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AUTHORS: Burns, Karen E. A. MD et al Critical Care Medicine 50(12):p 1689-1700, December 2022 OBJECTIVES: Few surveys have focused on physician moral distress, burnout, and professional fulfilment. We assessed physician wellness and coping during the COVID-19 pandemic. DESIGN: Cross-sectional survey using four validated instruments. SETTING: Sixty-two sites in Canada and the United States. SUBJECTS: Attending physicians (adult, […]
Read MoreDG Journal Club Authors: Jinzhuan Chen, Siyu Xie, Ying Chen, Ting Qiu Clin Interv Aging. 2022; 17 1539-1548 Objective Postoperative delirium (POD) seriously affects recovery of older persons, increasing their mortality rate after surgery. We aimed to evaluate preoperative oral saline administration on postoperative delirium in older persons undergoing spinal decompression. Design A randomised controlled […]
Read MoreAUTHORS: Milam, Adam J. MD, PhD et al Anesthesia & Analgesia November 04, 2022. BACKGROUND: Precision medicine aims to change treatment from a “one-size-fits-all” approach to customized therapies based on the individual patient. Applying a precision medicine approach to a heterogeneous condition, such as the cardiopulmonary bypass (CPB)–induced inflammatory response, first requires identification of homogeneous subgroups […]
Read MoreAUTHORS: Olmos, Andrea V. MD et al Anesthesia & Analgesia November 04, 2022. BACKGROUND: Volatile anesthetic consumption can be reduced by minimizing excessive fresh gas flows (FGFs). Currently, it is unknown whether decision support tools embedded within commercial electronic health record systems can be successfully adopted to achieve long-term reductions in FGF rates. The authors […]
Read MoreAuthor: Riz Hatton Becker’s ASC Review As elective procedures continue to shift to the ASC setting, the growth of surgery centers seems inevitable, but the movement is not without its challenges. Four healthcare leaders connected with Becker’s to answer, “What does 2023 have in store for the ASC industry?” Editor’s note: Responses have been lightly edited for […]
Read MoreWe often have patients that suffer from Rheumatoid Arthritis so I wanted to share it with our readers. Author: Goldenberg D. Pract Pain Manag. 2023 January/February;23(1). The most common extra-articular manifestations of rheumatoid arthritis involve the lungs and the heart. This article discusses the most important pulmonary and cardiac complications in individuals diagnosed with rheumatoid […]
Read MoreAuthor: Patsy Newitt Becker’s ASC Review Hospitals and health systems faced formidable margin declines in 2022 amid labor shortages, skyrocketing operating costs and declining inpatient volumes. Many hospitals are looking to ASCs and outpatient surgery to offset these losses and boost revenue, particularly as surgery is increasingly migrating to the ASC setting. Mike Slubowski, president […]
Read MoreAuthor: Avery Hurt Practical Pain Management Jan 23 The World Health Organization describes stigma as “a mark of shame, disgrace, or disapproval that results in an individual being rejected, discriminated against, and excluded from participating in a number of different areas of society.”¹ Stigma can have very specific and detrimental effects when it is related […]
Read MoreAuthor: Clarisaa Brincat MedicalNewsToday Researchers assessed the causal relationship between different sleep disturbances — insomnia, short sleep duration, long sleep duration, and daytime sleepiness — and lower back pain. The findings suggest that insomnia could cause lower back pain and vice versa. This hypothesis needs to be supported by more studies with larger samples. Lower back […]
Read MoreNEJM Journal Watch David J. Amrol, MD New studies show that inhaled steroids plus albuterol can be used as a rescue therapy for patients with moderate-to-severe asthma. Use of intermittent inhaled corticosteroids (ICS) for asthma now is recommended widely, but its uptake in the U.S. has been slow. According to both international and U.S. guidelines, […]
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