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Authors: Beatrice Beck-Schimmer, M.D. et al Anesthesiology 8 2016, Vol.125, 313-321. Background: One-lung ventilation during thoracic surgery is associated with hypoxia–reoxygenation injury in the deflated and subsequently reventilated lung. Numerous studies have reported volatile anesthesia–induced attenuation of inflammatory responses in such scenarios. If the effect also extends to clinical outcome is yet undetermined. We hypothesized that volatile […]
Read MoreAuthors: M. Stephen Melton, M.D. et al Anesthesiology 8 2016, Vol.125, 368-377 Background: Limited information exists on the effects of temporary functional deafferentation (TFD) on brain activity after peripheral nerve block (PNB) in healthy humans. Increasingly, resting-state functional connectivity (RSFC) is being used to study brain activity and organization. The purpose of this study was to test […]
Read MoreNeuraxial anesthesia (NA) appears to be associated with improved overall survival (OS) in patients undergoing surgery for tumor resection, particularly in those with colorectal cancer. According to a recent meta-analysis published in Oncotarget(2016;7:15262-15273), the authors identified a correlation between the use of NA and reduced risk for cancer recurrence. The authors found significantly improved OS and […]
Read MoreFluid Management Strategy for Thoracic Surgery: The optimal range of fluid administration in patients undergoing lung resection surgery has been a controversial topic in anesthesia. There are hazards at both ends of the spectrum: Liberal over-hydration can lead to fluid-induced lung injury, while conservative fluid-management strategies have a risk for organ ischemia. According to a […]
Read MoreThe value of the services that anesthesiologists provide is being examined more closely than ever. Indeed, determining the true value of regional anesthesia can only be done within the context of its many costs, most of which are not monetary. “‘Value’ is the name of the game in medicine these days,” said Brian E. Harrington, […]
Read MoreClinical Radiology (Jul 2016) AUTHORS: O’Reilly M et al AIM To explore the morphology of neuromas and to determine the differences, if any, between asymptomatic and symptomatic neuromas using ultrasound. MATERIALS AND METHODS Eighty patients with symptomatic neuromas were included in this retrospective review. High-resolution ultrasound examination was performed. Transducer pressure allowed real-time analysis of […]
Read MoreBecause traumatically injured patients with early-onset ventilator-associated pneumonia (VAP) are more likely to be sensitive to narrow-spectrum antibiotics than those with late VAP, empirical treatment of early VAP with narrow-spectrum antibiotics is a reasonable choice, a study has found. The results also concluded that broad-spectrum antibiotics should continue to be standard empirical therapy for late […]
Read MoreTransfusion of higher ratios of fresh frozen plasma (FFP) platelets to red blood cells (RBC) may be associated with decreased mortality in cardiac surgery patients with massive intraoperative hemorrhage, a study has found. According to the researchers, the results point to optimal management that includes aggressive, early hemostatic resuscitation followed by aggressive volume removal. “When […]
Read MoreCESAR PADILLA, MD | PHYSICIAN | JULY 12, 2016 KevinMD.com There’s a lot of fear and anxiety about the job market with recent medical school graduates. The 2008 crisis almost collapsed the housing market and many of our large banks, prized institutions, and beacons of financial stability, dissolved overnight. If you combine these events with the […]
Read MoreReumatología Clinica (Jun 2016) AUTHORS: Hernández-Hernández M et al OBJECTIVES Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting diarthrodial joints, in which patients tend to perform less physical activity (PA) than recommended. This review focuses on the existing evidence about the relationship of PA and RA, specifically how the former influences joint inflammation, disability, […]
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