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The Drug Enforcement Administration (DEA) has officially changed tramadol from a non-classified drug to a Schedule IV substance under the Controlled Substances Act, effective Aug. 18, 2014. This change was published in the Federal Register (2014;79:37624). Ever since the FDA approved tramadol for the management of chronic pain in 1995, there has been an ongoing […]
Read MoreA postoperative pneumonia prevention program for patients in the surgical ward nearly halved the incidence of the condition, California researchers have found. The program, at the VA Palo Alto Health Care System, emphasized ongoing education for nurses, pneumonia prevention, coughing and deep-breathing exercises with an incentive spirometer, twice-daily oral hygiene with chlorhexidine, walking and sitting […]
Read MoreThe worst moments in the operating room, according to surgeon David Earle, MD, are the quiet ones that settle in during intraoperative emergencies, when seconds drag on for minutes and minutes for hours. “Anyone involved in a surgical procedure knows those times, particularly when the patient is bleeding, the room is quiet, and the team […]
Read MoreThis is for our readers who treat cancer patients. Expanding the evidence that palliative care has measurable clinical benefits in cancer patients, a new randomized study has found that patients who receive palliative care starting soon after the cancer diagnosis have a reduced risk for death at one year compared with patients whose palliative care […]
Read MoreI wanted to share this with our readers so they can all be success in life not just their medical practice. There are all sorts of skills that can contribute to success. But these 4 are critical. Without them, you’ll never make it. Want to be successful? You have to start with you. So much […]
Read MoreAs another weapon in the war against drug abuse, doctors are being encouraged to prescribe the opioid antagonist naloxone when they first treat a patient with methadone or oxycodone. This recommendation was included in the new overdose “tool kit” released by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency of the US […]
Read MorePublished in J Clin Anesth. 2014 Sep;26(6):466-74 Authors: Lee JH et al STUDY OBJECTIVE: To investigate whether the type of anesthetic agent administered affects the antitussive effect of remifentanil. DESIGN: Prospective randomized study. SETTING: Operating room of a university hospital. PATIENTS: 78 ASA physical status 1 and 2 women, aged 20 to 65 years, who […]
Read MorePublished in J Clin Anesth. 2014 Sep;26(6):475-9 Authors: Joo J et al STUDY OBJECTIVES: To examine whether dexmedetomidine reduces the injection pain of propofol and rocuronium and to investigate whether the decrease in injection pain is associated with the known sedative action of dexmedetomidine. DESIGN: Randomized, double-blind, placebo-controlled clinical comparison study. INTERVENTIONS: Patients undergoing general […]
Read MoreI thought this was interesting so I wanted to share it with our readers who are in management. If you don’t learn to embrace the art of delegation, you won’t be able to build your business. The 70 percent rule gives you guidance on how to do it well. So when do you delegate a […]
Read MoreThe image of the opioid addict as a young person is fast becoming outdated, a new study suggests. Today, someone abusing opioids could be a working mom, or even a senior, a new review suggests. According to various sources, Americans aged 50 to 69 years represent the fastest growing population of opioid addicts, and the […]
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