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Authors: Semler MW et al. N Engl J Med 2018 Mar 1. Acutely hospitalized patients had better outcomes with lactated Ringer’s solution than with normal saline. What is the right crystalloid for fluid resuscitation? Because limited data guide this decision, choices traditionally have been driven by culture: saline in medical units, and lactated Ringer’s solution for surgical […]
Read MoreAuthor: Jenifer Lightdale, MD, MPH A meta-analysis of 13 randomized controlled trials shows clear and consistent evidence of a decrease in respiratory compromise with capnography monitoring. Clinically significant adverse events associated with procedural sedation and analgesia (PSA)—including critical oxygen desaturation, bradycardia, hypotension and cardiac arrest—are relatively uncommon. However, their occasional occurrence should be recognized as […]
Read MoreArticle I wanted to share with our readers. BY Karen Feldscher Harvard Chan School Communications DATE March 13, 2018 A Harvard study has found that physicians’ salaries and hospital services are in part what’s behind the higher costs of U.S. health care. In 2016, the U.S. spent nearly twice as much on health care as other […]
Read MoreI thought this was something we should know so we can share with our surgeons. Findings from an analysis that included more than 200,000 patients who underwent common surgical procedures suggests that the optimal length of opioid pain prescriptions is 4 to 9 days for general surgery procedures, 4 to 13 days for women’s health […]
Read MorePostoperative myocardial injury is correlated with increasing resting preoperative heart rate in noncardiac surgery patients, according to a new study. Interestingly, the researchers concluded that the relationship may be J-shaped instead of linear, demonstrating that abnormally low heart rates may be potentially dangerous, too. “One of the theories about myocardial injury is that heart rate, […]
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