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Postoperative and post-discharge nausea may be very common in children, but it is woefully undertreated, according to a Baylor College of Medicine study. Researchers there concluded that use of the Baxter Retching Faces (BARF) scale may help stem the issue, as it is both easy to use and reliable in the clinical setting. “Postoperative nausea […]
Read MoreAuthors: Fuller BM et al., Crit Care Med 2017 Feb 2; A quality improvement approach to this proven strategy lowered associated mortality, with a number needed to treat between 6 and 7. Lung-protective ventilation has been shown to improve outcomes for patients with acute respiratory distress syndrome (ARDS) but compliance is poor in the emergency department (ED). […]
Read MoreHospitals vary considerably in how often epinephrine administration is delayed beyond 5 minutes in cardiac arrest with nonshockable rhythm, suggests a new study, in which more frequent delays were also related to lower survival[1]. “Based on the findings of our study, cardiologists and other physicians should actively engage in understanding how well currently accepted resuscitation […]
Read MoreOne surgeon can safely be responsible for two overlapping surgeries when critical parts of the procedures are not coincident, a retrospective study from Mayo Clinic suggests. Overlapping surgeries showed no difference in patient outcomes, but increased effectiveness and time management. Overlapping surgeries are common and differ from “concurrent” surgeries, during which critical portions of the […]
Read MoreAuthors: Goodnough, Lawrence T. MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 282–289 Abstract Sporadic Zika virus infections had only occurred in Africa and Asia until an outbreak in Micronesia (Oceania) in 2007. In 2013 to 2014, several outer Pacific Islands reported local outbreaks. Soon thereafter, the […]
Read MoreAuthors: Whiles BB et al., Crit Care Med 2017 Feb 6; In this study, earlier administration was associated with decreased progression to septic shock. Early antibiotics are associated with decreased mortality for patients with severe sepsis. To evaluate whether early administration of antibiotics is also associated with decreased progression to septic shock, investigators conducted a retrospective cohort […]
Read MoreAuthors: Drewry AM et al., Crit Care Med 2017 Feb 17; A meta-analysis showed that antipyretic therapy did not reduce 28-day mortality. Fever is certainly a sign of infection. But does treatment of fever improve outcomes in patients with sepsis? To find out, investigators conducted a meta-analysis of eight randomized trials (1507 patients) and six observational studies […]
Read MoreAuthors: Adam W. Amundson, M.D. et al Anesthesiology published on March 2, 2017. Background: Multimodal analgesia is standard practice for total knee arthroplasty; however, the role of regional techniques in improved perioperative outcomes remains unknown. The authors hypothesized that peripheral nerve blockade would result in lower pain scores and opioid consumption than two competing periarticular […]
Read MoreEdited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Migraine is associated with risk for stroke caused by cervical artery dissection, according to a JAMA Neurology study. Using a large Italian stroke registry, researchers studied nearly 2500 adults aged 18 to 45 who experienced a first ischemic stroke; 13% had spontaneous cervical […]
Read MoreA review and retrospective study on the effectiveness of scrambler (stimulation) therapy to reduce noncancer-related neuropathic pain syndromes, with apparent, maximal pain relief achieved at 1 to 2 weeks. By Alexandra M. Lesenskyj, Christina R. Maxwell, PhD, MTR and Ricardo A. Cruciani, MD, PhD Minimizing the incidence of medication dependence in patients with chronic neuropathic […]
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