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Authors: Grunau B et al. Ann Emerg Med 2019 Jun 24 A large observational study found that shorter intervals (<3 minutes) were associated with increased odds of survival with good neurologic function. Guidelines advise giving epinephrine every 3 to 5 minutes during cardiac arrest, but there is no evidence to support this dosing frequency. To study […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Adding IV ketorolac to epidural morphine reduces opioid requirements after cesarean delivery without increasing estimated blood loss or blood pressure, compared with baseline. “When it comes to ketorolac, there are a couple of main considerations that we hear from our obstetric colleagues,” said John J. Kowalczyk, MD, who is currently […]
Read MoreBY CHRISTOPHER CHENEY Health Leaders Researchers focus on six categories of waste: failure of care delivery, failure of care coordination, overtreatment or low-value care, pricing failure, fraud and abuse, and administrative complexity. KEY TAKEAWAYS This new research updates earlier estimates of wasteful spending that focus on six categories identified by the Institute of Medicine. In the […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Patients undergoing colorectal surgical procedures are by far the most likely to be enrolled in an adult enhanced recovery after surgery (ERAS) protocol in the United States, according to a survey. “Early ERAS efforts focused mainly on colorectal patients, but recently have expanded to other surgical specialties,” said presenting author […]
Read MoreAuthors: Molero Y et al. BMJ 2019 Jun 12 Multiple adverse behavioral and psychomotor associations are found with these drugs although the effects might be confined to pregabalin. Clinicians often prescribe gabapentin and pregabalin for pain, sleep, and anxiety symptoms, and some view these drugs as safe alternatives to benzodiazepines and opioids in, for example, patients […]
Read MoreAuthors: Bourdier S et al. Pediatr Emerg Care 2019 Jun 6 Although the Buzzy device was less effective for pain control than an EMLA patch, it works much faster, so don’t throw the “buzzy” out with the bathwater. Researchers compared pain scores during IV placement and venipuncture between children randomized to treatment with an EMLA patch […]
Read MoreAuthor: Stephen Richardson, MD and Ratan K. Banik, MD, PhD Anesthesiology News Abstract We report profound lip and tongue swelling and hypotension in a 71-year-old woman after anesthesia induction. There was no bronchospasm, urticaria, or rash, so anaphylaxis was not initially suspected. She was treated with phenylephrine, ephedrine and boluses of fluid. When hypotension was […]
Read MoreAuthor: Monica J. Smith Anesthesiology News Length of Stay, Complications Decrease for Most Surgical Lines Expanding enhanced recovery after surgery (ERAS) protocols to surgical service lines beyond colorectal surgery can have a positive impact on patient outcomes, hospital length of stay and the hospital’s bottom line, according to an evaluation of one center’s rapid expansion […]
Read MoreAuthor: Maia Anderson Becker’s Hospital Review The number of patients who need costly specialty drugs is sharply increasing, according to a recent study by Prime Therapeutics. Specialty drugs that treat complex conditions, such as cancer, can cost between $500,000 and $2 million. These drugs now make up more than 50 percent of total drug spending, according to […]
Read MoreAUTHOR: F, Olivi A et al European Spine Journal (Jun 2019) PURPOSE Whiplash injury (WI) represents a common diagnosis at every emergency department. Several investigations have been conducted to compare the different medical managements for non-surgical cases. However, the role of the immobilization with a non-rigid cervical collar (nRCC) for pain management and range of […]
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