RONALD L. HARTER, MD | PHYSICIAN | JULY 7, 2016 A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Our institution, like countless others across the country, has been working to institute processes to achieve the “triple aim” of improving the quality of health care, increasing patient satisfaction, and reducing the cost of providing that care. As chair […]
Read MoreAuthors: Pennell PB and Meador KJ., Neurology 2016 Jun 14; 86:2224 Prospective cohort study raises concern about teratogenic potential of this neuropsychiatric medication. Pregabalin is used on- and off-label for various neuropsychiatric conditions (e.g., seizure disorder, neuropathic pain, restless leg syndrome). Researchers sought to determine risk associated with pregabalin use during early pregnancy. A cohort of 683 […]
Read MoreAuthors: Jecko Thachil, M.D., M.R.C.P., F.R.C.Path. Anesthesiology 7 2016, Vol.125, 230-236. Anesthesiologists may encounter patients with disseminated intravascular coagulation, a potential complication of severe sepsis or major trauma. This practical guide discusses the clinical approach, laboratory diagnosis, and current management of this condition. The Clinical Scenario A 46-yr-old woman is admitted to the critical care unit […]
Read MoreAuthors: Forbes HJ et al., Neurology 2016 Jul 5; 87:94 In a large prospective database study, increased risks were seen in older patients and those with severe immunosuppression. Postherpetic neuralgia (PHN) following acute herpes zoster remains a significant cause of neuropathic pain, especially in older patients. Treatment results of this severe and long-lasting pain syndrome are often […]
Read MoreAuthors: Aziz MF et al., Br J Anaesth 2016 Jul 117:118 In a study of operating room intubations with acute-angled videolaryngoscopes, “sniffing” head position, reduced mouth opening, and attending intubators were associated with prolonged intubation times. To identify predictors of difficult or prolonged intubation with hypercurved video laryngoscopes, investigators conducted a secondary analysis of a randomized controlled […]
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