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Authors: Paul R et al., Pediatrics 2014 May 1; 133:e1358 A quality improvement initiative resulted in sustained near-perfect adherence to guidelines. In a prospective cohort study, investigators compared adherence to Pediatric Advance Life Support (PALS) sepsis guidelines before and during a quality improvement intervention at a Boston pediatric hospital. The intervention included education, use of […]
Read MoreAuthors: Leonard JR et al., Pediatrics 2014 May 1; 133:e1179 Risk for death is highest in children with significant concomitant injuries. Researchers examined characteristics of pediatric cervical spine injuries in a secondary analysis of children younger than 16 years treated at 17 pediatric hospitals in the Pediatric Emergency Care Applied Research Network (PECARN). Of 540 […]
Read MoreAuthors: Fakih MG et al., Ann Emerg Med 2014 Mar 20; Guidelines and education reduce unnecessary catheterizations. Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection, with greater than 560,000 nosocomial cases annually. Investigators recently assessed the effects of an intervention designed to decrease CAUTI risk by reducing inappropriate urinary catheterization. The intervention, […]
Read MoreAuthors: Vos JJ et al., Br J Anaesth 2014 Apr 15; The device is a reasonable substitute for traditional cuff monitoring but is not a replacement for invasive monitoring. New devices offering continuous, noninvasive arterial pressure monitoring compare favorably with intermittent, automated cuff measurement (NEJM JW Emerg Med Mar 11 2014), but how do they […]
Read MoreAuthors: Kim HC et al., Anaesthesia 2014 Apr 28; A 90° rotation increases first-pass success and decreases insertion time. The i-gel is a supraglottic device with a soft, noninflatable cuff. Although insertion is usually successful, it sometimes fails because of tongue folding. Previous studies have shown that a rotational technique during insertion improves first-pass success […]
Read MoreAnesthesia Management: One-Size-Fits-All Hydromorphone Dosing? Authors: Xia S et al., Ann Emerg Med 2013 Nov 11; Pain relief from a 1 mg dose did not vary by patient body weight. Because hydromorphone is distributed widely into multiple tissues, weight-based dosing would seem to be the safest and most effective strategy when treating acute pain. Investigators […]
Read MoreAnesthesia Management: Salvaged Blood Safer, Cheaper than Transfusions, Study Says This paper was published in the June issue of Anesthesia & Analgesia, the journal of the International Anesthesia Research Society The use of cell savers to re-circulate blood into surgical patients can deliver higher quality red cells, eliminate transfusion risks, and cost hospitals less than […]
Read MoreAnesthesia Management: Ambulatory surgical centers cheaper than hospitals The use of ambulatory surgery centers spiked in recent years, partly because they’re more convenient for patients than hospitals. It turns out they’re cheaper as well. A procedure performed at a surgery center not only gets patients back to their homes quicker, it’s significantly less expensive, according […]
Read MoreAdults treated with gabapentin enacarbil for painful bouts of diabetic peripheral neuropathy demonstrate a lower incidence of peripheral oedema and weight gain than those treated with pregabalin or placebo, according to a randomised, phase 2 safety study presented at the 66th Annual Meeting of the American Academy of Neurology (AAN). The 20-week trial included 420 […]
Read MoreNon-invasive magnetic resonance-guided focused ultrasound treatment (MRgFUS) that relieves pain and improves function for most patients with bone-related cancer pain when other treatment options are limited, according to a study published in the Journal of the National Cancer Institute. “This is the first phase 3 study to use this technology in the treatment of cancer,” […]
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