Study Suggests Benefit For Beta Blockers During Noncardiac Surgery

The use of perioperative beta-blockade for noncardiac surgery has been declining as a result of the controversial POISE study, which turned up evidence for harm associated with extended-release metoprolol in this setting. Now a large new observational study published in JAMA offers a contrary perspective by suggesting that perioperative beta-blockade may be beneficial in low- to intermediate-risk patients. But without better evidence the debate about this topic is unlikely to be resolved. Martin London and colleagues performed a retrospective analysis of 136,745 patients who underwent noncardiac surgery at VA hospitals, 40% of whom received beta-blockade. More…
Source: CardioBrief - Category: Cardiology Authors: Tags: Interventional Cardiology & Surgery Prevention, Epidemiology & Outcomes beta blockers JAMA Observational study Source Type: blogs

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Source: Guardian Unlimited Science - Category: Science Authors: Tags: World news Coronavirus Science UK news Europe US news Source Type: news
GPA/sGPA: 3.8 MCAT: 522 (131/129/131/131) TX resident ORM Male TX public school, CS Major ~150 clinical, 150 non clinical volunteering ~600 hours research, 1 pub 1 poster. Doing full-time industry R&D program this summer so ~400 hrs more expected 50 hours FM/pediatrics shadowing TA and online CS instructor experience School scholarship and research awards FAP recipient I've been seeing lots of posts about high stat applicants having trouble this... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: What Are My Chances? WAMC Medical Source Type: forums
Hey there! My wife is interested in moving to Colorado to be near her sister after residency. We’re currently in Michigan. I’ve heard that Colorado is quite competitive to get into. Is there truth to this statement? Is it possible to break into the family medicine job market there?
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Source: Hernia - Category: Sports Medicine Source Type: research
A correction to this paper has been published: https://doi.org/10.1007/s10029-021-02414-8
Source: Hernia - Category: Sports Medicine Source Type: research
Source: Hernia - Category: Sports Medicine Source Type: research
Source: Hernia - Category: Sports Medicine Source Type: research
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionExplicit criteria for prioritization in the waiting lists may be the consumption of analgesics for patients with incisional/ventral hernia and frailty for patients with inguinal hernia. A reasonable approach seems to establish separate waiting lists for incisional/ventral hernia and inguinal hernia repair.
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionThe e-TEP-RS technique for large, complex, midline, ventral abdominal hernias can be used with excellent results and acceptable morbidity. This technique is technically challenging and should be mastered in relatively smaller ventral hernias to achieve good results before attempting it in larger, complex ones.
Source: Hernia - Category: Sports Medicine Source Type: research
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