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CDC Skin pigmentation may affect the accuracy of pulse oximetry, according to the CDC. In a study cited by the agency, pulse oximetry did not detect occult hypoxemia nearly three times as often in Black patients as white patients. In patients with suspected or confirmed COVID-19, clinicians should use other factors (e.g., high-risk conditions, symptoms) […]
Read MoreAUTHORS: Donovan, Anne L. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1911-1922 BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project […]
Read MoreAUTHORS: Thiele, Robert H. MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 442-455 BACKGROUND: Enhanced Recovery (ER) is a change management framework in which a multidisciplinary team of stakeholders utilizes evidence-based medicine to protocolize all aspects of a surgical care to allow more rapid return of function. […]
Read MoreAUTHORS: Trentino, Kevin M. MPH et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 344-352 BACKGROUND: In 2016, a preoperative clinic was implemented to screen, evaluate, and manage anemia and suboptimal iron stores at a major tertiary care medical center in Western Australia. Few studies compare the costs and […]
Read MoreDG Alerts Colchicine may reduce the need for supplemental oxygen therapy and the length of hospitalisation among patients with moderate-to-severe coronavirus disease 2019 (COVID-19), according to a small study published in RMD Open. From April 11 to August 30, 2020, a total of 72 patients were randomly assigned to receive either colchicine (n = 36) or […]
Read MoreAuthor: Michael Walter Cardiovascular Business News Even with numerous vaccines now being distributed, the COVID-19 pandemic continues to cause havoc for health systems all over the world. Numerous studies have confirmed that patients with cardiovascular disease face an especially high risk of serious COVID-related illness or even death, but when might a patient have a […]
Read MoreAUTHORS: Chang, Chun-Yu MD et al Anesthesia & Analgesia: October 2020 BACKGROUND: Whether propofol elicits a survival benefit over volatile anesthetics during cancer surgery remains inconclusive. The primary aim of this systematic review and meta-analysis is to compare the effects of propofol-based total intravenous anesthesia (TIVA) with any volatile anesthesia on long-term oncological outcomes. The […]
Read MoreAuthor: Tony Mira F1rstNews Summary For the last several years, Medicare has increasingly placed an emphasis on a pay-for-performance model of reimbursement. It began with various incentive programs, such as PQRS, and continues with today’s MIPS and alternative payment models (APMs). In the near future, new twists on this theme will emerge. Today’s article touches […]
Read MoreDG Journal Club AUTHORS M Domin, N Grimm et al. J Pain. 2021 Jan Temporomandibular pain (TMD) is a frequent symptom comprising pain around the mandibular jaw with a high dependence on stressors. Chronic pain has been associated with changes of the brains grey matter volume (GMV), but previous studies on GMV alterations associated with […]
Read MoreDG Alerts Persons with hepatitis C virus (HCV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were more likely to be admitted to a hospital compared with a well matched group without HCV infection, according to a study published in Liver International. The hospitalisation rate also increased with higher fibrosis-4 (FIB-4) score. However, admission […]
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