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Authors: Warkentin TE et al., Blood 2014 Jun 5; 123:3651 New evidence supports the existence of a clinical syndrome closely resembling heparin-induced thrombocytopenia, but not provoked by heparin. The term “heparin-induced” is in quotes because the variety of heparin-induced thrombocytopenia (HIT) in the current study occurred in two patients not exposed to heparin. These patients […]
Read MoreI received this info from the ASA today so I wanted to share with our followers. On Thursday, July 3, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2015 Medicare physician fee schedule proposed rule. This proposed rule outlines proposed changes to policies and payment rates for services rendered on […]
Read MorePublished in J Clin Anesth. 2014 May;26(3):235-7 Authors: Samanta S et al Abstract Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema. Low-dose spinal […]
Read MorePublished in J Clin Anesth. 2014 May;26(3):222-6 Authors: Perov S et al STUDY OBJECTIVE: To evaluate two low-dose volumes (20 mL or 30 mL) of 1.5% mepivacaine solution used for ultrasound-guided axillary blockade for outpatients undergoing distal upper limb surgery. DESIGN: Prospective, double-blinded randomized study. SETTING: Outpatient surgical setting of a university-affiliated hospital. PATIENTS: 64 […]
Read MorePublished in BMJ. 2014 May 20;348:g3028 Authors: Donnino MW et OBJECTIVE: To determine if earlier administration of epinephrine (adrenaline) in patients with non-shockable cardiac arrest rhythms is associated with increased return of spontaneous circulation, survival, and neurologically intact survival. DESIGN: Post hoc analysis of prospectively collected data in a large multicenter registry of in-hospital cardiac […]
Read MorePublished in Acta Anaesthesiol Scand. 2014 Apr 29 Authors: Kambe N et al BACKGROUND: During perioperative fasting, lipid metabolism gradually increases, resulting in free fatty acids (FFA) and/or ketone bodies. Suppression of surgical stress by remifentanil may allow the safe administration of glucose infusions, avoiding both hyperglycemia and ketogenesis. The effects of glucose infusion on […]
Read MoreThe Senate today confirmed Sylvia Mathews Burwell as the next secretary of the US Department of Health and Human Services (HHS) in a 78 to 17 vote that shows how her job of implementing the Affordable Care Act (ACA) will not be easy. Although the vote was overwhelmingly in Burwell’s favor, she had received unanimous […]
Read MoreAdults with migraine have an increased risk for ischemic silent brain infarction relative to their migraine-free peers, a new study confirms. “Migraine is a neurovascular condition of the brain, with a small increased risk of silent brain infarctions, a risk factor for clinical stroke,” lead author Teshamae Monteith, MD, assistant professor of clinical neurology and […]
Read MoreAuthors: Bertrand OF et al., J Am Coll Cardiol 2014 May 13; 63:1842 No, according to a prospective study in which postprocedural concentration of thumb capillary lactate was used as the primary endpoint. To address ongoing controversy about whether Allen test results predict ischemic complications of transradial artery (TRA) catheterization, investigators conducted a prospective study […]
Read MoreAuthors: de Jong W-JJ et al., J Trauma Acute Care Surg 2014 May 76:1282 A Blunt Abdominal Trauma in Children score of greater than 6 had a sensitivity of 100% and specificity of 87% for intra-abdominal injury. Investigators retrospectively validated the Blunt Abdominal Trauma in Children (BATiC) score in children less than 18 years of […]
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