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NEJM Journal Watch By Amy Orciari Herman Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH Some 18% of U.S. healthcare workers say they do not plan on getting vaccinated against COVID-19, and another 12% have not yet decided whether they will get vaccinated, according to a survey from the Kaiser Family Foundation and the Washington Post. […]
Read MoreAuthor: Tina Donvito The Healthy A pain scale is a useful tool that helps you communicate to your health care provider how you’re feeling. Measuring pain If you’ve ever had a painful injury or dealt with chronic pain, your health care provider may have asked you to describe it: Is it sharp or dull? Sudden or […]
Read MoreBy Kaitlyn D’Onofrio docwirenews – Patients with hip fracture who are admitted to the hospital during a busy time may experience delayed surgery and have a higher risk for 60-day mortality, a study discovered. “When the operating room is busy, 20% more of the patients die within 60 days after the operation,” said study author […]
Read MoreEurekAlert Researchers from the George Washington University found that aspirin may have lung-protective effects and reduce the need for mechanical ventilation, ICU admission and in-hospital mortality in hospitalized COVID-19 patients GEORGE WASHINGTON UNIVERSITY George Washington University researchers found low dose aspirin may reduce the need for mechanical ventilation, ICU admission and in-hospital mortality in hospitalized […]
Read MoreThe New Daily A breakthrough Australian trial has highlighted the alternatives to highly addictive painkillers for treating severe back pain. The trial saw the number of prescriptions for opioids issued to patients with acute back pain in emergency departments slashed without leading to increased pain levels for patients, the results published in the BMJ Quality and […]
Read MoreNEJM Journal Watch By Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM The U.S. Preventive Services Task Force, in a draft recommendation, now advises screening overweight or obese adults ages 35 to 70 for prediabetes and type 2 diabetes. In 2015, the group recommended starting abnormal glucose screening […]
Read MoreAuthors: Ricard Mellado Artigas, M.D. et al Anesthesiology March 2021. Background Reverse triggering is a delayed asynchronous contraction of the diaphragm triggered by passive insufflation by the ventilator in sedated mechanically ventilated patients. The incidence of reverse triggering is unknown. This study aimed at determining the incidence of reverse triggering in critically ill patients under […]
Read MoreAUTHORS: Manson, William C. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1843-1849 BACKGROUND: Intercostal nerve blocks with liposomal bupivacaine are commonly used for thoracic surgery pain management. However, dose scheduling is difficult because the pharmacokinetics of a single-dose intercostal injection of liposomal bupivacaine has never been […]
Read MoreAUTHORS: Donovan, Anne L. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1911-1922 BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project […]
Read MoreAUTHORS: Whitlock, Elizabeth L. MD, MSc et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1901-1910 BACKGROUND: Postoperative delirium is an important problem for surgical inpatients and was the target of a multidisciplinary quality improvement project at our institution. We developed and tested a semiautomated delirium risk stratification instrument, […]
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