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Authors: Paul J. Zufferey, M.D., Ph.D. et al Anesthesiology 9 2017, Vol.127, 413-422. Background: Preoperative administration of the antifibrinolytic agent tranexamic acid reduces bleeding in patients undergoing hip arthroplasty. Increased fibrinolytic activity is maintained throughout the first day postoperation. The objective of the study was to determine whether additional perioperative administration of tranexamic acid would further reduce […]
Read MoreA majority of institutions do not have a written policy for mechanical ventilation during intrahospital transport of children with congenital heart disease. That was the finding from a survey of pediatric anesthesia program directors throughout North America. Presented at the 2017 meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and […]
Read MoreWhile the 2018 editions of the ASA Relative Value Guide® (RVG) and CROSSWALK® will soon be available, many anesthesia practices are asking about the RVG base unit values to be assigned to the five new codes that will describe anesthesia for GI endoscopy in 2018. In its final rule for the CY 2018 Medicare Physician […]
Read MoreRadiofrequency denervation for chronic low back pain displayed no clinically relevant improvement in pain for patients, according to a study conducted by 16 multidisciplinary pain clinics in the Netherlands and published in JAMA (2017;318:68-81). Radiofrequency denervation is a commonly used treatment for patients with chronic low back pain, but the treatment had lacked quality evidence […]
Read MoreIntranasal ketamine causes more minor side effects, such as dizziness, than intranasal fentanyl used as analgesia for children with assumed single-extremity fractures, according to researchers. The double-blind, randomized controlled trial (Acad Emerg Med 2017 Sep 19. [Epub ahead of print], doi:10.1111/acem.13313) in 82 children found that while pain relief was similar at 20 minutes between […]
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