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Published in Br J Anaesth. 2014;112(5):784-787. Authors: S. Kozek-Langenecker, D. Fries, D. R. Spahn, K. Zacharowski A recent systematic review, ‘Fibrinogen concentrate in bleeding patients’, published by The Cochrane Collaboration, aimed to assess the benefits and harms of fibrinogen concentrate compared with placebo or other treatments in bleeding patients. We agree with the authors finding […]
Read MoreIn a period of rapid change, physician practices react differently to the resulting uncertainty. Hospitals seek to employ or otherwise “align” primary care physicians. They seek to control specialty referrals through employment models, accountable care organizations and other hospital-centric networks. And particularly for anesthesiologists, competitive pressure is mounting from large regional and national groups. Many […]
Read MorePreoperative medication compliance improved when patients were given a simple, standardized, multicolored medication instruction sheet combined with verbal instructions, according to an article published in the July issue of Anesthesiology. Failure to remember and comply with instructions can result in rescheduled same-day surgeries and longer hospital stays. Patients in the study were scheduled for general […]
Read MoreRates of infection secondary to CABG surgery varied widely across a 33-hospital consortium engaged in an adult cardiac-surgery quality initiative in Michigan[1]. The variation was less pronounced but still substantial after adjustment for comorbidities and other patient-related factors. Isolated pneumonia was overwhelmingly the most common CABG-related infection, seen in about 3% of the total population […]
Read MoreI thought this was interesting so I wanted to share it with our readers. A prior caesarean section is associated with a small increased rate of subsequent stillbirth and ectopic pregnancy. The increased rate is confounded, however, by underlying medical conditions, as well as the indication for the primary caesarean delivery. Sinéad M. O’Neill, MPH, […]
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