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by Tao Shen, MBBS, and Edward A. Bittner, MD, PhD, MSEd High tidal volume (TV) (10-15mL/kg) mechanical ventilation has been historically encouraged for anesthetized patients in the OR, especially for abdominal and thoracic procedures. This practice was based on a study published in the New England Journal of Medicine in 1963. It followed a series of 18 […]
Read Moreby Michael G Mythen, MBBS, MD, and Michael PW Grocott, BSc, MBBS, MD Fluid management is a fundamental component of the care we give our patients undergoing surgery. Establishing intravenous access and setting up a bag of fluid to flow into a vein is so much a part of everyday working life that we rarely […]
Read Moreby Todd Dodick, MD; Steven Greenberg, MD; and Michael O’Connor, MD An experienced health care provider can identify the septic patient with barely a glance, but were you to ask them to define sepsis, many providers would struggle to provide a clear definition. This difficulty likely stems from a failure of understanding of the underlying […]
Read MoreOne in seven U.S. hospitalizations among older adults is followed by an opioid prescription, and current practices of storing and disposing of these drugs are “suboptimal,” according to two JAMA Internal Medicine studies. In the first study, researchers examined nearly 625,000 Medicare beneficiaries who were hospitalized in 2011 and had no opioid prescription in the prior […]
Read MoreAnesthesiology published on 6 2016 Authors: Brian S. Rothman, M.D. et al Background: “Wrong surgery” is defined as wrong site, wrong operation, or wrong patient, with estimated incidence up to 1 per 5,000 cases. Responding to national attention on wrong surgery, our objective was to create a care redesign intervention to minimize the rate of wrong surgery. […]
Read MoreAnesthesiology published on 6 2016 Authors: Sayako Itakura, M.D. et al Background: Rapid fluid infusion resulting in increased hepatic blood flow may decrease the propofol plasma concentration (Cp) because propofol is a high hepatic extraction drug. The authors investigated the effects of rapid colloid and crystalloid infusions on the propofol Cp during target-controlled infusion. Methods: Thirty-six […]
Read MoreAnesthesiology published on 6 2016 Authors: Frédéric Heymans, M.D. et al Background: When conventional approaches to obtain effective ventilation and return of effective spontaneous breathing fail, surgical airway is the last rescue option. Most physicians have a limited lifetime experience with cricothyrotomy, and it is unclear what method should be taught for this lifesaving procedure. The aim […]
Read MoreBMC Musculoskelet Disord. 2016; 17: 176. Authors: Kari Paanalahti et al Background Manual therapy as spinal manipulation, spinal mobilization, stretching and massage are common treatment methods for neck and back pain. The objective was to compare the treatment effect on pain intensity, pain related disability and perceived recovery from a) naprapathic manual therapy (spinal manipulation, […]
Read MoreSevere anemia significantly increases the rate of necrotizing enterocolitis (NEC) in infants with very low-birth-weight (VLBW), new research shows. Ravi M. Patel, MD, MSc, and his team of researchers at Emory University School of Medicine, in Atlanta, studied the potential relationship between NEC and VLBW infants who had red blood cell transfusions and severe anemia. […]
Read MoreTo repair a weak or failing heart, a patient may undergo a delicate procedure to help restore normal pumping action. Patients may receive an implantable cardioverter defibrillator or perhaps a ventricular assist device to mimic the role of a healthy heart muscle. The hope is that implanting such a device will improve, even extend, a […]
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