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Authors: Karim Bouattour, M.D. et al Anesthesiology 4 2019, Vol.130, 541-549. What We Already Know about This Topic: Whether sublingual microcirculation reflects systemic preload remains unknown What This Article Tells Us That Is New: Thirty-two preload dependent episodes were identified in 17 patients Episodes were accompanied by reduced arterial pressure and stroke volume, along with reduced […]
Read MoreI can’t believe how stupid some providers are so wanted to share in case a reader was hypoxic or hypoglycemic and was thinking about doing this………….. A Kansas physician was sentenced to life in prison on March 8 after he was convicted of selling opioid prescriptions to patients without a legitimate medical reason, according to […]
Read MoreI thought this was great news so I wanted to share. The FDA has approved the use of atezolizumab (Tecentriq) to treat unresectable locally advanced or metastatic triple-negative breast cancer in tumors expressing PD-L1. The immunotherapy had been previously approved for urothelial cancer and non-small cell lung cancer. Atezolizumab is approved for use with paclitaxel […]
Read MoreAuthors: Inès Bendib, M.D. et al Anesthesiology 4 2019, Vol.130, 581-591. What We Already Know about This Topic: Neutrophil extracellular traps are increasingly recognized as pathogenic in acute injury, but their role in sepsis-related acute respiratory distress syndrome is unknown What This Article Tells Us That Is New: In 35 patients with acute respiratory distress syndrome […]
Read MoreEditorial Author: G. Alec Rooke, M.D., Ph.D. Anesthesiology 4 2019, Vol.130, 523-525. “There are two options to disable therapy [implantable cardioverter defibrillators]: place a magnet or reprogram the device. Both have their drawbacks.” Most anesthesiologists understand that electromagnetic interference from monopolar electrosurgery may adversely impact the normal functioning of cardiovascular implantable electrical devices, including pacemakers […]
Read MoreAuthors: Alberto Coustasse, DrPH, MD, MBA, MPH et al JAMA Netw Open. 2018;1(7) The Centers for Medicare & Medicaid Services (CMS) defines fraud as making false statements to obtain benefit or payment for which no entitlement would otherwise exist. Medicare and Medicaid fraud was estimated in 2014 to range from $82 billion to $272 billion and […]
Read MoreAuthors: Ashraf S. Habib, M.B., B.Ch. et al Anesthesiology 2 2019, Vol.130, 203-212. What We Already Know about This Topic: Although antiemetics are commonly used to prevent postoperative nausea or vomiting, the failure rate is appreciable and there is little evidence to guide best therapy for rescue treatment after failed prophylaxis What This Article Tells Us […]
Read MoreAuthors: Anthony G. Doufas, M.D., Ph.D. et al Anesthesiology 2 2019, Vol.130, 213-226. What We Already Know about This Topic: Patients with obstructive sleep apnea are often said to have increased sensitivity to opioid-induced ventilatory depression What This Article Tells Us That Is New: The hypothesis that patients with moderate-to-severe obstructive sleep apnea are more sensitive […]
Read MoreI can’t believe this…………. A patient’s family was upset to learn over video that their grandfather was dying at Kaiser Permanente Medical Center in Fremont, Calif., according to a report from local Fox affiliate KTVU. A nurse told the patient, 79-year-old Ernest Quintana, and his granddaughter, Annalisia Wilharm, a physician would make rounds. Instead, a physician called in […]
Read MoreAuthors: Peter M. Schulman, M.D. et al Anesthesiology 4 2019, Vol.130, 530-540. What We Already Know about This Topic: Electromagnetic interference from monopolar electrosurgery may disrupt implantable cardioverter defibrillators. Current management recommendations by the American Society of Anesthesiologists and Heart Rhythm Society are based on expert clinical opinion since there is a paucity of data regarding […]
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