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A scale that measures clinical frailty might help health care professionals assess which older hospitalized patients are at increased risk for readmission or death, according to researchers from the University of Alberta in Edmonton, Canada. Identifying vulnerable patients and addressing the factors contributing to readmission might help reduce recurrences, which are common and costly. However, […]
Read MoreTeam-based patient outreach fuels success Regulatory and financial pressures are forcing hospitals to ramp up their post-discharge strategy initiatives. Some of the pressure is coming from the Affordable Care Act (ACA); Section 2717 requires that hospitals report the results of their efforts to prevent hospital readmissions. Whether it’s patient education and counseling, comprehensive discharge planning […]
Read MoreBMJ 2015 Jun 21;350 Authors: Smith JE et al OBJECTIVE: To determine whether patient controlled analgesia (PCA) is better than routine care in providing effective analgesia for patients presenting to emergency departments with moderate to severe non-traumatic abdominal pain. DESIGN: Pragmatic, multicentre, parallel group, randomised controlled trial SETTING: Five English hospitals. PARTICIPANTS: 200 adults (66% (n=130) female), […]
Read MoreBMJ 2015 Jun 21;350 Authors: Smith JE et al OBJECTIVE: To determine whether patient controlled analgesia (PCA) is better than routine care in patients presenting to emergency departments with moderate to severe pain from traumatic injuries. DESIGN: Pragmatic, multicentre, parallel group, randomised controlled trial. SETTING: Five English hospitals. PARTICIPANTS: 200 adults (71% (n = 142) male), aged […]
Read MoreInt J Colorectal Dis, 2015 Jun 24 Authors: Smith SR et al INTRODUCTION: Adequate postoperative analgesia is essential for recovery following colorectal surgery. Transversus abdominis plane (TAP) blocks have been found to be beneficial in improving pain following a variety of abdominal operations. The objective of this study was to determine if TAP blocks are useful in […]
Read MorePublished in JECT, 2015 Jun 12. Authors: Liu CC et al OBJECTIVES: Electroconvulsive therapy (ECT) has dramatically reduced musculoskeletal complications when carried out with muscle relaxants under general anesthesia. However, seizure quality can be affected by the depth of anesthesia and choice of anesthetic agent. The purpose of this study was to describe a general anesthetic technique […]
Read MoreThe potential harms of arthroscopy to treat pain and poor functioning of a degenerative knee may outweigh the procedure’s small pain relief benefits, which last less than 1 to 2 years after surgery, according to a systematic review and meta-analysis published June 16 in the BMJ. “Arthroscopic surgery in the middle aged and older population with […]
Read MoreThe annualized cost of searching for missing sponges and ruling out the presence of a retained sponge using radiography was $218,328 at a Level 1 trauma center, according to results of a study presented at the 2015 Surgical Conference & Expo of the Association of periOperative Registered Nurses (AORN). Additionally, complications of a retained sponge […]
Read MoreA newly developed Trauma Surge Index (TSI) can help hospitals assess how periods of suddenly increased trauma patient volume, such as during mass shootings, public transit accidents, terrorist attacks, or similar catastrophic events, stretch hospital resources and affect trauma patient mortality. Trauma patients seen during high-surge periods were twice as likely to die as those […]
Read MoreWhy Is This Not Part of Our Daily Practice? Authors: D. Benhamou Br J Anaesth. 2015;114(4):545-548. In 1946, Mendelson[1] showed that pulmonary complications and death could arise in pregnant women because of aspiration of gastric contents. Since then, prevention of aspiration of gastric contents has contributed significantly to a decrease in maternal deaths. Aspiration of gastric contents […]
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