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Increased use of drugs has failed to stem the tide of children admitted to hospitals for headaches, researchers say. “I think this suggests that we are not adequately treating their headaches,” Michelle Perry, MD, from the Children’s Hospital of Pittsburgh UPMC in Pennsylvania, told Medscape Medical News. Dr Perry presented the finding here at the American […]
Read MoreA literature review from Canada has concluded that in the current health care environment, alternative assessment and management strategies should be the norm for morbidly obese individuals with difficult airways. Armed with findings from the review, the researchers subsequently constructed a scoring system to predict the likelihood of a difficult airway in morbidly obese patients. […]
Read MoreQuality Queries and Quandaries: By Emil Engels, MD, MBA, CPC Congress has finally repealed the Sustainable Growth Rate (SGR) formula with a law titled the Medicare Access and Chip Reauthorization Act of 2015 (MACRA). In addition to repealing the SGR formula, MACRA continued the Centers for Medicare & Medicaid Services (CMS) shift away from fee-for-service […]
Read MoreRedefining the economics of health care is certainly a daunting undertaking, but nonetheless it is necessary to ensure the long-term global viability of the industry, including the practice of anesthesiology. While many panaceas have been proposed over the past five decades, Michael E. Porter, PhD, a professor at Harvard Business School, in Boston, believes he […]
Read MoreFor patients with severe, chronic back and leg pain, a new high-frequency spinal cord stimulation (SCS) technique provides superior clinical outcomes, compared to conventional low-frequency SCS, reports a clinical trial in the November issue of Neurosurgery. The new ‘HF10′ technique offers lasting reductions in back and leg pain after other treatments have failed, according to […]
Read MoreFor patients undergoing noncardiac surgery, rates of death, stroke, and myocardial injury are reduced when angiotensin-converting-enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) are discontinued 24 hours before the procedure, according to new research. “We believe clinicians should consider withholding ACE inhibitors and ARBs in major noncardiac surgery patients in the 24 hours before surgery,” […]
Read MoreAuthor: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]
Read MoreAuthors: S. Weibel et al Br J Anaesth. 2016;116(6):770-783. Background: Improvement of postoperative pain and other perioperative outcomes remain a significant challenge and a matter of debate among perioperative clinicians. This systematic review aims to evaluate the effects of perioperative i.v. lidocaine infusion on postoperative pain and recovery in patients undergoing various surgical procedures. Methods: CENTRAL, MEDLINE, EMBASE, […]
Read MorePatients with severe chronic pain, including those with arachnoiditis, have low serum cortisol levels, a new study has shown. Before prescribing opioids to such patients, clinicians should check cortisol levels, and if these levels are below normal, they should consider cortisol supplements, said Forest Tennant, MD, from Veract Intractable Pain Clinic, West Covina, California. “One […]
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 […]
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