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AUTHORS: Berry SD et al. JAMA Intern Med 2018 May 7. A retrospective study suggests mortality and morbidity might be lower with surgical repair. A common dilemma is whether to repair hip fractures in nursing home patients with severe dementia. To explore this issue, investigators used a Medicare dataset to identify 3083 nursing home patients (mean […]
Read MoreAuthors: Ellsworth KR, et al. JAMA Pediatr. 2018; Preterm infants born younger than 29 weeks’ gestational age who were treated for pulmonary hypoplasia with inhaled nitric oxide did not have an increased chance of in-hospital survival, according to findings published in JAMA Pediatrics. “Because blood vessel growth in the lung parallels airway development, pulmonary hypoplasia is often […]
Read MoreAUTHORS: Andra E. Duncan, M.D. et al Anesthesiology 6 2018, Vol.128, 1125-1139. Background: Hyperinsulinemic normoglycemia augments myocardial glucose uptake and utilization. We tested the hypothesis that hyperinsulinemic normoglycemia reduces 30-day mortality and morbidity after cardiac surgery. Methods: This dual-center, parallel-group, superiority trial randomized cardiac surgical patients between August 2007 and March 2015 at the Cleveland Clinic, Cleveland, […]
Read MoreAUTHORS: Erland Östberg, M.D. et al Anesthesiology 6 2018, Vol.128, 1117-1124. Background: Various methods for protective ventilation are increasingly being recommended for patients undergoing general anesthesia. However, the importance of each individual component is still unclear. In particular, the perioperative use of positive end-expiratory pressure (PEEP) remains controversial. The authors tested the hypothesis that PEEP […]
Read MoreAUTHORS: Mohammad A. Helwani, M.D., M.S.P.H. et al Anesthesiology 6 2018, Vol.128, 1084-1091. Background: The objective of this investigation was to determine the etiology of perioperative acute coronary syndrome with a particular emphasis on thrombosis versus demand ischemia. Methods: In this retrospective cohort study, adult patients were identified who underwent coronary angiography for acute coronary syndrome within 30 days […]
Read MoreAuthors: Catherine H. MacLean, M.D., Ph.D. et al This article was published on April 18, 2018, at NEJM.org. Performance measurement in the U.S. health care system has expanded dramatically over the past 30 years. The National Quality Measures Clearinghouse now lists more than 2500 performance measures. These measures are used in various quality-reporting, accountability, and payment […]
Read MoreA new study finds medically assisted detox is better for moms and babies. At the age of 14, Brittany Scheihing started to get migraines. Doctors told her they’d eventually go away as she got older. Only they didn’t. In fact, as Scheihing aged, her migraines became only worse, with bouts of vomiting, impaired vision, and […]
Read MoreAUTHORS: Manuel Taboada, M.D., Ph.D. et al Anesthesiology published on May 21, 2018. Background: Tracheal intubation is a common intervention in the operating room and in the intensive care unit. The authors hypothesized that tracheal intubation using direct laryngoscopy would be associated with worse intubation conditions and more complications in the intensive care unit compared with the […]
Read MoreAUTHORS: Abirami Kumaresan, M.D. Anesthesiology 6 2018, Vol.128, 1187-1192. doi:10.1097/ALN.0000000000002159 Background: The effects of prone positioning on esophageal pressures have not been investigated in mechanically ventilated patients. Our objective was to characterize effects of prone positioning on esophageal pressures, transpulmonary pressure, and lung volume, thereby assessing the potential utility of esophageal pressure measurements in setting positive end-expiratory […]
Read MoreFluid restriction has no impact on disability-free survival; increases risk of acute kidney injury A restrictive fluid regimen is not associated with increased disability-free survival for patients at increased risk of complications during major abdominal surgery, but is associated with increased acute kidney injury, according to a study published online May 10 in the New England […]
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