A multidisciplinary, international group of experts has recommended changing the way clinicians and patients describe cognitive changes experienced in some patients after anaesthesia and surgery. The recommendations are being published simultaneously in 6 peer-reviewed journals including, Anesthesiology, Acta Anaesthesologica Scandinavica, Anesthesia & Analgesia, British Journal of Anaesthesia, Canadian Journal of Anesthesia, and the Journal of […]
Read MoreAuthors: Aguirre J et al Journal of Clinical Anesthesia (JCA) 53 40-48 (Oct 2018) STUDY OBJECTIVES The aim of this study was to assess the impact of intravenous general anesthesia and controlled hypotension on cerebral saturation (rScO 2 ), cerebral blood flow measured as middle cerebral artery blood flow velocity (Vmax MCA) and neurobehavioral outcome […]
Read MoreAuthor: Reddy YNV et al. Circulation 2018 May 23 A 10-point risk score based on noninvasive characteristics might be helpful in identifying patients who need further testing. Establishing the diagnosis of heart failure (HF) in people presenting with dyspnea can be challenging when they lack corroborative structural abnormalities like reduced left ventricular ejection fraction (LVEF) […]
Read MoreAuthors: Zalewski NL et al. JAMA Neurol 2018 Sep 24 Hyperacute or acute onset was the most consistent clinical symptom. Spinal cord infarction is an underrecognized etiology of myelopathy that is sometimes misdiagnosed as transverse myelitis (NEJM JW Neurol Mar 2018 and Neurology 2018; 90:e96). Investigators reviewed data from 133 adults (median age, 60; interquartile […]
Read MoreMany outpatient opioid prescriptions have no documented medical indication, according to a research letter published in the Annals of Internal Medicine. Tisamarie B. Sherry, M.D., Ph.D., from the RAND Corporation in Boston, and colleagues examined the percentage of opioid prescriptions with a documented medical indication between 2006 and 2015 using data from the National Ambulatory […]
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