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Nearly 12 million Medicare beneficiaries received at least one prescription for an opioid painkiller last year at a cost of $4.1 billion, according to a federal report that shows how common the addictive drugs are in many older Americans’ medicine cabinets. With an overdose epidemic worsening, nearly one-third of Medicare beneficiaries received at least one […]
Read MoreResearchers call for combining the efforts of military and civilian trauma systems to “achieve zero preventable deaths” after traumatic injury and mass casualty events. Hospitals need to consider emergency medical teams as care providers, not just ambulance drivers, according to a new report from the National Academies of Sciences on the lessons for civilians from […]
Read MoreBMC Musculoskeletal Disorders 17 (1), 140 (2016) AUTHORS: Wertli M et al BACKGROUND The influence on the treatment response in patients with low back pain (LBP) and neck pain (NP) is unknown. The aim of the study was to investigate the influence of body weight in patients with low back pain (LBP) and neck pain […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 129–132 AUTHORS: Sadek, Meriem MD et al We hypothesized that placing the arm in 90° abduction, through 90° flexion and 90° external rotation, could improve ultrasound visualization of the subclavian vein. In 49 healthy volunteers, a single operator performed a view of […]
Read MoreAre low-dose ketamine infusions for analgesia safe for patients who are not in a setting with continuous monitoring? The answer is yes, according to a small retrospective study. Lt. Cmdr. Jeffrey M. Carness, MD, and his colleagues at the Naval Medical Center Portsmouth, in Virginia, have long recognized the efficacy of ketamine in subanesthetic doses […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 82–92 AUTHORS: Naguib, Mohamed MB, BCh, MSc, FCARCSI et al BACKGROUND: An unanticipated difficult airway during induction of anesthesia can be a vexing problem. In the setting of can’t intubate, can’t ventilate (CICV), rapid recovery of spontaneous ventilation is a reasonable goal. […]
Read MoreEditor’s Memo from June 2016 By Forest Tennant, MD, DrPH First, it is important for practitioners to know that the American Pain Society (APS) has progressively pursued research as its primary goal and mission in recent years. This point is noted here because of the outstanding research that was presented in this year’s annual meeting, held […]
Read MoreInternational Journal of Stroke 11 (3), 368-79 (Apr 2016) AUTHORS: Schönenberger S et al BACKGROUND Tracheostomy is a common procedure in long-term ventilated critical care patients and frequently necessary in those with severe stroke. The optimal timing for tracheostomy is still unknown, and it is controversial whether early tracheostomy impacts upon functional outcome. METHOD The […]
Read MoreJournal of Critical Care 32 93-100 (Apr 2016) AUTHORS: Zamani M et al PURPOSE The aim of this systematic review was to evaluate the effectiveness and safety of dexmedetomidine used for sedation of patients with sepsis. METHODS We searched Medline, Scopus, TRIP and CENTRAL, DART, OpenGrey, and ProQuest without applying any language filter up to […]
Read MoreStrange: The same patient who thanked me with a fist-bump (“BOOM!”) was also complaining he couldn’t move his legs. Eighteen-year-old Ralph, we’ll call him, had just undergone a 45-minute general anesthetic for a dental procedure. His parents stood beside him, the father fidgeting and the mother distracted. His sister was there, too, stroking his hair […]
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