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Authors: Shaheed CA et al., JAMA Intern Med 2016 May 23; Opioids provided some short- and intermediate-term pain control, but the effect wasn’t clinically meaningful. Patients with chronic low back pain often are treated with opioids, but evidence that these drugs are effective for managing low back pain is lacking. In this systematic review and meta-analysis, investigators […]
Read MoreThe World Federation of Societies of Anaesthesiologists (WFSA) just launched a new charity to help train more anesthesiologists from low-income countries. There is a shortage of more than 1 million specialist surgeons, anesthetists and obstetricians, and this number is expected to soar to 2.2 million by 2030, according to a recent report (Lancet 2015;386:569-624). More than 5 billion […]
Read MoreMedication practices during and immediately after rapid sequence intubation (RSI) show wide variation among ICUs and emergency departments (EDs) across the United States, a new study has found. There were clear differences in choice of medication, based on patient location and type of intubating provider. “Practices likely vary because there are several controversies regarding medication […]
Read MoreLetter to the Editor: Uriel Yodfat, MD Monitored anesthesia care (MAC) is clearly defined by the American Society of Anesthesiologists (ASA) House of Delegates.1 This definition is often poorly understood by surgeons, patients and, at times, anesthesia providers. This lack of clarity is what brought about the need for the ASA statement distinguishing between MAC, various […]
Read MoreYour hand hygiene compliance rates may be lower than you’ve believed, for a simple reason. Ask yourself: Do your providers know when they’re being watched? Researchers at Santa Clara Valley Medical Center in San Jose, Calif., logged more than 4,600 observations in the second half of 2015. Observers consisted of 5 infection prevention nurses who […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 346–356 AUTHORS: Alian, Aymen A. MD et al BACKGROUND: Scoliosis surgery is often associated with substantial blood loss, requiring fluid resuscitation and blood transfusions. In adults, dynamic preload indices have been shown to be more reliable for guiding fluid resuscitation, but these […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 436–444 AUTHORS: Kim, Jeongmin MD, PhD et al BACKGROUND: In this study, we examined the relationship between postoperative cognitive dysfunction (POCD) and intraoperative regional cerebral oxygen saturation (rSO2) in elderly patients undergoing spinal surgery. METHODS: We enrolled 87 patients older than 65 […]
Read MoreAnesthesia & Analgesia:August 2016 – Volume 123 – Issue 2 – p 268–273 AUTHORS: Metcalf, Ryan A. MD et al BACKGROUND: Hypotensive transfusion reactions (HyTRs) may be underreported and have been associated with patients taking angiotensin-converting enzyme inhibitors (ACEIs) receiving poststorage leukoreduced blood products through negatively charged filters. Although bedside leukoreduction is no longer commonplace, […]
Read MoreWith growing public support and promising, but inconclusive, signs of therapeutic benefits in the use of herbal cannabis, medical marijuana laws are marching full steam ahead across the United States, prompting the American Pain Society (APS) to issue a white paper to assist in cannabis-related clinical issues that pain physicians are increasingly facing. “Cannabis is […]
Read MoreQuality Queries and Quandaries: Emil Engels, MD, MBA, CPC ‘The secret of getting ahead is getting started.’ —Mark Twain At the invitation of Anesthesiology News, this is the second in a series of columns attempting to answer many of the questions regarding quality reporting. This column will address topics such as the following: How do I report […]
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