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Authors: Miner JR et al., Ann Emerg Med 2014 Oct 15; In a randomized trial, three drug regimens for procedural sedation were equivalent, but the analysis was flawed. For procedural sedation, the advantage of propofol is its short duration; its disadvantage is dose-related respiratory suppression. The advantage of ketamine is absence of respiratory suppression; its […]
Read MoreThis is for our anesthesia providers who also perform critical care medicine. Authors: Funk D et al., Crit Care Med 2014 Nov 42:2333 In an observational study, steroid therapy was associated with lower mortality in the sickest patients. The most recent Surviving Sepsis Guidelines (Crit Care Med 2013; 41:580) suggest that steroids (200 mg hydrocortisone […]
Read MoreThe most common factors for unplanned admission following outpatient laparoscopic cholecystectomy are surgical observations, pain, and postoperative and post-discharge nausea and vomiting (PONV), according to results of a retrospective study. Careful selection of patients, increased use of anaesthesia techniques, and more aggressive pain control may help to reduce these admissions, stated lead author Deepak Subramanian, […]
Read MoreUltrasound-guided supraclavicular block for upper extremity surgery has a high degree of analgaesic efficacy postoperatively, according to the results of a retrospective. Supraclavicular block using ultrasound-guided technique successfully controlled 4-hour postoperative pain in 94% of procedures evaluated in this study of the records of 259 patients, noted lead author and anaesthesiologist Warren J. Choi, MD, […]
Read MoreSevoflurane is associated with a higher incidence of complications than propofol in paediatric patients undergoing sedation (13.46% vs 7.03%), according to results of a cohort. While procedure and recovery times were similar for both the sevoflurane and propofol groups, the duration of anaesthesia time was significantly shorter in the propofol group (56.6 ± 41.6 vs […]
Read MoreOral oxycodone could be an important analgaesic agent for the management of postoperative pain in hospitalised patients with moderate to severe pain ( greater than 40 mm on the visual analog scale [VAS]), according to results of a double-blind study. When oxycodone hydrochloride capsules and morphine sulfate tablets were compared at a dose ratio of […]
Read MoreA novel, noninvasive neurostimulator targeting the vagus nerve improves on treatment of chronic cluster headaches over the current standard of care, according to a new study. “Patients who used this device for 6 minutes, two times per day had the number of cluster headache attached reduced by 40% per week,” said lead author Eric J. […]
Read MoreThe cost reductions and improved efficiencies afforded by the new healthcare EFT standards could save providers up to $4.5 billion. A new healthcare electronic funds transfer (EFT) standard went into effect at the beginning of 2014, and many healthcare professionals are reaping the benefits of time and money saved. For example, —Performance Pediatrics, a small […]
Read MoreChris Van Gorder, CEO of Scripps Health, has been a remarkable leader for the San Diego-based, five-hospital system. After joining the system in 2000, at a time when the medical staff had voted no confidence in the previous administration and the system was losing millions, Chris led its remarkable $150 million turnaround. And he did […]
Read MoreInsurers play a huge role in the professional lives of physicians but working together isn’t always easy, according to the Medscape Insurer Ratings Report 2014. When asked to rate insurers on overall performance on a scale of one to five, physicians rated only four insurers “above average” with a score of more than three. The […]
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