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The higher you rise up the corporate ladder, the more often you tackle tough issues. High-impact issues are thorny and complex. They require deep focus to unravel their ambiguity. They require time. But unfortunately, as the value of your strategic insight and expertise grows, so does the number of people who can lay legitimate claim […]
Read MorePublished in Eur Arch Otorhinolaryngol. 2014 Apr Authors: Haksever M et al., Abstract The objective of this study is to compare the topical administration of bupivacaine hydrochloride, saline and bupivacaine hydrochloride infiltration on post-tonsillectomy pain in children. Sixty children undergoing tonsillectomy were enrolled in the study. Patients were randomized into three groups using sealed […]
Read MorePublished in Paediatr Anaesth. 2014 Mar Authors: Coulter FL et al., Abstract BACKGROUND: Propofol mixed with racemic ketamine (or ‘ketofol’) is popular for short procedural sedation and analgesia. Use is creeping into anesthesia, yet neither the optimal combination nor infusion rate is known. The EC50 of propofol’s antiemetic effect is reported to be […]
Read MorePublished in Paediatr Anaesth. 2014 Mar 26 Authors: Sun Y et al., BACKGROUND: In the current published literature, there are controversial results regarding the effectiveness of dexmedetomidine compared with midazolam as premedication in children. The aim of this meta-analysis was to compare the use of dexmedetomidine as a premedication in pediatric patients with that […]
Read MorePublished in Spine (Phila Pa 1976). 2014 Apr 11 Authors: Lisi AJ et al., Abstract Study Design. This work compared administrative data obtained from Department of Veterans Affairs (VA) databases with structured chart review.Objective. We set out to determine whether a decision tool using administrative data could be used to discriminate acute from […]
Read MorePublished in Eur J Pain. 2014 Apr Authors: Kamboj SK et al., BACKGROUND: The effects of opioid medication on cognitive functioning in patients with cancer and non-cancer pain remain unclear. METHOD: In this mechanistic randomized, double-blind, placebo-controlled, cross-over study of patients (n = 20) receiving sustained-release and immediate-release opioid medication as part of their palliative care, we […]
Read MorePublished in Eur J Pain. 2014 Mar Authors: Jensen TS et al., BACKGROUND: Application of the capsaicin 8% patch is associated with treatment-related discomfort. Consequently, pretreatment for 60 min with anaesthetic cream is recommended; however, this may be uncomfortable and time consuming. METHODS: We conducted a multicentre, randomized (1:1), assessor-blinded study in patients with […]
Read MoreHealthcare CEO and NFL head coach are both high-pressure, high-visibility, results-driven, highly competitive, and well compensated occupations with high turnover rates. Think twice before you answer. By the time you read this, thousands of fans will have goosed the last Thursday night TV ratings and have found out who their favorite NFL team picked in […]
Read MoreAlthough commonly performed in patients undergoing ICD implantation, routine defibrillation testing may increase complications without producing any improvement in outcomes, according to presentation at the Heart Rhythm Society meeting in San Francisco. Researchers in the international SIMPLE trial randomized some 2500 patients to testing or no testing. By 3 years’ follow-up there was no difference […]
Read MoreA new frailty score derived from the comprehensive geriatric assessment may predict postoperative mortality in the elderly better than conventional methods, researchers conclude in JAMA Surgery. Nearly 300 patients aged 65 and older who were undergoing elective surgery at a single hospital were scored on nine preoperative characteristics: malignancy, comorbidities, albumin level, activities of daily […]
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