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Additional well-designed studies are warranted to further clarify the effectiveness of nonpharmacologic techniques on maternal pain relief and fetal outcomes. However, women who wish to use nonpharmacologic techniques during labor should be supported by all her providers including the anesthesiologist. At present, none of the techniques discussed have strong scientific evidence for their benefit but […]
Read MoreAuthors: Schur M et al Journal of Pediatric Orthopaedics 38 (9), 450-454 (Oct 2018) BACKGROUND Intraoperative hypothermia may be associated with increased blood loss due to the effects of temperature on clotting but this has not been evaluated in the setting of pediatric posterior spinal fusion (PSF). The purpose of this study was to determine […]
Read MoreAuthors: Luo T et al Respiratory Care (Sep 2018) BACKGROUND Tracheobronchopathia osteochondroplastica (TO) consists of benign lesions of tracheal and bronchial mucosa with multiple nodular hyperplasia of bone or cartilage protruding into the lumen. METHODS We diagnosed 73 subjects with TO with the use of bronchoscopy in the Department of Respiratory and Critical Care Medicine […]
Read MoreAuthors: Mouri H et al Respiratory Care (Aug 2018) BACKGROUND Exacerbation of idiopathic interstitial pneumonias (IIPs) requiring mechanical ventilation is associated with high mortality. However, evidence for the optimal management strategy in patients on mechanical ventilation for exacerbation of IIPs is scarce. This study aimed to evaluate the association between continuous rocuronium infusion and in-hospital […]
Read MorePregabalin (Lyrica) is not effective in controlling the chronic pain that sometimes develops following traumatic nerve injury, according to a study published in the Journal of Neurology. The results of the international study, which was driven by an effort to identify effective non-opioid pain medications, did show potential in relieving in pain that sometimes lingers after […]
Read MoreTwo separate studies on Monday report successes with epidural electrical stimulation in helping paralyzed patients regain the ability to walk. As reported in the New England Journal of Medicine, researchers enrolled four patients who experienced spinal cord injuries roughly 3 years earlier. The patients had no motor abilities below the level of their injuries; two of […]
Read MoreAn estimated 80,000 Americans died of flu and its complications last winter — the disease’s highest death toll in at least four decades. The director of the Centers for Disease Control and Prevention, Dr. Robert Redfield, revealed the total in an interview Tuesday night with The Associated Press. Flu experts knew it was a very […]
Read MoreAuthors: Sérgio M. Pereira, M.D. et al Anesthesiology published September 2018. What We Already Know about This Topic: In patients with adult respiratory distress syndrome, physiologic tidal volume and positive end-expiratory pressure (PEEP) are protective In patients without lung diseases undergoing mechanical ventilation under general anesthesia, optimal PEEP is unknown What This Article Tells Us That […]
Read MoreAntibiotic therapy alone appears to be feasible for the initial treatment of uncomplicated appendicitis in adults, according to longer-term follow-up from the APPAC trial, published in JAMA. Roughly 530 adults with uncomplicated acute appendicitis confirmed on computed tomography were randomized to appendectomy or antibiotics. The latter entailed intravenous ertapenem for 3 days, followed by oral levofloxacin […]
Read MoreAuthor: Ingrid Stiver Senior Manager, PwC Health Research Institute, PwC US August 29, 2018 PwC’s Health Research Institute (HRI) projects a 6 percent medical cost trend in 2019, consistent with the 5.5-7 percent range of the previous five years. But employers continue to struggle to contain their employee coverage costs. Medical costs continue to grow, yet the […]
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