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Upper gastrointestinal endoscopic procedures may be commonplace, but they have surprisingly high complication and mortality rates. The advent of a modified laryngeal mask that can simultaneously protect the airway and facilitate the passage of an endoscope may reduce some of these adverse events. Preliminary results from an Australian study found that the mask facilitated endoscopic […]
Read MoreJAMA · April 11, 2017 Question: Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function? Findings: In this systematic review and meta-analysis of 26 randomized clinical trials, spinal manipulative therapy was associated with statistically significant benefits in both pain and function, of […]
Read MoreAUTHORS: Stedman, Jennifer L. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1564–1568 BACKGROUND: As the number of operative cases increases, there is a greater emphasis on reducing inefficiency while maintaining patient safety. Recently, the issue of prespiking intravenous (IV) bags was raised. No study has assessed whether […]
Read MoreAUTHORS: McIsaac, Daniel I. MD, MPH, FRCPC et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1653–1661 BACKGROUND: Older patients undergoing emergency general surgery (EGS) experience high rates of postoperative morbidity and mortality. Studies focused primarily on elective surgery indicate that frailty is an important predictor of adverse outcomes in […]
Read MoreAUTHORS: Gabel, Eilon MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1423–1430 BACKGROUND: In medical practice today, clinical data registries have become a powerful tool for measuring and driving quality improvement, especially among multicenter projects. Registries face the known problem of trying to create dependable and clear metrics […]
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