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Health care providers have access to more data than ever, but the challenge is how to draw meaningful conclusions from this information to deliver better care. According to Julian M. Goldman, MD, an anesthesiologist at Massachusetts General Hospital and Harvard Medical School, and medical director of Partners HealthCare Systems Biomedical Engineering, all in Boston, this […]
Read MoreAUTHORS: Chui, Jason, MBChB, FANZCA et al Anesthesia & Analgesia: July 2018 – Volume 127 – Issue 1 – p 134–143 Perioperative peripheral nerve injury (PNI) is a well-recognized complication of general anesthesia that continues to result in patient disability and malpractice claims. However, the multifactorial etiology of PNI is often not appreciated in malpractice claims […]
Read MoreAlthough several studies have identified possible risk factors for poor neurodevelopmental outcomes in children undergoing anesthesia and surgery, few have been able to make definitive associations, given the complex nature of neurodevelopment and the many potential factors that affect it. “The FDA has highlighted some risk factors for neurodevelopmental delay in children,” said George M. […]
Read MoreBy Richard Franki MDedge News The 20 most frequent surgeries in 2014 represented almost 55% of the 14.2 million operating room procedures performed during inpatient stays in the United States, according to the Agency for Healthcare Research and Quality (AHRQ). More than 1.2 million of those procedures involved cesarean sections, making it the most frequently performed in-hospital surgery […]
Read MoreArticle I wanted to share with our readers. By Kelly Young Edited by David G. Fairchild, MD, MPH Taking a daily multivitamin is not associated with lower risk for adverse cardiovascular outcomes, according to a meta-analysis in Circulation: Cardiovascular Quality and Outcomes. Researchers examined use of multivitamin supplements (containing at least three vitamins and minerals) and cardiovascular […]
Read MoreAuthors: Feras Hatib, Ph.D. et al Anesthesiology published on June 11, 2018. Background: With appropriate algorithms, computers can learn to detect patterns and associations in large data sets. The authors’ goal was to apply machine learning to arterial pressure waveforms and create an algorithm to predict hypotension. The algorithm detects early alteration in waveforms that can herald […]
Read MorePsychosocial interventions such as patient education and relaxation techniques may help reduce pain after orthopedic surgery and improve quality of clinical care, according to results published in the Journal of Pain. The review included 62 randomized controlled clinical trials with 4908 participants. The researchers performed a meta-analysis to examine postoperative pain, analgesic requirement, perioperative anxiety, quality of life, and […]
Read MorePerioperative lidocaine delivered intravenously (IV) may not improve pain, gastrointestinal recovery, postoperative nausea, or opioid consumption in the early postoperative phase compared with placebo or no treatment, according to results published in Cochrane Database of Systematic Reviews. The review included 68 trials with 4525 participants. Two trials compared IV lidocaine with thoracic epidural analgesia, and the […]
Read MoreLabor epidural analgesia may be associated with reduced likelihood of breastfeeding at 6 weeks, according to a study published in Anesthesia & Analgesia. The study included women intending to breastfeed who had delivered vaginally with or without labor epidural analgesia (n=1204). The researchers recorded breastfeeding at 3 days and 6 weeks postpartum. The primary outcome was breastfeeding at […]
Read MoreAuthors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al Anesthesiology published on June 6, 2018. Background: Neuraxial anesthesia is increasingly recommended for hip/knee replacements as some studies show improved outcomes on the individual level. With hospital-level studies lacking, we assessed the relationship between hospital-level neuraxial anesthesia utilization and outcomes. Methods: National data on 808,237 total knee and 371,607 […]
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