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Who controls certification? Author: Robert E. Johnstone, MD Four decades ago, board certification was a mark of excellence, a goal for achievers and not a practice requirement. Certification designated an anesthesiologist with consultant-level knowledge and extraordinary capabilities. But times have changed. Many institutions and groups now require certification for clinician credentialing. No certification increasingly means […]
Read MorePublished in Interventions in Aging 10 1-11 (2015) Authors: Guerriero F et al PURPOSE Chronic pain is highly prevalent in older adults. Increasing evidence indicates strong opioids as a valid option for chronic pain management in geriatrics. The aim of this study was to evaluate efficacy and safety of low-dose oral prolonged-release oxycodone-naloxone (OXN-PR) in […]
Read MoreAuthors: Kristi T. Lopez, MD et al Published in South Med J. 2014;107(12):764-767. Abstract Objectives In advance of endoscopic procedures, an evaluation to assess the risk of sedation is performed by the gastroenterologist. Based on regulations, gastroenterologists are required to perform an airway assessment. At this time, data supporting this regulation are limited; therefore, we evaluated airway […]
Read MorePublished in Am J Perinatol. 2015 Jan;32(1):23-6. Authors: Keszler M et al BACKGROUND: Surgical closure of patent ductus arteriosus (PDA) is associated with adverse outcomes. Surgical exposure requires retraction of the lung, resulting in decreased aeration and compliance. Optimal respiratory support for PDA surgery is unknown. Experience with volume guarantee (VG) ventilation at our institution led […]
Read MorePublsihed in Int Surg. 2015 Apr;100(4):770-2. Authors: Fujita F et al To demonstrate whether reactive oxygen and free radical measuring are appropriate to evaluate short-term surgical stress after laparoscopic colectomy. The subjects consisted of 22 cases (laparoscopic surgery, 16; and laparotomy, 6) that underwent surgery for colon cancer. The reactive oxygen metabolites (ROM) value in the […]
Read MoreAuthors: Pinheiro de Almeida J et al., Anesthesiology 2015 Jan 122:29 A hemoglobin level of 9 g/dL was superior to 7 g/dL as a trigger for transfusion. Randomized trials have shown favorable outcomes with a restrictive red-cell transfusion strategy — that is, not transfusing until hemoglobin levels are <7 g/dL in general critical-care patients (NEJM JW Gen […]
Read MorePublished in Br J Clin Pharmacol. 2014 Dec 31 Authors: Ollier E et al AIM: The aim of this study was to develop a pharmacokinetic model in order to characterise the free and total ropivacaine concentrations after TAP block in a population of patients undergoing liver resection surgery. In particular, we evaluated the impact of the […]
Read MorePublished in Br J Clin Pharmacol. 2014 Dec 30. Authors: Mouly S et AIMS: Methadone is characterized by wide intersubject variability regarding the dose needed to obtain full therapeutic response. We assessed the influence of sociodemographic, ethnic, clinical, metabolic & genotype variables on methadone maintenance dose requirement in opioid-dependent responder patients. METHODS: Eighty-one stable patients (60 […]
Read MorePublished in N Engl J Med. 2015 Jan 15;372(3):241-8 Authors: Dart RC et al BACKGROUND: The use of prescription opioid medications has increased greatly in the United States during the past two decades; in 2010, there were 16,651 opioid-related deaths. In response, hundreds of federal, state, and local interventions have been implemented. We describe trends in […]
Read MorePublished in Nations Health. 2014;44(7) Author: Lindsey Wahowiak A new report documenting pain and its treatment in America shows that only 15 states are doing well in helping Americans in pain. With most states failing to adequately address the issue, pain remains a huge public health issue. “Achieving Balance in State Pain Policy: A Progress Report […]
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