August 2011 Briefing - AnesthesiologyLast Updated: September 01, 2011.
Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for August 2011. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Increasing BMI Ups Atonic Uterus Hemorrhage Risk
TUESDAY, Aug. 30 (HealthDay News) -- The risk of postpartum atonic uterus hemorrhage increases with increasing maternal body mass index (BMI), but there is no correlation between obesity and postpartum hemorrhage with retained placenta, according to a study published in the September issue of Obstetrics & Gynecology.
High Demand, But Minority of Ob-Gyns Provide Abortions
FRIDAY, Aug. 26 (HealthDay News) -- In the United States, 97 percent of practicing obstetrician-gynecologists (ob-gyns) encounter patients seeking abortions, but only 14 percent perform abortions, according to a study published in the September issue of Obstetrics & Gynecology.
ACOG Guidelines Issued for Thromboembolism in Pregnancy
FRIDAY, Aug. 26 (HealthDay News) -- Pregnant women are at an increased risk of venous thromboembolism, which can be prevented, diagnosed, and managed according to clinical guidelines published in the September issue of Obstetrics and Gynecology.
Complementary Medicine Used More by Health Care Workers
FRIDAY, Aug. 26 (HealthDay News) -- U.S. health care workers, especially health care providers, are more likely to use complementary and alternative medicine (CAM) than the general, employed U.S. population, according to a study published online Aug. 22 in Health Services Research.
Pharmaceutical Ads Often Don't Adhere to U.S. FDA Guidelines
THURSDAY, Aug. 25 (HealthDay News) -- Physician-targeting pharmaceutical advertisements have low rates of adherence to U.S. Food and Drug Administration (FDA) guidelines and provide inadequate information for safe prescribing, according to a study published online Aug. 17 in PLoS One.
Pre-Surgery Factor VIII in Hemophilia A Ups Inhibitor Risk
FRIDAY, Aug. 19 (HealthDay News) -- Patients with hemophilia A treated with intensive factor VIII (FVIII) treatment for surgery at first exposure are at an increased risk of developing inhibiting antibodies toward FVIII (inhibitors), as compared to those treated for bleeding and given prophylactic FVIII, according to a review published online Aug. 12 in the Journal of Thrombosis and Haemostasis.
CDC: 2010/2011 Flu Vaccination Coverage Studied
THURSDAY, Aug. 18 (HealthDay News) -- Influenza vaccination coverage among health care personnel (HCP) and pregnant women in the 2010/2011 influenza season was similar to coverage for the 2009/2010 season, according to two reports in the Aug. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
High Cumulative Malpractice Risk for All Physicians
THURSDAY, Aug. 18 (HealthDay News) -- Physicians in all specialties have a high cumulative risk of facing a malpractice claim by age 65; although most claims do not lead to indemnity payments, according to a study published in the Aug. 18 issue of the New England Journal of Medicine.
Bispectral Index Guided Anesthesia Not Superior
WEDNESDAY, Aug. 17 (HealthDay News) -- Intraoperative anesthesia guided by a protocol incorporating the electroencephalogram derived bispectral index (BIS) is not superior to a protocol incorporating standard monitoring of end-tidal anesthetic-agent concentration (ETAC) for the prevention of intraoperative awareness, according to a study published in the Aug. 18 issue of the New England Journal of Medicine.
Coronary Stents and Peri-Op Antiplatelet Drug Use Reviewed
TUESDAY, Aug. 16 (HealthDay News) -- In patients on dual antiplatelet therapy (DAPT) undergoing non-cardiac surgery (NCS) within one year of coronary stenting, APT withdrawal should be decided after assessing the risk of perioperative bleeding and cardiac ischemic events, particularly stent thrombosis (ST), according to a review published online Aug. 5 in the Journal of Thrombosis & Haemostatis.
Cost of Interacting With Payers Higher in U.S. Than Canada
FRIDAY, Aug. 5 (HealthDay News) -- Physician practices in the United States spend considerably more on interactions with health plans than Canadian practices, according to a study published in the August issue of Health Affairs.
Hyperspectral Imaging Assesses Intra-Op Hemoglobin Saturation
FRIDAY, Aug. 5 (HealthDay News) -- DLP Hyperspectral imaging (HSI) serves as a fast, noninvasive method to assess renal hemoglobin saturation parameters intraoperatively, according to a study published in the August issue of The Journal of Urology.
FDA: GEM Premier 4000 PAK Cartridges Recalled
MONDAY, Aug. 1 (HealthDay News) -- The U.S. Food and Drug Administration has notified health care professionals and patients that the GEM Premier 4000 PAK Cartridges for use on the GEM Premier 4000 System have been recalled, as test results may lead to inappropriate patient treatment and may cause serious adverse effects, including death.
Infrastructure Tied to Most U.K. Obesity-Related Safety Events
MONDAY, Aug. 1 (HealthDay News) -- The majority of obesity-associated safety incidents reported to the United Kingdom's National Patient Safety Agency (NPSA) are related to infrastructure, and are classified as low or no harm, according to a study published online July 25 in the Postgraduate Medical Journal.