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Six in 10 US hospitals rated by Consumer Reports have cesarean delivery rates above the national target of 23.9% for low-risk deliveries set by the US Department of Health and Human Services, and one in six have rates that are higher than 33.3%. Overall cesarean delivery rates for low risk (nulliparous, term, singleton, vertex) pregnancies ranged from […]
Read MoreWhile anesthesiologists may use bench-marking for both quality improvement and marketing, the biggest incentive, according to Robert S. Lagasse, MD, is Medicare reimbursement, which has become increasingly tied to quality metrics. “Benchmarking will determine reimbursement rates,” said Dr. Lagasse, professor and vice chair for Quality Management and Regulatory Affairs at Yale School of Medicine, in […]
Read MoreAt the end of the day (and on the Ides of March, of all days), the Centers for Disease Control and Prevention’s (CDC’s) long-awaited advice to physicians faced with prescribing opioids for the treatment of chronic pain, in its “CDC Guideline for Prescribing Opioids for Chronic Pain-United States 2016,” is “don’t.” There are 12 recommendations […]
Read MoreA new “proliposomal” preparation of the local anaesthetic drug ropivacaine may provide a valuable new option for pain relief in some clinical situations, according to a study published in the journal Anesthesia & Analgesia. Proliposomal ropivacaine can deliver long-lasting pain relief with a single injection, with easier preparation and storage than current slow-release local anaesthetic […]
Read MorePatients undergoing staged bilateral total knee arthroplasty (TKA) can gain greater relief from tertiary hyperalgesia if treated with magnesium sulphate, according to a study presented here at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). “Administration of magnesium significantly reduced postoperative pain and the difference in pain intensity between the first and second […]
Read MoreA form of transcutaneous electrical neuro-stimulation is both effective and safe in relieving pain due to knee osteoarthritis, according to a study presented here at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). Dynamic electrical neuro-stimulation delivers weak (200 to 400 mkA) and low frequency (10 to 200 Hz) pulses of electricity to […]
Read MoreMaternal use of pregabalin (Lyrica) might be associated with increased risk for birth defects in offspring, according to a small case-control study in Neurology. In the U.S., pregabalin is approved to treat numerous conditions, including neuropathic pain, seizures, and fibromyalgia. Researchers studied roughly 160 European women exposed to pregabalin during pregnancy and 660 unexposed controls. Excluding […]
Read MoreWomen with migraine face increased risk for cardiovascular events and CV mortality, according to a large prospective study in The BMJ. In the Nurses’ Health Study II, over 115,000 women aged 25 to 42 without angina or CV disease reported whether they’d ever been diagnosed with migraine and then were followed for roughly 20 years. Some […]
Read MoreAuthors: Bradley A. Fritz, M.D. et al Anesthesiology 6 2016, Vol.124, 1265-1276. Background: Anesthesiologists need tools to accurately track postoperative outcomes. The accuracy of patient report in identifying a wide variety of postoperative complications after diverse surgical procedures has not previously been investigated. Methods: In this cohort study, 1,578 adult surgical patients completed a survey at least […]
Read MorePatients using the sumatriptan iontophoretic transdermal patch (Zecuity) to treat migraines could be burned or permanently scarred, warns the FDA. The agency says it has received a “large number” of reports of skin reactions associated with the patch since it went on the market in September 2015. The patch — battery-powered and wrapped around the […]
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