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Published in J Neurosurg Anesthesiol. 2014 Oct;26(4):369-76 Authors: Davis N et al Abstract The effect of anesthetic technique on postoperative outcomes remains in question. This systematic review compares the role of regional versus general anesthesia, with a particular focus on postoperative cognitive function. Potentially relevant articles were identified by searching publicly available computerized databases for […]
Read MorePublished in J Neurosurg Anesthesiol. 2014 Aug 20 Authors: Hertle DN et al BACKGROUND: Disturbed brain metabolism is a signature of primary damage and/or precipitates secondary injury processes after severe brain injury. Sedatives and analgesics target electrophysiological functioning and are as such well-known modulators of brain energy metabolism. Still unclear, however, is how sedatives impact […]
Read MoreAuthors: Gialdini G et al., JAMA 2014 Aug 13; 312:616 Usually considered secondary to the stress of surgery, perioperative AF was associated with elevated risk for ischemic stroke 1 year later. Perioperative atrial fibrillation (AF) is common in cardiac surgery and is also seen in noncardiac surgery. Because AF is thought to be secondary to […]
Read MoreWorking alongside difficult people can be hard enough. But managing someone with whom you have a personality clash can cause major tension. Experienced managers know how to separate emotions from the work at hand when dealing with employees. Rather than dwelling on an employee’s negative personality traits, smart managers focus on tasks, projects and results. […]
Read MorePublished in JAMA. 2014 Aug 27;312(8):825-36 Authors: Makris UE et al IMPORTANCE: Persistent pain is highly prevalent, costly, and frequently disabling in later life. OBJECTIVE: To describe barriers to the management of persistent pain among older adults, summarize current management approaches, including pharmacologic and nonpharmacologic modalities; present rehabilitative approaches; and highlight aspects of the patient-physician […]
Read MoreAuthors: Aulagnier J et al., Published in Acad Emerg Med 2014 Aug 21:858 In a randomized trial, the AccuVein transillumination device did not improve the speed, success rate, or discomfort of peripheral intravenous cannulation. Ultrasound has been shown to be effective in reducing time needed to obtain IV access (NEJM JW Emerg Med Jan 4 […]
Read MoreI wanted to share this since most of our readers practice in a hospital setting. Hospital CEOs should focus less on talking about an organization’s culture and more on the elements that make up a hospital’s culture, such as mindset, methods, strategies and structures, former physician John Kenagy, M.D., founder of Kenagy & Associates said. […]
Read MoreThe Joint Commission is taking a proactive approach to reducing the potential for accidental medical tubing misconnections when new tubing connectors are introduced beginning in October 2014. In a Sentinel Event Alert issued August 20, titled “Managing risk during transition to new ISO International Organization for Standardization tubing connector standards,” the commission says the risk […]
Read MoreUsing a femoral nerve block in paediatric patients undergoing knee surgery leads to less opioid use and allows the majority of patients to go home within hours of surgery, according to a study published in the Journal of Pediatric Orthopedics. “Our goal with this technique is to reduce pain, which improves patient outcomes and patient […]
Read MoreA study published in the September issue of Anesthesiology found that a new therapeutic drug, GAL-021, may reverse or prevent respiratory depression in patients taking opioid medication without compromising pain relief or increasing sedation. “Although opioids such as oxycodone, methadone and fentanyl are commonly used to manage perioperative and postoperative pain, opioids are associated with […]
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