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I thought this was interesting so I wanted to share with our readers. By Meg Bryant Dive Brief: Rochester, Minnesota topped the list of healthiest cities in terms of access to care, quality hospitals and other measures in Healthgrades’ National Health Index of American cities, with Orlando, Florida, coming in last. Healthgrades’ analysis shows hospitals in close […]
Read MorePatients 65 and older undergoing surgery are at increased risk for developing perioperative neurocognitive disorders, including postoperative delirium (POD), with detrimental effects on their recovery. POD is the most common surgical complication in older adults, occurring in 5 to 50 percent of older adults after an operation, according to the American Geriatrics Society. It’s estimated […]
Read MoreAuthors: Waters, Janet F. R., MD, MBA et al Obstetrics & Gynecology: November 2018 – Volume 132 – Issue 5 – p 1180–1184 OBJECTIVE: To estimate whether vaginal delivery or neuraxial anesthesia poses a risk of neurologic deterioration in women with uncorrected Chiari I malformation. METHODS: To assemble this case series, electronic record databases were used to identify […]
Read MoreResearchers from the University of California at San Francisco (UCSF) have developed a novel therapeutic that can deliver oxygen specifically to under-oxygenated tissues, thereby restoring the contractile function of cardiac cells, which is heavily affected under hypoxic conditions. The study is published in the journal PLoS Biology. A new oxygen-delivery therapeutic restored the function of oxygen-starved heart tissue in an animal […]
Read MoreNeither typical nor atypical antipsychotics proved more effective than placebo in shortening the duration of delirium in intensive care units, according to a New England Journal of Medicine study presented at the European Society of Intensive Care Medicine’s Annual Congress. In the multicenter study, nearly 600 patients developing delirium in the ICU underwent randomization to intravenous doses […]
Read MoreThe IRIS Randomized Clinical Trial Authors: Aurélie Birenbaum, MD et al JAMA Surg. October 17, 2018. Question Does the cricoid pressure prevent pulmonary aspiration in patients undergoing rapid sequence induction of anesthesia? Findings In this randomized, noninferiority double-blind trial involving 3472 patients, the results failed to demonstrate the noninferiority of a sham procedure in preventing pulmonary aspiration compared with the cricoid […]
Read MoreErenumab helps prevent migraine in adults who haven’t responded to other preventive treatments, according to an industry-funded study in The Lancet. The monoclonal antibody targets calcitonin gene-related peptide; it was approved in May for migraine prevention. Roughly 250 adults with episodic migraine who’d been treated unsuccessfully with two to four preventives were randomized to receive two […]
Read MoreAuthors: Carspecken, Charles William, MD, MSc, MBA et al Journal of Neurosurgical Anesthesiology: October 2018 – Volume 30 – Issue 4 – p 305–313 Background: Although interest in ketamine use during electroconvulsive therapy (ECT) has increased, studies have been equivocal with regard to its efficacy. The aims of this clinical trial were to evaluate ketamine’s antidepressive effects in ECT as a primary […]
Read MoreAuthor: Arnoley S. Abcejo, MD; Jeffrey J. Pasternak, MD apsf Newsletter Vol 33 No. 2 Oct 2018 SUMMARY:Concussion and its short and long-term cognitive consequences have garnered much publicity over the past decade. Whereas multiple concussions may be associated with long-term cognitive consequences, a single concussion has been shown to cause significant neurophysiologic changes that […]
Read MoreAuthor: Meghan Lane-Fall, MD, MSHP In February 2018, the APSF Board of Directors voted on a series of perioperative patient safety topics to focus the Foundation’s attention on developing priorities for research, education, and practice innovations. This list follows a tradition dating back to 1999, the first time that the APSF published patient safety priorities.1 The […]
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