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One of strongest testaments to the effect of the prescription drug abuse epidemic on clinical practice is the increase in state mandates for opioid or controlled substance agreements that clinicians are required to have patients sign when receiving opioid prescriptions. But such agreements are not without significant controversy, raising a host of ethical issues, said […]
Read MoreAuthors: Shopp JD et al. Acad Emerg Med 2015 Sep 22. A meta-analysis found that a Daniel Score >5 is associated with a higher probability of shock from PE. Treatments for hemodynamically stable patients with confirmed pulmonary embolism (PE) vary from outpatient anticoagulation to systemic fibrinolysis. Guidelines recommend that the choice of treatment be based on risk […]
Read MoreAuthors: Wallace CD et al. Anaesthesia 2015 Sep 4. When used to obtain a direct view — for which it was not designed — the McGrath was associated with more difficult intubation and worse glottic views than a conventional Macintosh laryngoscope. Video laryngoscopes improve glottic view and first-attempt intubation success compared with direct laryngoscopes. Curved blade designs […]
Read MoreAuthors: Drake-Brockman TF et al., Anaesthesia 2015 Sep 10; In anesthetized spontaneously breathing children, leakage volume was greater, device dislodgement was more common, and first-attempt insertion success was lower with the i-gel. The i-gel is an extraglottic device with a noninflatable cuff made of a flexible gelatinous material. The PRO-Breathe is a silicone-based standard laryngeal mask airway […]
Read MoreA noninvasive wearable nerve stimulator improves pain to the point of needing less analgesia in patients with neuropathy, arthritis, and other common forms of chronic pain, a new study shows. “Our data suggest, and this is mimicked anecdotally, that this device works for about eight out of 10 people,” said Shai Gozani, MD, PhD, president […]
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