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Kenneth Moran, MD Associate Professor–Clinical Vice Chair of Education Andrew Roth, MD Associate Professor–Clinical Department of Anesthesiology The Ohio State University Wexner Medical Center Columbus, Ohio Adam Dalia, MD, MBA CardioThoracic Anesthesiology Fellow Department of Anesthesia, Critical Care and Pain Medicine Massachusetts General Hospital Boston, Massachusetts Awake nasal fiber-optic intubation (FOI) is performed when […]
Read MoreWhile surgical aortic valve replacement (SAVR) has long been the gold standard for treatment of aortic stenosis, transcatheter aortic valve replacement (TAVR) may well be the future, even for low-risk patients. The TAVR procedure is not only less invasive but, according to a review of recent literature, has been shown to be either noninferior or […]
Read MoreLauri R. Graham; Laurie Scudder, DNP, NP; Douglas Throckmorton, MD Addressing the ongoing opioid epidemic in the United States is a complicated task, necessitating a variety of approaches, including education of clinicians and patients, guidance for clinicians on pain management, development of alternative strategies for treating pain, and new regulations (such as prescription drug monitoring […]
Read MoreMost health care providers think of sepsis as a problem in the ICU, but a recent report by the Centers for Disease Control and Prevention (CDC) has found that 80% of patients diagnosed with sepsis developed the condition outside the hospital. In addition, seven in 10 patients with sepsis used health care services or had […]
Read MoreThe increasing distribution of illicitly manufactured fentanyl (IMF) across the United States, and the sharp rise in overdose deaths linked to this drug, are causing more concern about a growing threat to public health and safety. According to a report published online August 25 in Morbidity and Mortality Weekly Report (MMWR), the number of drug […]
Read MoreNoninvasive ventilation (NIV) delivered by helmet (Sea-Long Medical Systems Inc.) significantly reduced the intubation rate compared with NIV delivered through an oronasal face mask in patients with acute respiratory distress syndrome (ARDS). According to the results from this randomized controlled trial published in JAMA (2016;315:2435-2441), patients who used the helmet also had more ventilator-free days and significantly […]
Read MoreClinicians using programmable, or smart, syringe pumps should take precautions against mishaps that can occur at low infusion rates of high-risk, life-sustaining therapies, such as those at less than 5 mL per hour, and especially those at less than 0.5 mL per hour, the US Food and Drug Administration (FDA) announced today. Programmable syringe pumps […]
Read MoreWhat Do We (Really) Know About It? Matthias W. Koenig, MD Associate Professor of Pediatrics Eastern Virginia Medical School Children’s Hospital of the King’s Daughters Children’s Specialty Group, Pediatric Anesthesia Division Norfolk, Virginia Vincent J. Kopp, MD Emeritus Professor Division of Pediatric Anesthesia Department of Anesthesiology University of North Carolina at Chapel Hill School of […]
Read MoreAuthors: Marc Labetoulle et al Br J Ophthalmol. 2016;100(7):976-985. Background/aims To compare the efficacy and safety of intracameral (IC) administration at the beginning of cataract surgery, of Mydrane, a standardised ophthalmic combination of tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1%, to a standard topical regimen. Methods In this international phase III, prospective, randomised study, the selected eye of […]
Read MoreAs “awake” surgical procedures become more common, surgeons increasingly find themselves in the potentially awkward position of being overheard by patients. A new study suggests that surgeons who work with awake patients are very aware that the patients are listening, and are thus careful to limit their communication with trainees and staff. These patient safeguards […]
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