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Following in the footsteps of earlier research demonstrating that their Preoperative Evaluation Clinic (PEC) decreased their 30-day readmission rate, researchers at New York University School of Medicine have now found that patients who attend the clinic have a significantly shorter observed-to-expected hospital length of stay (LOS) than those who do not attend. These results, they […]
Read MoreNew research points to a specific gene that may explain why patients show varied responses to taking methadone. Interview with Evan D. Kharasch, MD, PhD Prescribing safe, effective dosages of methadone can be a serious clinical challenge for practitioners. A patient’s specific genetic makeup can significantly effect how the drug is metabolized—increasing the risk of […]
Read MoreEnhanced recovery after surgery (ERAS) pathways have been shown to improve clinical outcomes, reduce hospital length of stay (LOS) and reduce cost, with likely no increased risk for readmissions. However, as Andrew Gorlin, MD, of the Department of Anesthesiology at Mayo Clinic in Phoenix, explained at the 2016 American Society of Anesthesiologists Practice Management meeting, […]
Read MoreThe brain fog and clouded sensorium that follow a night call have long been accepted as part of the job by most anesthesiologists, but partial sleep deprivation significantly alters various aspects of mood and may ultimately affect the quality of patient care, a study has found. “It’s a given that residents work hours and hours, […]
Read MoreAuthors: Paul S. Myles, M.B.B.S., M.P.H., M.D. et al Anesthesiology published on 5 2016. Background: Several quality of recovery (QoR) health status scales have been developed to quantify the patient’s experience after anesthesia and surgery, but to date, it is unclear what constitutes the minimal clinically important difference (MCID). That is, what minimal change in score would […]
Read MoreCreating an analgesic devoid of unwanted side effects may seem like a pipe dream, but new research into analogs derived from natural compounds in the body have made bold progress. Developing a pain treatment that can provide effective analgesia and avoid unwanted side effects still stands as the holy grail of pain pharmacology, but researchers […]
Read MoreAuthors: Aimee M. Becker, M.D. et al ASA Monitor 05 2016, Vol.80, 8-11. Being a physician anesthesiologist can be a tremendously rewarding experience. It can also be tremendously stressful. We work long, irregular hours. We are tasked with ever-evolving administrative responsibilities that distract from patient care. We make critical decisions every day that impact patient well-being. And […]
Read MoreMost physicians reported by hospitals, medical societies, and malpractice insurers to the National Practitioner Data Bank (NPDB) for sexual misconduct have never been disciplined by their state medical board for that behavior, according to a new study by the consumer watchdog group Public Citizen. To be sure, medical boards frequently discipline such physicians and report […]
Read MoreThe name of retired NFL quarterback Brett Favre has surfaced in the latest chapter of the federal government’s ongoing investigation into pain creams concocted and sold by compounding pharmacies. If the past is any indicator, physicians’ names could surface in the scandal, too. In January, federal and state law enforcement agents raided compounding pharmacies in […]
Read MoreA procedure that involves radiofrequency ablation of sensory nerves in the degenerated lumbar disc may give many patients with chronic low back pain significant relief. Researchers have now collected up to 12 months of data on patients undergoing the procedure — called intradiscal biacuplasty (IDB) — and it shows improved pain scores, functioning, and quality […]
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