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Surgeons who were less likely to follow recommended guidelines for open disclosure of adverse events were more likely to be negatively affected by such events, according to a survey-based study published online July 20 in JAMA Surgery. In addition, those who were less likely to discuss difficult issues, such as the preventability of an adverse event, or who […]
Read MoreA simple typo could still put you at risk of a negligence lawsuit. Outpatient Surgery Magazine June 2016 CAREFUL CONSIDERATION If you copy and paste information into the EHR or the software autopopulates certain fields, be sure to review the information for accuracy. Electronic health records give caregivers quick and easy access to a patient’s medical […]
Read MoreAuthors: Su X et al., Lancet 2016 Aug 16; But this practice probably is unnecessary in extubated patients. In a recent placebo-controlled study, delirium resolved more quickly in delirious patients in the intensive care unit (ICU) who received dexmedetomidine (NEJM JW Gen Med May 15 2016 and JAMA 2016; 315:1455). However, whether this finding was due to a direct effect […]
Read MoreAuthors: Yifei Jiang, M.D., Ph.D. et al Anesthesiology published on September 22, 2016 Background: Exposure to isoflurane increases apoptosis among postnatally generated hippocampal dentate granule cells. These neurons play important roles in cognition and behavior, so their permanent loss could explain deficits after surgical procedures. Methods: To determine whether developmental anesthesia exposure leads to persistent deficits in granule […]
Read MoreAuthors: Timothy J. Brennan, M.D., Ph.D. et al THE management of acute pain in the opioid-tolerant patients is an important topic in perioperative medicine. In this issue of Anesthesiology, Liu and Gold1 demonstrate that morphine administration that induces morphine tolerance in rats produces resistance to lidocaine-induced nerve blockade ex vivo. Acute pain management can be quite challenging […]
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