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But overall opioid use unchanged in this lap chole study Preliminary data indicate reduced postoperative/post-discharge nausea and vomiting (PONV/PDNV) and improved patient satisfaction after a single dose of IV acetaminophen in patients undergoing laparoscopic cholecystectomy, compared with traditional opioid-based anesthetics. Despite this, the overall amount of opioid administered intraoperatively and in the postanesthesia care unit […]
Read MoreAuthors: Smith PK et al., N Engl J Med 2014 Nov 18; Although a combined procedure may improve mitral regurgitation, other measures were not as positive. The potential benefit of adding mitral valve repair (MVR) to coronary artery bypass grafting (CABG) in patients with moderate mitral regurgitation (MR) is uncertain. In this multicenter trial (NCT00806988), 301 patients […]
Read MoreWhen performing deep sedation in children undergoing magnetic resonance imaging (MRI) studies, anesthesiologists often are on the lookout for a drug that will not inhibit airway patency. A trial by a group of Buffalo researchers has concluded that dexmedetomidine may be one such alternative, as it causes no more airway collapses than propofol in these […]
Read MorePublished in Acta Anaesthesiologica Scandinavica (Mar 2015) Authors: Kim Y, et al BACKGROUND Intravenous or volatile agents reduce respiratory function, which can result in respiratory complications in geriatric patients. We hypothesised that there would be no differences in lung function between anaesthesia established using either drug. METHODS Elderly patients were randomly assigned to receive either propofol […]
Read MorePublished in American Journal of the Medical Sciences: January 2015 – Volume 349 – Issue 1 – p 61–66 Authors: Cykert, Samuel MD et al Background: Patients with early-stage lung cancer often have comorbid illnesses and fear debility and death when contemplating surgery. However, data that compare physical function of patients who receive surgery with […]
Read MoreThis is for our providers who treat pain patients. Guideline-discordant management of headache — for example, use of advanced imaging and referral to other physicians — roughly doubled from 1999 to 2010, according to a study in the Journal of General Internal Medicine. Using data from two national surveys, researchers studied nearly 9400 outpatient visits for […]
Read MorePublished in International Anesthesiology Clinics:Winter 2015 – Volume 53 – Issue 1 – p 23–38 Authors: Stippler, Martina MD et al Epidemiology Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in developed nations and accounts for almost one-third of all trauma-related deaths. Currently, 50,000 Americans die of TBI-related complications annually, and […]
Read MoreAuthors: Richman JS et al., JAMA Surg 2014 Oct 149:1031 Another observational study suggests that patients who already take β-blockers should continue to receive them perioperatively. Based on several observational studies, a 2014 guideline from the American College of Cardiology and the American Heart Association (ACC/AHA) recommends that patients who take β-blockers chronically and who undergo noncardiac […]
Read MoreThe overuse of cardiac stress testing with imaging has led to unnecessary healthcare spending, as well as increased patient exposure to radiation, according to a study in the Annals of Internal Medicine. For the purposes of the study, Joseph Ladapo, an assistant professor in the departments of medicine and population health at NYU Langone Medical Center, and colleagues […]
Read MoreThis is for our pain providers. Early spine imaging for low back pain in seniors is not associated with better clinical outcomes, according to a JAMA study. Researchers prospectively enrolled patients aged 65 and older presenting to primary or urgent care with low back pain. Roughly 1200 patients who underwent radiography within 6 weeks of presentation and […]
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