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This is scary. By Rebecca Pifer Dive Brief: About 18% of U.S. hospitals are at risk of closure or performing weakly, according to a Morgan Stanley analysis of more than 6,000 facilities. The highest concentrations of “at-risk” facilities are in Texas, Oklahoma, Louisiana, Kansas, Tennessee and Pennsylvania. Morgan Stanley determined 8% (about 450 hospitals) as at risk […]
Read MorePostoperative pain management that combines a reduction in opioid medications with the use of intravenous acetaminophen (IV APAP) may shorten hospital length of stay, reduce the rate of complications related to opioids, and lower related costs, according to a study in Advances in Therapy. Investigators retrospectively evaluated de-identified data from 2,238,433 inpatient encounters across 297 hospitals during […]
Read MoreASA Monitor 9 2018, Vol.82, 26-27. Authors: Evan G. Pivalizza, M.B.Ch.B., FFASA et al Key Points: ■ Retrospective evidence exists for successful use of whole blood (WB) in military scenarios. ■ Early reports of civilian center experience with WB are encouraging. ■ Implementation of a WB program requires education, coordination between stakeholders and compliance with […]
Read MoreThe University of Michigan Health System has agreed to pay the United States $4.3 million as part of a settlement resolving allegations that it violated certain provisions of the Controlled Substances Act. The United States Attorney’s Office for the Eastern District of Michigan announced the settlement Thursday, Aug. 30. The settlement resulted from a years-long Drug Enforcement Administration […]
Read MoreAUTHORS: Matthias Behrends, M.D. et al Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to […]
Read MoreAuthors: Marra, Annachiara, MD, PhD et al Critical Care Medicine: September 2018 – Volume 46 – Issue 9 – p 1393–1401 Objectives: To describe the frequency of co-occurring newly acquired cognitive impairment, disability in activities of daily livings, and depression among survivors of a critical illness and to evaluate predictors of being free of post-intensive care syndromeproblems. Design: Prospective cohort study. Setting: Medical and surgical ICUs […]
Read MoreA particular type of gut bacteria strips away antigens from human blood and effectively makes it type-O. Written by PATRICK JOHNSTON Researchers at the University of B.C. think they may have found a way to transform a very common type of human blood — type-A — in the universally usable type-O negative. This would make […]
Read MoreThis one I wanted to share with readers because it is about their health but not anesthesia related. Patients deemed at low-risk for cardiovascular disease (CVD) but with LDL levels above 160 face increased mortality risks over the long term, a Circulation study suggests. Over 36,000 adults in Texas (median age, 42) with an estimated 10-year risk […]
Read MoreOn September 5 and 6, ASA President James Grant, M.D., M.B.A., FASA participated in a forum hosted by the National Academy of the Sciences, Engineering and Medicine in Washington, D.C., on “Medical Product Shortages during Disasters: Opportunities to Predict, Prevent, and Respond.” The forum arose from a request from the U.S. Department of Health and […]
Read MoreAuthors: Phi T. Ho, M.D., M.B.A. et al Anesthesiology 8 2018, Vol.129, 249-259. What We Already Know about This Topic: Prompt availability of dantrolene is important for treating malignant hyperthermia and has resulted in lowered mortality rates Maintaining a malignant hyperthermia cart and full treatment dose of dantrolene is expensive, particularly for locations with low incidence […]
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