017, Vol.126, 205-213. Background: Acute kidney injury is a common complication after cardiac surgery with cardiopulmonary bypass. The authors evaluated the effects of normothermic cardiopulmonary bypass on renal blood flow, glomerular filtration rate, renal oxygen consumption, and renal oxygen supply/demand relationship, i.e., renal oxygenation (primary outcome) in patients undergoing cardiac […]
Read MoreThis was not written for anestheia but it is great advice for all providers. By Emily Aaronson, MD Fellow Harvard Medical School Fellowship in Patient Safety and Quality Improvement Massachusetts General Hospital Despite the growing emphasis on “patient-centered care,” patient safety lapses attributed to poor communication are still commonplace. Noting this, during my fellowship at […]
Read MoreThe Centers for Medicare and Medicaid Services (CMS) has posted additional information about global surgery data collection requirements. Physicians and other healthcare providers in FL, KY, LA, NV, NJ, ND, OH, OR and RI will be required to submit information-only claims for services provided within the global period for specific procedures with a 10 or […]
Read MoreImplementation of a quality improvement initiative substantially reduced excessive use of neostigmine while improving train-of-four–guided neostigmine administration. Over a six-month period, the initiative led to a decrease in the mean dose of intraoperative neostigmine from 2.9 to 2.5 mg, researchers reported. “Preliminary data have shown that these interventions led to a statistically significant reduction in […]
Read MorePatient access to anesthesia care for seven common surgical procedures is not increased when states “opt-out” of the Medicare rule that requires anesthesia to be administered with physician supervision, reports a study published in the Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA). The study showed that “opt-out” states did not […]
Read MoreAuthors Jian Yang et al Background The surgical treatment of upper cervical spine metastases are controversial up to now. By summarizing and analyzing the clinical data of the upper cervical spine involved metastases treated surgically in our center, we mainly aimed to investigate the surgical decisions and outcomes so as to provide more references for […]
Read MoreYou’re in the operating room, with a resident beside you, and your clinical decisions are harming the patient. Does your resident have the wherewithal to stand up to you and intervene? While the answer seems to be a resounding no, a study by a multicenter Canadian research team offers hope. The investigation showed that a […]
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