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Donovan Slack, USA TODAY Nov. 27, 2017 A months-long USA TODAY Network investigation reveals that for years, the U.S. Department of Veterans Affairs concealed mistakes and misdeeds by staff members entrusted with caring for veterans. The Department of Veterans Affairs failed to report 90% of potentially dangerous medical providers in recent years to a national database […]
Read MoreAuthors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology 11 2017, Vol.127, 800-812. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter have […]
Read MoreWith Wai Chung Yong, MD, and Michael Atwell, FNP-C Chronic widespread non-specific pain in patients with fibromyalgia and other conditions is marked by reduced pain thresholds, multiple tender points, and decreased quality of life. Findings presented at the American College of Rheumatology 2017 Annual Meeting in San Diego suggests that paying attention to Vitamin D […]
Read MoreA collaborative, multimodal protocol for the delivery of opioid-sparing analgesics effectively manages postoperative pain in patients undergoing above- and below-the-knee amputation, with minimal adverse events, according to retrospective research presented at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Presenter Joseph Myers, MD, MedStar Georgetown University Hospital, Washington, DC and colleagues demonstrated […]
Read MoreAuthors: Angèle Gayet-Ageron, MDet al Lancet: 07 November 2017 Background Antifibrinolytics reduce death from bleeding in trauma and post-partum haemorrhage. We examined the effect of treatment delay on the effectiveness of antifibrinolytics. Methods We did an individual patient-level data meta-analysis of randomised trials done with more than 1000 patients that assessed antifibrinolytics in acute severe […]
Read MoreAuthors: Brian M. Howard, MD et al JAMA Surg. November 8, 2017. Key Points Question Is overlapping surgery associated with increased morbidity and mortality and worsened outcome measures compared with nonoverlapping surgery? Findings In this retrospective cohort study that included 2275 neurosurgical cases, no difference between overlapping and nonoverlapping surgery was identified for mortality, morbidity, or worsened functional status […]
Read MoreWomen are less likely than men to get CPR from a bystander and more likely to die, a new study suggests, and researchers think reluctance to touch a woman’s chest might be one reason. Only 39 percent of women suffering cardiac arrest in a public place were given CPR versus 45 percent of men, and […]
Read MoreWith Stephanie Studenski, MD; Daniel White, PT, ScD, MSc; Devyani Misra, MBBS, and Dorothy Dunlop, PhD The urgency for pain specialists and primary care practitioners to prescribe physical activity to patients with rheumatic diseases was emphasized as a key recommendation by a panel of experts at the 2017 annual meeting of the American College of […]
Read MorePerioperative aspirin seems beneficial for high-risk patients undergoing noncardiac surgery who’ve previously undergone percutaneous coronary intervention (PCI), according to a subanalysis from the POISE-2 trial. The findings were published in the Annals of Internal Medicine and presented at the American Heart Association conference on Monday. In POISE-2, 10,000 adults with or at risk for atherosclerotic disease who […]
Read MoreIbuprofen and opioids are similarly effective for short-term relief of acute extremity pain when combined with acetaminophen, according to a JAMA study. Some 400 adults presenting to the emergency department with moderate-to-severe acute extremity pain (e.g., from sprain or fracture) were randomized to one of four single-dose oral treatments: Ibuprofen (400 mg) and acetaminophen (1000 mg) […]
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