Body temperature decreases during the first hour of surgery, even when patients are actively warmed with forced air, according to a study published in the February issue of the journal Anesthesiology. Furthermore, patients who experience the most hypothermia are more likely to require blood transfusions. “Hypothermia is common during surgery because anaesthetics disrupt normal control […]
Read MorePublished in Anaesthesia 2015 Apr 8 Authors: Ueda K et al. In this randomized, controlled trial of surgery patients, first-attempt radial arterial line placement by anesthesiologists was more successful when guided by ultrasound than palpation or Doppler. The radial artery is traditionally located by palpation, but this can be challenging in patients with hypotension, small-caliber vessels, […]
Read MoreThe number of women dying from overdoses of opioid painkillers increased 5-fold between 1999 and 2010, according to new data released today by the US Centers for Disease Control and Prevention (CDC). The problem of prescription opioid drug overdoses in women is “getting worse and getting worse quickly,” CDC director Tom Frieden, MD, MPH, said […]
Read MorePublished in Ann Emerg Med 2015 Apr 15 Authors: Calver L et al. The FDA’s black box warning about droperidol led to an unfortunate and unwarranted drop in its use; we should bring this safe drug back. In 2001, the FDA issued a warning about droperidol as a potential cause of QT prolongation and torsades de […]
Read MorePublished in BMJ 2015 Mar 24; 350:h1354 Authors: Holst LB et al. And this strategy saves healthcare resources. A growing body of evidence suggests that restrictive red blood cell transfusion strategies are safe. In this systematic review and meta-analysis of 31 randomized trials that involved 9800 patients, researchers compared benefits and harms of restrictive (triggers: hemoglobin, 7–9 […]
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