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Anil Patel, MD, FRCA Consultant Anaesthetist Royal National Throat, Nose and Ear Hospital University College London Hospitals NHS Foundation Trust London, United Kingdom S.A. Reza Nouraei, MBBChir, PhD, FRCS Ear, Nose, and Throat Surgeon Honorary Senior Lecturer in Otolaryngology, University College London London, United Kingdom High-flow nasal oxygen optimizes preoxygenation and apnea time compared with […]
Read MoreProblem is so intense, more than half of the physicians surveyed have considered leaving medical field altogether in recent years, study shows. Nearly two-thirds of physicians feel more overworked now compared to when they first started their careers, according to a new national study from locumstory.com. Only 13 percent say they are less overworked now. […]
Read MoreThe agency is distributing close to $6 billion in uncompensated care payments over the next fiscal year, a decrease of about $400 million. The Centers for Medicare and Medicaid Services announced a 1.5 percent cut to the amount it pays hospitals, a move designed to recover $11 billion in overpayments. The American Taxpayer Relief Act […]
Read MoreAnesthesia & Analgesia: August 2, 2016 AUTHORS: Pasin, Laura MD et al BACKGROUND: Bispectral Index Scale (BIS)-guided closed-loop delivery of anesthetics has been extensively studied. We performed a meta-analysis of all the randomized clinical trials comparing efficacy and performance between BIS-guided closed-loop delivery and manually controlled administration of total IV anesthesia. METHODS: Scopus, PubMed, EMBASE, […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 641–649 AUTHORS: Goldhaber-Fiebert et al BACKGROUND: Emergency manuals (EMs), context-relevant sets of cognitive aids or crisis checklists, have been used in high-hazard industries for decades, although this is a nascent field in health care. In the fall of 2012, Stanford clinically implemented […]
Read MoreDiabetes has been found to be an independent predictor of several postoperative complications, including superficial surgical site infections (SSIs), sepsis and 30-day readmission, in patients who underwent coronary artery bypass graft (CABG) surgery. According to the researchers, further investigation of the results may aid surgical planning and prevention of these adverse outcomes. “Diabetic patients are […]
Read MoreOne of the most frustrating aspects of treating complex regional pain syndrome (CRPS) is its variable nature, challenging practitioners to find a regimen that will provide enough analgesia to allow patients to resume normal activities. A case report presented here described the first-ever reported placement of an ultrasound-guided continuous superficial radial nerve block for the […]
Read MoreAnesthesia & Analgesia: August 2, 2016 AUTHORS: drew C. PharmD, BCPS et al BACKGROUND: Recent attention to adverse effects of intensive care unit (ICU) sedation has led to the use of strategies that target a “lighter” depth of sedation. Among these strategies are “analgosedation” protocols, which prioritize pain management and preferentially use IV opioids before […]
Read MoreDebra Beaulieu, October 6, 2016 A shift away from the “cowboy culture” of medicine is underway, but there’s still work to do in preparing clinicians to behave appropriately when things go wrong. A retired surgeon recently confessed in a newspaper column that he perjured himself to protect a colleague during a medical malpractice trial nearly two […]
Read MoreInability to manage negative emotional and somatic stress is associated with opioid misuse in adults with chronic pain, according to a study published in the Journal of Pain. Previous research suggests those with chronic pain who misuse their opioids exhibit higher levels of distress in general, as well as heightened reactivity to that distress. Kathryn McHugh, […]
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