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Authors: Lei C, et al. Am J Respir Crit Care Med. 2018 Patients undergoing multiple valve replacement with prolonged cardiopulmonary bypass who were given nitric oxide had a decreased risk for acute kidney injury, worsening of chronic kidney disease and major adverse kidney events, according to a study published in the American Journal of Respiratory and Critical Care Medicine. “Previous […]
Read MoreBy Evan Sweeney | Another year, another record-setting healthcare fraud takedown. This year, the Department of Justice charged 601 individuals involved in fraud schemes totaling $2 billion in losses to the federal government. That’s nearly 200 more people and an additional $700 million than the previous year’s takedown. There was a clear emphasis on opioid distribution, with 162 […]
Read MoreReducing the dose of buprenorphine during pregnancy is not associated with adverse outcomes, and lower doses of the opioid maintenance therapy at the time of delivery are in fact linked to benefits including reductions in the length of hospital stay and improved neonatal outcomes. A study presented here at The Pregnancy Meeting, the Annual Meeting […]
Read MoreMedicare, the federal health coverage mainly for people over 65, spends about $700 billion a year, and it’s estimated that about one-quarter of that spending on seniors goes to health care in the final year of life. That end-of-life spending has drawn scrutiny as potentially wasteful, involving heroic measures taken even though death looms inevitably. If health costs must be contained, […]
Read MoreNY Times June 26, 2018 by Paula Span One-third of patients over age 65 die in the hospital after they are put on ventilators. Doctors are beginning to wonder if the procedure should be used so often. Earlier this year, an ambulance brought a man in his 80s to the emergency room at Brigham and Women’s […]
Read MoreFierceHealthcare by Paige Minemyer Efforts to cut patient safety risks such as adverse drug events or falls saved 8,000 lives and $2.9 billion between 2014 and 2016, according to the Agency for Healthcare Research and Quality’s National Scorecard on Hospital-Acquired Conditions released this week. AHRQ estimates 350,000 hospital-acquired conditions were avoided in that window, reducing the rate of […]
Read MoreAuthors: Feinberg, Adina, E., MDCM et al Annals of Surgery: June 2018 – Volume 267 – Issue 6 – p 1056–1062 Background: Over the past 2 decades, there has been an increase in opioid use and subsequently, opioid deaths. The amount of opioid prescribed to surgical patients has also increased. The aim of this systematic review was to determine postdischarge opioid consumption in surgical patientscompared with […]
Read MoreCanadian Journal of Anesthesia Authors: Aaron Lau Purpose The purpose of this study was to evaluate the effects of preoperative forced-air warming on intraoperative hypothermia. Methods In this randomized-controlled trial, adult patients scheduled for elective, non-cardiac surgery under general anesthesia were stratified by scheduled surgical duration (< 2.5 hr or ≥ 2.5 hr) and then […]
Read MoreAs many as 116 million adults experience chronic pain each year in the United States, and treatment for these individuals often includes opioids.1 However, the use of opioids for chronic pain is controversial, highlighting the need for nonopioid therapies for this patient population. The potential for intravenous (IV) lidocaine to reduce postoperative pain was first proposed in the […]
Read MoreAUTHORS: Abdulrauf S et al World Neurosurgery (Feb 2018) OBJECTIVE The option of performing MVD under awake anesthesia protocol (‘awake’MVD) was examined in this initial series to assess whether intraoperative pain evaluation can identify and mitigate insufficient decompression of the trigeminal nerve, improving surgical outcomes. Additionally,’awake’MVD could expand procedure indications for those with comorbidities that […]
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