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Consent requirements would be eased for providers releasing their patients’ substance abuse diagnosis and treatment records under a proposed rule released earlier this week by the Department of Health and Human Services (HHS). The proposed rule seeks to “modernize the [current federal law on substance abuse confidentiality] by facilitating the electronic exchange of substance use disorder information […]
Read MoreThe administration of intraoperative opioids was significantly associated with post-discharge nausea and vomiting (PDNV) in children, and long-acting opioids had far worse effects than their short-acting counterparts. “This study started out along the lines of a quality-assurance project into unexplored territory in children,” said Proshad Efune, MD, currently a fellow in the Pediatric Critical Clinical […]
Read MoreFor critically ill patients with respiratory failure, none of the available risk indexes is particularly robust in terms of distinguishing survivors from nonsurvivors within the perioperative period. To address this, a University of California, Los Angeles (UCLA) research team has proposed a novel index that may prove to be more relevant to critically ill patients […]
Read MorePoint-of-care viscoelastic testing with rotational thromboelastography (ROTEM) is associated with significant reductions in transfusion requirements and better outcomes in patients with severe postpartum hemorrhage. “Contrary to our success in other areas in medicine, maternal mortality in the U.S. continues to grow, slowly but steadily,” said Denis Snegovskikh, MD, assistant professor of anesthesiology and associate chief […]
Read MoreAuthors: Roelants F et al European Journal of Anaesthesiology 32 (11), 805-11 BACKGROUND Adjuvants to local anaesthetics for epidural labour analgesia are useful if they reduce side-effects or personnel requirements. Epidural clonidine improves analgesia and provides a significant local anaesthetic-sparing effect. OBJECTIVE To compare the number of rescue doses administered by the anaesthesiologist when clonidine […]
Read MoreBr J Anaesth. 2015;115(4):500-510. Authors: P. Sultan et al Background: Perioperative warming is recommended for surgery under anaesthesia, however its role during Caesarean delivery remains unclear. This meta-analysis aimed to determine the efficacy of active warming on outcomes after elective Caesarean delivery. Methods: We searched databases for randomized controlled trials utilizing forced air warming or warmed fluid within […]
Read MoreA simple blood test taken before surgery may predict how quickly patients recover from their procedure, according to a study published in the December issue of the journal Anesthesiology. According to the study, identifying a patient’s immune state from blood samples that are taken before surgery can reveal patterns that may predict speed of recovery […]
Read MoreAuthors: Niven DJ et al. Ann Intern Med 2015 Nov 17. In a meta-analysis, the sensitivity of peripheral thermometers for detecting fever was only 64%. Accurate evaluation of body temperature is essential in many clinical scenarios. In this systematic review and meta-analysis, researchers examined data from 75 prospective studies in which the accuracy of peripheral thermometers (tympanic […]
Read MoreThe use of therapeutic hypothermia to reduce intracranial pressure in patients with traumatic brain injury leads to worse outcomes than if the procedure were avoided altogether, a new study suggests. Their findings, published in The New England Journal of Medicine 2015 Oct. were so striking that the team from Scotland stopped the study before it was completed, when […]
Read MoreAuthors: Ganapathy S et al European Journal of Anaesthesiology 32 (11), 797-804 BACKGROUND We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block. OBJECTIVE Our objective was to evaluate the feasibility of continuous LM-TAP blocks in clinical practice in comparison with thoracic epidural analgesia (TEA). DESIGN […]
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