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Medicine: August 2015 – Volume 94 – Issue 31 – p e1288 Authors: Chen, Hsuan-Yu MD et al Abstract: Bilateral diaphragmatic paralysis (BDP) manifests as respiratory muscle weakness, and its association with critical illness polyneuropathy (CIP) was rarely reported. Here, we present a patient with BDP related to CIP, who successfully avoided tracheostomy after diagnosis […]
Read MoreMedicine: July 2015 – Volume 94 – Issue 30 – p e1262 Authors: Zhang, Lin MD, PhD et al This study was supported by National Natural Science Foundation of China (Grant No. 81273336) and Fundamental Research Funds for the Central Universities, HUST (Grant No. 0118515020). Abstract: Pneumatic lithotripsy is a minimally invasive technique mainly for […]
Read MorePrescribing opioids and muscle relaxants to acute low back pain (LBP) patients who are already on nonsteroidal anti-inflammatory drugs (NSAIDs) does not provide additional pain relief, a new study suggests. There are more than 2.5 million acute LBP-related visits to emergency departments in the United States annually, where patients are often treated with a combination […]
Read MoreFrom now through December 16, 2015, physician anesthesiologists and other providers who believe they have received an incorrect assessment under PQRS or the Value Modifier program may request an informal review from CMS. In 2016, the Centers for Medicare and Medicaid Services (CMS) will apply a negative payment adjustment to eligible professionals (EPs) who did not […]
Read MoreWritten by Samuel Metz, MD Contrary to what talk show hosts may tell us, single-payor health care was not created by foreign socialists intent on destroying the fabric of our American free enterprise system. Henry J. Kaiser, an American capitalist watching his construction workers labor in the wilderness of the Pacific Northwest, had three innovative […]
Read MoreAnesthesiologists at Massachusetts General Hospital, in Boston, have documented the positive results from a mid-2013 switch to a “morphine first” policy, which they implemented in the wake of mounting reports of serious adverse events from hydromorphone that were highlighted in a 2012 alert by the Massachusetts State Board of Medicine. At the end of June […]
Read MoreThe FDA issued a warning about possible infections associated with heater–cooler devices and issued steps that health care providers and facilities could take to mitigate risks to patients. Heater–cooler devices are used during cardiothoracic surgeries, as well as other medical and surgical procedures to warm or cool a patient to optimize medical care and improve […]
Read MorePatients who receive statins along with beta-blockers prior to cardiac surgery do better than those given no such medication, according to a new study. Senior author Peyman Benharash, MD, told Reuters Health by email, “professional society guidelines have mandated the use of beta blockers in patients taking these agents prior to cardiac surgery. Our group, […]
Read MoreAuthors: Kate Leslie, MBBS, MD, M.Epid, M.Hlth Serv, Mt FANZCA, et al Anesthesiology 12 2015, Vol.123, 1267-1280. Background: The Evaluation of Nitrous Oxide in the Gas Mixture for Anaesthesia (ENIGMA)-II trial randomly assigned 7,112 noncardiac surgery patients at risk of perioperative cardiovascular events to 70% N2O or 70% N2 groups. The aim of this follow-up study was to determine […]
Read MoreAuthors: Hillenn Cruz Eng, MD, et al Anesthesiology 12 2015, Vol.123, 1256-1266. Background: Common standard practice after complex arthroscopic elbow surgery includes hospital admission for 72 h. The authors hypothesized that an expedited care pathway, with 24 h of hospital admission and ambulatory brachial plexus analgesia and continuous passive motion at home, results in equivalent elbow range of […]
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