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Uncategorized Published - 13 July, 2018    By - Dr Clemens
Psychosocial Interventions May Improve Outcomes in Orthopedic Surgery

Psychosocial interventions such as patient education and relaxation techniques may help reduce pain after orthopedic surgery and improve quality of clinical care, according to results published in the Journal of Pain. The review included 62 randomized controlled clinical trials with 4908 participants. The researchers performed a meta-analysis to examine postoperative pain, analgesic requirement, perioperative anxiety, quality of life, and […]

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Uncategorized Published - 13 July, 2018    By - Dr Clemens
Benefits of Perioperative IV Lidocaine for Postsurgical Pain Unclear

Perioperative lidocaine delivered intravenously (IV) may not improve pain, gastrointestinal recovery, postoperative nausea, or opioid consumption in the early postoperative phase compared with placebo or no treatment, according to results published in Cochrane Database of Systematic Reviews. The review included 68 trials with 4525 participants. Two trials compared IV lidocaine with thoracic epidural analgesia, and the […]

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Uncategorized Published - 13 July, 2018    By - Dr Clemens
Labor Epidural Analgesia Linked to Reduced Likelihood of Successful Breastfeeding

Labor epidural analgesia may be associated with reduced likelihood of breastfeeding at 6 weeks, according to a study published in Anesthesia & Analgesia. The study included women intending to breastfeed who had delivered vaginally with or without labor epidural analgesia (n=1204). The researchers recorded breastfeeding at 3 days and 6 weeks postpartum. The primary outcome was breastfeeding at […]

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Uncategorized Published - 13 July, 2018    By - Dr Clemens
Do Hospitals Performing Frequent Neuraxial Anesthesia for Hip and Knee Replacements Have Better Outcomes?

Authors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al   Anesthesiology published on June 6, 2018. Background: Neuraxial anesthesia is increasingly recommended for hip/knee replacements as some studies show improved outcomes on the individual level. With hospital-level studies lacking, we assessed the relationship between hospital-level neuraxial anesthesia utilization and outcomes. Methods: National data on 808,237 total knee and 371,607 […]

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Uncategorized Published - 12 July, 2018    By - Dr Clemens
Surgeries account for almost half of hospital costs

By Richard Franki MDedge News Hospital stays with surgeries made up just under 29% of all admissions in 2014 but accounted for over 48% of all hospital costs, according to the Agency for Healthcare Research and Quality (AHRQ). Of the 35.4 million inpatient stays in 2014 – the last full year of ICD-9-CM coding – 10.1 million […]

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