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The CDC has issued an alert on serious, unexplained bleeding associated with synthetic cannabinoids (e.g., K2, Spice). The agency says that “a working hypothesis is the synthetic cannabinoids were contaminated with brodifacoum,” an anticoagulant used in rat poison. From March 10 through April 5, some 94 people presented to emergency departments with such bleeding (mostly […]
Read MoreI thought this was interesting since many of our readers have trauma patients In children with blunt trauma, emergent use of whole-body computed tomography doesn’t offer a survival advantage over selective CT, suggests a JAMA Pediatrics study. Using a national injury database, U.S. researchers retrospectively identified nearly 43,000 children aged 6 months to 14 years who underwent […]
Read More‘Why Give 2 When 1 Will Do?’ Author: Steven M. Frank, MD As the problems associated with excessive blood utilization have become apparent, many hospitals around the country are turning to blood management programs as the answer, but the optimal ways to reduce unnecessary red blood cell transfusions remain unclear. While focusing on evidence-based, restrictive […]
Read MoreAUTHORS: Sehmbi, Herman et al Anesthesia & Analgesia: Oct 2017 BACKGROUND: Adductor canal block (ACB) has emerged as an effective analgesic regional technique for major knee surgeries in the last decade. Its motor-sparing properties make it particularly attractive for ambulatory knee surgery, but evidence supporting its use in ambulatory arthroscopic knee surgery is conflicting. This systematic review […]
Read MoreAuthors: Desai, Neel et al Anesthesia & Analgesia: Oc 2017 Anemia is common in elective surgery and is an independent risk factor for morbidity and mortality. Historical management of anemia has focused on the use of allogeneic blood transfusion but this in itself is not without risk. It too has been independently associated with morbidity and […]
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