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Published in BMJ 2015 Feb 23;350:h846. AUTHORS: Freeman LM et al OBJECTIVE: To determine women’s satisfaction with pain relief using patient controlled analgesia with remifentanil compared with epidural analgesia during labour. DESIGN: Multicentre randomised controlled equivalence trial. SETTING: 15 hospitals in the Netherlands. PARTICIPANTS: Women with an intermediate to high obstetric risk with an intention to deliver […]
Read MorePublished in BMC Anesthesiol. 2014;14(83) Authors: Francisco Esteve et al Background The arterial partial pressure of O2 and the fraction of inspired oxygen (PaO2/FiO2) ratio is widely used in ICUs as an indicator of oxygenation status. Although cardiac surgery and ICU scores can predict mortality, during the first hours after cardiac surgery few instruments are available to […]
Read MoreThis is included on our blog because patient satisfaction is now 30% of the hospital’s payments from the government. The findings were published in JAMA Oncology. Many dread having to deliver such catastrophic news and fear that their patients might think of them in a negative way as a result. Now, a study shows that such fear […]
Read MorePublished in Acta Anaesthesiologica Scandinavica (Feb 2015) Authors: Sondergaard S et al BACKGROUND The place of central venous pressure (CVP) measurement in acute care has been questioned during the past decade. We reviewed its physiological importance, utility and clinical use among anaesthetists and intensivists. METHODS A literature search using the PubMed, Cochrane, Scopus and Web of […]
Read MorePublished in BMC Anesthesiol. 2014;14(110) Authors: Owen O’Sullivan et al Background In preparing novice anesthesiologists to perform their first ultrasound-guided axillary brachial plexus blockade, we hypothesized that virtual reality simulation-based training offers an additional learning benefit over standard training. We carried out pilot testing of this hypothesis using a prospective, single blind, randomized controlled trial. Methods We planned […]
Read MoreWomen receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]
Read MoreAnalgesia provided following caesarean section delivery at fixed time intervals shows improved efficacy in pain and other outcomes, compared with on-demand analgesia, according to a study presented here at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The study involved 187 patients who underwent regional anaesthesia for caesarean section. […]
Read MoreNew research reveals the physical and psychosocial factors that significantly increase the risk of low back pain onset. In fact, results published in the journal Arthritis Care & Research show that being engaged in manual tasks involving awkward positions will increase the risk of low back pain by 8 times. Those who are distracted during […]
Read MoreThis article is because we often have to take an obtunded patient to the OR and we might demand a MRI Published in Ann Intern Med 2015 Mar 17. Authors: Badhiwala JH et al. A systematic review found no significant missed injuries in obtunded blunt trauma patients who had normal CT imaging of their cervical spines. […]
Read MorePerioperative beta-blockade in patients undergoing noncardiac surgery is associated with reduced mortality only in those with three or more risk factors, according to a retrospective study in JAMA Surgery. Researchers analyzed clinical and administrative data for over 300,000 patients undergoing noncardiac surgery at Veterans Affairs medical centers. Of these, 42% received perioperative beta-blockers. Patients were assessed […]
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