Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for November 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.
U.S. Patients Highly Satisfied With Outpatient Medical Care
WEDNESDAY, Nov. 30 (HealthDay News) -- Patients in the United States are, in general, highly satisfied with their outpatient medical care, according to a study published online Oct. 3 in Health Outcomes Research in Medicine.
High-Performing Docs Learn Equally From Success, Failure
MONDAY, Nov. 28 (HealthDay News) -- Among physicians making decisions in a medically-framed learning task, high and low performers show distinct behavioral and neural patterns of learning, according to a study published online Nov. 23 in PLoS One.
Substance Abuse Health Programs Benefit Surgeons
FRIDAY, Nov. 25 (HealthDay News) -- Surgeons being monitored for diagnosed substance use disorders have similar outcomes to their non-surgeon counterparts, according to a study published in the November issue of the Archives of Surgery.
Black Patients Have Worse Diverticulitis Surgery Outcomes
TUESDAY, Nov. 22 (HealthDay News) -- Black patients who undergo surgery for diverticulitis have a higher risk of undergoing emergency procedures, and an increased mortality risk than white patients, according to a study published in the November issue of the Archives of Surgery.
Oliguria in Bariatric Surgery Not Tied to Intra-Op Fluids
TUESDAY, Nov. 22 (HealthDay News) -- Morbidly obese patients undergoing laparoscopic bariatric surgery have low urine output, irrespective of the intraoperative fluid volume administered, according to a study published online Nov. 21 in the Archives of Surgery.
BMI Predicts 30-Day Post-Surgery Mortality Risk
TUESDAY, Nov. 22 (HealthDay News) -- Body mass index (BMI) is a significant predictor of 30-day mortality after surgical procedures, irrespective of the type of surgery, according to a study published online Nov. 21 in the Archives of Surgery.
Adverse Effects of Pediatric Acupuncture Usually Mild
MONDAY, Nov. 21 (HealthDay News) -- The majority of adverse effects (AEs) associated with pediatric acupuncture are mild in severity, according to a review published online Nov. 21 in Pediatrics.
Nonpunitive Method Improves Medical Error Reporting
MONDAY, Nov. 21 (HealthDay News) -- Medical error reporting in an academic pediatric ambulatory practice can be improved by a voluntary, nonpunitive, error-reporting system, according to a study published online Nov. 21 in Pediatrics.
Patients Without Insurance Have Shorter Hospital Stays
TUESDAY, Nov. 15 (HealthDay News) -- Patients without Medicaid or any other insurance, with ambulatory care-sensitive conditions (ACSCs) or non-ACSCs, have shorter lengths of stay in hospitals than patients with insurance, according to a study published in the November/December issue of the Annals of Family Medicine.
Brain Hypoxia Tied to Poor Post-Traumatic Injury Outcome
FRIDAY, Nov. 11 (HealthDay News) -- Brain hypoxia (BH), or reduced brain oxygen (Pbto2), is independently associated with poor short-term outcomes in severe traumatic brain injury (TBI), according to a study published in the November issue of Neurosurgery.
FDA: Manufacturer Recalls Operating Room Tables
THURSDAY, Nov. 10 (HealthDay News) -- Mizuho OSI Modular Table Systems are the subject of a class I recall following reports of patient injury, according to a recall notice issued Nov. 9 by the U.S. Food and Drug Administration.
Glove Use Linked to Reduced Hand Hygiene Compliance
THURSDAY, Nov. 10 (HealthDay News) -- Glove usage among healthcare workers is often inappropriate, and hand hygiene compliance is worse when gloves are worn, according to a study published online Oct. 17 in Infection Control and Hospital Epidemiology.
Great Achievement at Young Age Function of Time, Not Field
MONDAY, Nov. 7 (HealthDay News) -- The frequency of great scientific achievements at young age is a function of time, and not related to the field, according to a study published online Nov. 7 in the Proceedings of the National Academy of Sciences.
Evidence Shows Robot-Assisted Cystectomy Safe, Effective
MONDAY, Nov. 7 (HealthDay News) -- Robotic-assisted radical cystectomy (RARC) appears to be a safe and effective alternative to open radical cystectomy (ORC) for management of muscle-invasive bladder cancer, according to a review published in the November issue of Urology.
Receptionists Contribute to Safety of Repeat Prescriptions
FRIDAY, Nov. 4 (HealthDay News) -- Receptionists and administrative staff of general practices in the United Kingdom make important contributions to quality and safety in repeat prescribing, which are often unknown to clinicians, according to a study published online Nov. 3 in BMJ.
Rooms of Patients With A. baumannii Often Contaminated
FRIDAY, Nov. 4 (HealthDay News) -- A considerable proportion of rooms of patients colonized or infected with multidrug-resistant Acinetobacter baumannii (A. baumannii) (MDR-AB) have surfaces which are positive for A. baumannii, even in patients with a remote history of infection, according to a study published in the November issue of the American Journal of Infection Control.
Graft Loss Higher With Kidneys Donated by Older Live Donors
THURSDAY, Nov. 3 (HealthDay News) -- For kidney recipients, graft loss is significantly higher when the live donor is age 70 years or older than when the live donor is aged 50 to 59 years, but is comparable to that from a deceased donor aged 50 to 59 years, according to a study published online Oct. 27 in the Clinical Journal of the American Society of Nephrology.
No Medicare Savings From Disease-Management Hotline
THURSDAY, Nov. 3 (HealthDay News) -- Commercial disease-management companies using nurse-based call centers modestly improve quality-of-care measures in Medicare fee-for-service programs with no evident reduction in costs of care or acute care utilization, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.
Risks for C. difficile Infection, Colonization Identified
THURSDAY, Nov. 3 (HealthDay News) -- Health care-associated Clostridium difficile (C. difficile) infection and colonization are differentially associated with defined host and pathogen variables, according to a study published in the Nov. 3 issue of the New England Journal of Medicine.
CDC: Opioid Overdoses Have Reached Epidemic Proportions
WEDNESDAY, Nov. 2 (HealthDay News) -- Opioid pain relievers (OPR) are involved in most drug overdose deaths; and OPR-related deaths, sales, and treatment admissions have increased in the last decade, according to a report published in the Nov. 1 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
Anesthesia Type Impacts Aortic Aneurysm Repair Outcome
TUESDAY, Nov. 1 (HealthDay News) -- Use of general anesthesia in endovascular repair of infrarenal abdominal aortic aneurysms (EVARs) is associated with an increase in pulmonary morbidity and length of stay (LOS) compared to spinal or local/monitored anesthesia care (local/MAC), according to a study published in the November issue of the Journal of Vascular Surgery.
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