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Published in Br J Anaesth 2014 Nov 27 Authors: De Jong A et al. Obesity and critical illness are dangerous in combination. Obesity affects all components of airway management, including oxygenation, bag-valve-mask ventilation, and choice of pharmacologic agents, intubation surgical airway, and rescue devices. In a prospective, multicenter, observational study, researchers in France assessed the […]
Read MoreThe year 2015 may be the time when healthcare spending in the United States reaches a specific milestone: $10,000 per person. The National Healthcare Expenditure may reach $3.2 trillion this year, according to Forbes magazine. Based on a population of 320 million Americans, that would mean spending $10,000 per person. That number may be reached […]
Read MorePublished in Journal of the American Society of Anesthesiologists 12 2014. Authors: Boris Zernikow, M.D., Ph.D et al This review aimed to synthesize the current evidence on the effectiveness of invasive treatments for complex regional pain syndrome in children and adolescents. Studies on children and adolescents with complex regional pain syndrome that evaluated the effects […]
Read MorePublished in Journal of the American Society of Anesthesiologists in 2/2015. Authors: Jessica M. Olson, M.S. et al Background: Anesthetic cardioprotection reduces myocardial infarct size after ischemia–reperfusion injury. Currently, the role of microRNA in this process remains unknown. MicroRNAs are short, noncoding nucleotide sequences that negatively regulate gene expression through degradation or suppression of messenger […]
Read MorePublished in Journal of the American Society of Anesthesiologists 12 2014 Authors: Gilles A. Orliaguet, M.D., Ph.D. et al Background: This study was designed to assess the feasibility of dual closed-loop titration of propofol and remifentanil guided solely by the Bispectral Index (BIS) monitor in pediatric and adolescent patients during anesthesia. Methods: Children undergoing elective […]
Read MoreAuthors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’recommendation for a transfusion hemoglobin target of 7 to 9 g/dL […]
Read MorePublished in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V, McKeen D, Macaulay B, George R Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old […]
Read MoreAuthors: Guo Ming-gao et al Published in World Journal of Surgical Oncology 2014, 12:386 doi:10.1186/1477-7819-12-386 Background The purpose of this research was to assess the characteristics of octogenarian patients with colorectal cancer and compare specific outcomes due to different types of surgical procedures used to treat the disease. Methods A total of 346 octogenarian patients […]
Read MoreRegardless, health care providers who speak ill of epidurals are uninformed and I have to ask what they are really afraid of? A unmedicated delivery is not better in any medical sense it’s simply a choice. To make an informed choice you need facts not fear. To put this post in perspective the pain of […]
Read MoreThis allows us to compare our income to our colleagues. Between the new value-based care models, M&A activity and innovations in healthcare, it is valuable to track compensation to evaluate and compare how changes will affect physicians. Especially as fewer physicians strike out on their own and hospitals look to attract new recruits, compensation data […]
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