Publication date: Available online 10 May 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Viyayanand Nadella
A frustrated bean counter throws a hissy fit about healthcare and advocates for price controls instead. His gradualist approach is laughable. Apparently, doctors are not poor enough for his liking because too many students still want to do it. And yet they want people to do primary care and then not pay them. Price Controls Best Way to Cut Health Costs, Economists Say Market-based methods have been tried but don't seem to work www.medpagetoday.com
Current M3, considering anesthesia. I have a hunch I know the answer to this question, but just thought I'd confirm: Is it possible to have a practice geared towards Allergy/Pulm medicine after completing a CCM fellowship post-residency? I realize this is largely in the realm of IM, but was wondering if anyone has anecdotal examples.
This study aimed to evaluate the effect of preoperative carbohydrate oral (CHO) loading on the postoperative metabolic and inflammatory response, perioperative discomfort and surgical clinical outcomes in open colorectal surgery compared with a conventional fasting protocol.MethodsFifty patients were randomly allocated to either the intervention group (CHO), to receive preoperative oral carbohydrate supplementation, or the control group (FAST), to undergo preoperative fasting. Insulin resistance, insulin sensitivity, the Glasgow Prognostic Score (GPS) and IL-6 levels were analysed at 06 h on the day of surgery (T1), ...
Publication date: Available online 13 July 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Vijayanand Nadella
Conclusion: The anti-growth and anti-metastatic effects of lidocaine towards lung cancer cells. The anti-tumour properties of lidocaine may be partial via up-regulation of miR-539, which blocked EGFR signalling by directly binding with EGFR. PMID: 31299862 [PubMed - in process]
Will Physiatrists be next?
Authors: Quintão V, Malavazzi M, Vanzillotta P, Ortiz AC PMID: 31296389 [PubMed - as supplied by publisher]
ConclusionsMedian raphe cyst is an uncommon, mostly asymptomatic condition in young patients. The cyst may occur anywhere along the midline from glans to anus. The diagnosis is clinical with histological confirmation. Excision is the treatment of choice with minimal chance of recurrence.
Conclusion: Despite difficulties performing laparoscopic surgery in neonates, LEC was safe and feasible when intraperitoneal peak pressure was maintained under 10 mmHg and PaCO2 was closely monitored by a pediatric anesthesiologist. Compared with open excision, LEC provided improved cosmetic outcomes without severe complications. Prospective randomized studies with large numbers of patients are warranted. PMID: 31297349 [PubMed]
Authors: Eslick R, McLintock C Abstract Around 1 in 10 pregnant women will develop thrombocytopenia during an otherwise unremarkable pregnancy. While the most frequent cause is gestational thrombocytopenia, a benign clinical entity which typically induces a mild platelet fall in late pregnancy, a number of important pregnancy-specific causes must be excluded, particularly pre-eclampsia and its severe form hemolysis with elevated liver enzymes and low platelets (HELLP). For women who do not have an identifiable pregnancy-related cause of thrombocytopenia, an underlying medical condition should be considered. The mos...