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Your hand hygiene compliance rates may be lower than you’ve believed, for a simple reason. Ask yourself: Do your providers know when they’re being watched? Researchers at Santa Clara Valley Medical Center in San Jose, Calif., logged more than 4,600 observations in the second half of 2015. Observers consisted of 5 infection prevention nurses who […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 346–356 AUTHORS: Alian, Aymen A. MD et al BACKGROUND: Scoliosis surgery is often associated with substantial blood loss, requiring fluid resuscitation and blood transfusions. In adults, dynamic preload indices have been shown to be more reliable for guiding fluid resuscitation, but these […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 436–444 AUTHORS: Kim, Jeongmin MD, PhD et al BACKGROUND: In this study, we examined the relationship between postoperative cognitive dysfunction (POCD) and intraoperative regional cerebral oxygen saturation (rSO2) in elderly patients undergoing spinal surgery. METHODS: We enrolled 87 patients older than 65 […]
Read MoreAnesthesia & Analgesia:August 2016 – Volume 123 – Issue 2 – p 268–273 AUTHORS: Metcalf, Ryan A. MD et al BACKGROUND: Hypotensive transfusion reactions (HyTRs) may be underreported and have been associated with patients taking angiotensin-converting enzyme inhibitors (ACEIs) receiving poststorage leukoreduced blood products through negatively charged filters. Although bedside leukoreduction is no longer commonplace, […]
Read MoreWith growing public support and promising, but inconclusive, signs of therapeutic benefits in the use of herbal cannabis, medical marijuana laws are marching full steam ahead across the United States, prompting the American Pain Society (APS) to issue a white paper to assist in cannabis-related clinical issues that pain physicians are increasingly facing. “Cannabis is […]
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