-
-
Call more information
660-596-2224 -
DG Journal Club AUTHORS: Qingyang Li, Xifeng Zhang et al. Int J Clin Pract. 2021 Mar 20 INTRODUCTION Regional anesthesia might moderate the risk of persistent post-surgical pain, but its effect compared to systemic analgesia is still conflicting. This meta-analysis study was performed to assess the relationship between the efficiency of regional anesthesia versus systemic […]
Read MoreAUTHORS: Cobert, Julien MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 512-523 BACKGROUND: Anesthesiologists caring for patients with do-not-resuscitate (DNR) orders may have ethical concerns because of their resuscitative wishes and may have clinical concerns because of their known increased risk of morbidity/mortality. Patient heterogeneity and/or emphasis on […]
Read MoreBy Amy Orciari Herman NEJM Journal Watch Total knee replacement appears to be cost-effective for adults with morbid obesity and knee osteoarthritis (OA), an Annals of Internal Medicine study finds. Researchers used a microsimulation model to assess the cost-effectiveness of total knee replacement in adults aged 50-65 or 66 and older with a body-mass index of 40 […]
Read MoreDG Alerts Coronavirus disease 2019 (COVID-19) mRNA vaccines generated “robust” humoral immunity in pregnant and lactating women, with immunogenicity and reactogenicity similar to that observed in non-pregnant women. In addition, immune transfer to neonates was found to occur via placenta and breastmilk, according to study data published in the American Journal of Obstetrics and Gynecology. These […]
Read MoreDG Journal Club AUTHORS: Jae Hwa Yoo, Si Young Ok et al. Medicine (Baltimore). 2021 Mar 26; 100(12): e25235 BACKGROUND This study aimed to evaluate the efficacy of peri-induction forced air warming to prevent inadvertent perioperative hypothermia, defined as a reduction in body temperature to<36.0°C during the perioperative period, in intraoperatively warmed patients receiving major […]
Read MoreAuthor: Tony Mira F1rstNews The Centers for Medicare and Medicaid Services (CMS) released a Medicare Learning Network (MLN) article on April 1 concerning the Advanced and Accelerated Payment Program (AAPP). As our readers will recall, this was one of several programs the federal government made available to medical providers who were facing financial difficulty due […]
Read MoreAUTHORS: Lang, Shih-Shan MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 493-499 BACKGROUND: Moyamoya disease is a condition with potentially devastating and permanent neurological sequelae. Adequate volume status and blood pressure, tight control of carbon dioxide to achieve normocarbia, and providing postoperative analgesia to prevent hyperventilation are typical […]
Read MoreAuthor: Karen Fusion Anesthesia Solutions What is the Perioperative Surgical Home? The American Society of Anesthesiologists explains the Perioperative Surgical Home model where the patient’s experience of care is coordinated by a physician-led, interdisciplinary team. The expected metrics includes improved operational efficiencies, decreased resource utilization, a reduction in length of stay and readmission, and a decrease in […]
Read MoreNEJM Journal Watch Daniel D. Dressler, MD, MSc, MHM, FACP, reviewing China L et al. N Engl J Med 2021 Mar 4 A randomized trial demonstrated no benefit. Guidelines recommend intravenous (IV) albumin for patients with cirrhosis after large-volume paracentesis and for patients with spontaneous bacterial peritonitis or hepatorenal syndrome (Hepatology 2013; 57:165). In vitro data suggest albumin’s […]
Read MoreDG Journal Club Authors: Andrew Smith, Elise Laflamme et al. Am Fam Physician. 2021 Mar 15; 103(6): 355-364 A patient’s sense of empowerment and control is most predictive of maternal satisfaction with childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities for labor pain management should be explored as part of routine prenatal […]
Read More