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Anesthesiology 4 2016, Vol.124, 815-825 Authors: Sunghye Kim, M.D., M.M.Sc. et al Background: Specific geriatric assessment tools may complement traditional perioperative risk stratification. The aim of this study was to evaluate whether self-reported mobility is predictive of postoperative outcomes in older patients undergoing elective noncardiac surgery. Methods: Patients aged 69 yr or older (n = 197) underwent (1) […]
Read MoreAnesthesiology 4 2016, Vol.124, 960-965. Authors: Evan D. Kharasch, M.D., Ph.D. et al Description opioid diversion, abuse, addiction, and overdose are epidemic. Although unclear whether postoperative opioid prescribing is contributory, or how anesthesiologists and surgeons can contribute to a solution, nonetheless awareness and a research agenda are needed. ANESTHESIOLOGISTS and surgeons face three challenges in the […]
Read MoreAnesthesia & Analgesia March 2016 The anticonvulsant medication gabapentin—already a useful part of strategies to control pain after surgery—also effectively reduces the common complication of postoperative nausea and vomiting (PONV), reports a study in Anesthesia & Analgesia. “The results support the inclusion of preoperative gabapentin as part of the approach to prevention of PONV,” write […]
Read MoreThe number one thing that patients visiting a pain clinic hope for is relief from their pain, according to a study that compared the treatment expectation of both patients and physicians. The study, published in Pain Practice, found there are similarities in expectations and goals for patients and physicians for pain clinic visits. Researchers from the University Hospital […]
Read MoreA program at a Tennessee healthcare system that encourages coworkers to report disrespectful and unsafe conduct by physicians and other advanced practice professionals has helped improve those behaviors, according to a new study. The research, featured in the April issue of The Joint Commission Journal on Quality and Patient Safety, looked at Vanderbilt University Medical Center (VUMC) in […]
Read MoreDebra Beaulieu for HealthLeaders Media., March 31, 2016 Two physician leaders share key lessons learned about how organizations can partner with physicians to foster leadership best practice among aspiring clinical administrators. Many scientists believe that the rapid expansion of a very hot, dense, single point in space nearly 14 billion years ago spurred the formation of […]
Read MoreAnesthesiology published on 3 2016. Authors: Glenn S. Murphy, M.D. et al Background: Opportunities for anesthesia research investigators to obtain consent for clinical trials are often restricted to the day of surgery, which may limit the ability of subjects to freely decide about research participation. The aim of this study was to determine whether subjects providing […]
Read MoreAnesthesiology 4 2016, Vol.124, 878-884. Authors: Liping Han, M.D., M.Sc. et al Background: Propofol (2,6-diisopropylphenol) is one of the most frequently used anesthetic agents. One of the main side effects of propofol is to reduce blood pressure, which is thought to occur by inhibiting the release of catecholamines from sympathetic neurons. Here, the authors hypothesized that propofol-induced […]
Read MoreAnesthesiology 4 2016, Vol.124, 785-794. Authors: Derryn A. Gargiulo, M.Pharm.Clin., Reg.Pharm.N.Z. et al Background: The aseptic techniques of anesthesiologists in the preparation and administration of injected medications have not been extensively investigated, but emerging data demonstrate that inadvertent lapses in aseptic technique may be an important contributor to surgical site and other postoperative infections. Methods: A prospective, […]
Read MoreAnesthesiology 4 2016, Vol.124, 837-845. Authors: Karim S. Ladha, M.D., M.Sc. et al Background: Practice guidelines for perioperative pain management recommend that multimodal analgesic therapy should be used for all postsurgical patients. However, the proportion of patients who actually receive this evidence-based approach is unknown. The objective of this study was to describe hospital-level patterns in […]
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