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by Michael G Mythen, MBBS, MD, and Michael PW Grocott, BSc, MBBS, MD Fluid management is a fundamental component of the care we give our patients undergoing surgery. Establishing intravenous access and setting up a bag of fluid to flow into a vein is so much a part of everyday working life that we rarely […]
Read Moreby Todd Dodick, MD; Steven Greenberg, MD; and Michael O’Connor, MD An experienced health care provider can identify the septic patient with barely a glance, but were you to ask them to define sepsis, many providers would struggle to provide a clear definition. This difficulty likely stems from a failure of understanding of the underlying […]
Read MoreOne in seven U.S. hospitalizations among older adults is followed by an opioid prescription, and current practices of storing and disposing of these drugs are “suboptimal,” according to two JAMA Internal Medicine studies. In the first study, researchers examined nearly 625,000 Medicare beneficiaries who were hospitalized in 2011 and had no opioid prescription in the prior […]
Read MoreAnesthesiology published on 6 2016 Authors: Brian S. Rothman, M.D. et al Background: “Wrong surgery” is defined as wrong site, wrong operation, or wrong patient, with estimated incidence up to 1 per 5,000 cases. Responding to national attention on wrong surgery, our objective was to create a care redesign intervention to minimize the rate of wrong surgery. […]
Read MoreAnesthesiology published on 6 2016 Authors: Sayako Itakura, M.D. et al Background: Rapid fluid infusion resulting in increased hepatic blood flow may decrease the propofol plasma concentration (Cp) because propofol is a high hepatic extraction drug. The authors investigated the effects of rapid colloid and crystalloid infusions on the propofol Cp during target-controlled infusion. Methods: Thirty-six […]
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