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Authors: Raza D et al Acta Anaesthesiologica Scandinavica (May 2018) BACKGROUND Mallampati class has been shown to increase during labor. There are no prospective studies evaluating airway changes in hypertensive parturients during labor. The aim of our study was to observe the frequency of change in Mallampati class during labor in hypertensive compared to normotensive […]
Read MoreExposure to hyperoxia in the immediate post-intubation period after admission to the emergency department (ED) is associated with worse outcomes in mechanically ventilated patients, according to researchers. “We found that the unnecessary administration of excessive amounts of oxygen and resultant elevated levels of oxygen in the bloodstream were very common in the emergency department,” said […]
Read MoreAuthors: Christopher M Petrilli et al BMJ June 2018 Objective Several large studies have shown that improving the patient experience is associated with higher reported patient satisfaction, increased adherence to treatment and clinical outcomes. Whether physician attire can affect the patient experience—and how this influences satisfaction—is unknown. Therefore, we performed a national, cross-sectional study to examine […]
Read MoreUse of a continuous quality improvement (CQI) program indicates that the safety of rapid sequence intubation in emergency departments can be improved with basic data collection and targeted interventions. According to the investigators, the program enabled assessment of airway performance of emergency medicine residents and identification of airway issues. Interventions were introduced throughout the decade-long […]
Read MorePatients with a history of migraines are at increased risk for hospital readmission due to pain within 30 days. A database analysis concluded that migraineurs are more frequently readmitted for postoperative pain, headache and abdominal pain than their counterparts without migraines. “We are all familiar with the fact that unplanned hospital readmissions are of great […]
Read MoreaUTHORS: Mellor R et al. BMJ 2018 May 2. Hip function improvement was greater with education plus exercise than with corticosteroid injections. Lateral hip pain sometimes is called “greater trochanteric bursitis,” but the preferred term now is greater trochanteric pain syndrome (because this disorder usually is caused by gluteal tendinopathies, sometimes with adjacent bursitis). Although corticosteroids […]
Read MoreThe Old Kid on the Block ric S. Schwenk, MD Associate Professor of Anesthesiology Director of Orthopedic Anesthesia Sidney Kimmel Medical College Thomas Jefferson University Philadelphia, Pennsylvania Virtually anyone in health care who treats patients has witnessed the devastating effects that the current opioid epidemic has had on our communities. Patients who present with substance […]
Read MoreWhen it comes to safety, neuraxial anesthesia enjoys a slight upper hand over general anesthesia as a primary anesthetic technique in noncardiac surgery. A large database analysis concluded that adults receiving neuraxial anesthesia are more likely to be discharged earlier, have significantly less chance of developing venous thromboembolism (VTE), and have lower odds of 30-day […]
Read MoreA study has identified the top three surgical procedures in which high percentages of patients are discharged with prescriptions for more than 60 mg of oral morphine equivalents per day, and found that one of the procedures was surprising: cesarean delivery. Physicians can help control the current high opioid death rate in the United States […]
Read MoreThe FDA in conjunction with other organizations, including the Joint Commission, released new recommendations to ensure that all health care professionals are aware of the risk factors leading to surgical fires. By focusing on prevention of the “fire triangle”—the oxidizer, ignition source and fuel source—the FDA hopes to reduce the frequency of surgical fires and ensure that […]
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