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A large French study has shown that monitoring both hemoglobin (SpHb) and plethysmography variability index (PVI) as part of a vascular filling algorithm allows for optimal transfusion among surgical patients, thereby reducing mortality. The researchers noted that inclusion of such noninvasive devices may significantly affect patient outcomes in the future, particularly among patients undergoing serious, […]
Read MoreA study that compared epidurals placed in the L5-S1 interspace and those placed in the most clinically accessible lumbar interspace cephalad found no significant differences in efficacy. The mean number of dermatomes blocked, number of interventions required to achieve adequate analgesia, and pain scores following epidural placement and at delivery were all similar in the […]
Read MoreAuthors: Lascarrou J et al Journal of the American Medical Association (JAMA) 317 (5), 483-493 (2017) Importance In the intensive care unit (ICU), orotracheal intubation can be associated with increased risk of complications because the patient may be acutely unstable, requiring prompt intervention, often by a practitioner with nonexpert skills. Video laryngoscopy may decrease this […]
Read MoreAUTHORS: Hussain N et al BACKGROUND AND OBJECTIVES Dexmedetomidine has been thought to be an effective adjuvant to local anesthetics in brachial plexus blockade. We sought to clarify the uncertainty that still exists as to its true efficacy. METHODS A meta-analysis of randomized controlled trials was conducted to assess the ability of dexmedetomidine to prolong […]
Read MoreBelieve it or not, damages from health-sector pollution are on the same order of magnitude as lives lost each year from preventable medical errors. Therefore, striving to keep patients safe should include efforts to protect public health. “Ironically, the health sector is one of the worst polluting industries,” said Jodi Sherman, MD, assistant professor of […]
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