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Edited by Jaye Elizabeth Hefner, MD For patients with shoulder impingement syndrome, physical therapy and corticosteroid injections offer similar relief, but injections lead to more healthcare utilization, according to an Annals of Internal Medicine study. Some 100 adults with unilateral shoulder impingement syndrome at one military medical center were randomized to receive either subacromial injection […]
Read MorePublished in J Clin Anesth. 2014 Jun;26(4):309-14. Authors: Yao Y et al STUDY OBJECTIVE: To determine the effects of dexmedetomidine premedication on the minimum alveolar concentration of sevoflurane for tracheal intubation (MACTI) in children. DESIGN: Prospective, randomized, clinical comparison study. SETTING: Operating room of an academic hospital. PATIENTS: 90 pediatric, ASA physical status 1 patients, […]
Read MorePublished in Digestion. 2014 Jun 4;89(4):247-252 Authors: Muller M et al Background/Aims: Insertion of a nasopharyngeal airway (NPA) during endoscopic sedation is only recommended in the event of respiratory problems. We evaluated the safety and efficacy of routine insertion of an NPA during sedation in gastrointestinal (GI) endoscopy. Methods: Between July 2009 and April 2012, […]
Read MorePublished in J Bone Joint Surg Am. 2014 Jun 4;96(11):e89 Authors: Lee D et al BACKGROUND: Opioids are commonly used for preoperative pain management in patients undergoing spine surgery. The objective of this investigation was to assess whether preoperative opioid use predicts worse self-reported outcomes in patients undergoing spine surgery. METHODS: Five hundred and eighty-three […]
Read MorePublished in Dig Liver Dis. 2014 Aug;46(8):710-5. doi: 10.1016/j.dld.2014.04.007 Authors: Tae CH et al BACKGROUND: The incidence, risk factors and management strategy of paradoxical reaction to midazolam during endoscopy are yet to be clarified. METHODS: This single center prospective study included 4140 adult patients (2263 males, mean age of 57.7±12.6) undergoing endoscopy under sedation with […]
Read MoreAuthors: Leonard J. Paulozzi, MD et al Background: Overprescribing of opioid pain relievers (OPR) can result in multiple adverse health outcomes, including fatal overdoses. Interstate variation in rates of prescribing OPR and other prescription drugs prone to abuse, such as benzodiazepines, might indicate areas where prescribing patterns need further evaluation. Methods: CDC analyzed a commercial […]
Read MoreI thought this was interesting so I wanted to share it with our readers. Aetna’s company name is inspired by Mt.Etna — an 11,000-foot volcano on the eastern shores of Sicily — which was the most active volcano in Europe. Living up to its name, Aetna has become one of the nation’s largest insurance companies, […]
Read MoreAuthors: Janna L. Friedly, M.D et al A steroid-lidocaine combination is essentially no better than lidocaine alone for patients with symptomatic central lumbar spinal stenosis, according to a New England Journal of Medicine study. U.S. researchers randomized 400 patients with symptomatic stenosis to receive an epidural injection of either lidocaine alone or lidocaine plus a […]
Read MoreFathalla Mashali, MD, accused of bilking Medicare A New England anesthesiologist stands high above all others in Medicare’s recently released list of how much money it pays providers, and court records help explain why he posted Ruthian numbers in a league of mostly singles hitters. According to records the Centers for Medicare & Medicaid Services […]
Read MoreEvery leader is a coach to those who look to them for guidance. Your job as a leader is to be there when one of your employees are in a rut, but if you consistently offer them a gift-wrapped solution, those employees will forfeit their problem-solving skills in the process. Eventually, a new problem manifests […]
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