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Medical Errors Are The Third Leading Cause Of Death -- How You Can Avoid Them
It is astonishing that medical errors are the third leading cause of death in America. The most recent data indicates that 251,000 deaths are due to medical errors, a frightening number. Every person should be concerned about this. In 1999, the Institute of Medicine published that 98,000 deaths occurred annually due to medical errors. This was just an estimate and of course they suggested more studies to confirm this. Recently, investigators at Johns Hopkins Medical Center updated those 1999 figures. They reviewed 4 studies of patients from throughout America between 2000 and 2008, representing over 37 million admissions...
Source: Healthy Living - The Huffington Post - July 21, 2016 Category: Consumer Health News Source Type: news

Perioperative stroke
Conclusions Perioperative stroke carries a significant clinical burden. The incidence of perioperative stroke may be higher than previously recognized, and there are diverse pathophysiologic mechanisms. There are many opportunities for further investigation of the pathophysiology, prevention, and management of perioperative stroke.
Source: Canadian Journal of Anesthesia - January 20, 2016 Category: Anesthesiology Source Type: research

Preoperative evaluation and comprehensive risk assessment for children with Down syndrome
Summary Down syndrome is a common chromosome disorder affecting all body systems. This creates unique physiologic concerns that can affect safety during anesthesia and surgery. Little consensus exists, however, on the best way to evaluate children with Down syndrome in preparation for surgery. We review a number of salient topics affecting these children in the perioperative period, including cervical spine instability, cardiovascular abnormalities, pulmonary hypertension, upper airway obstruction, hematologic disturbances, prematurity, low birth weight, and the use of supplements and alternative therapies. Recommendations...
Source: Pediatric Anesthesia - January 12, 2016 Category: Anesthesiology Authors: Amy Feldman Lewanda, Andrew Matisoff, Mary Revenis, Ashraf Harahsheh, Craig Futterman, Gustavo Nino, Jay Greenberg, John S. Myseros, Kenneth N. Rosenbaum, Marshall Summar Tags: Special Interest Article (Review) Source Type: research

Preoperative evaluation and comprehensive risk assessment for children with Down syndrome.
Abstract Down syndrome is a common chromosome disorder affecting all body systems. This creates unique physiologic concerns that can affect safety during anesthesia and surgery. Little consensus exists, however, on the best way to evaluate children with Down syndrome in preparation for surgery. We review a number of salient topics affecting these children in the perioperative period, including cervical spine instability, cardiovascular abnormalities, pulmonary hypertension, upper airway obstruction, hematologic disturbances, prematurity, low birth weight, and the use of supplements and alternative therapies. Recom...
Source: Paediatric Anaesthesia - January 9, 2016 Category: Anesthesiology Authors: Lewanda AF, Matisoff A, Revenis M, Harahsheh A, Futterman C, Nino G, Greenberg J, Myseros JS, Rosenbaum KN, Summar M Tags: Paediatr Anaesth Source Type: research

In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Perioperative stroke.
CONCLUSIONS: Perioperative stroke carries a significant clinical burden. The incidence of perioperative stroke may be higher than previously recognized, and there are diverse pathophysiologic mechanisms. There are many opportunities for further investigation of the pathophysiology, prevention, and management of perioperative stroke. PMID: 26391795 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - September 21, 2015 Category: Anesthesiology Authors: Vlisides P, Mashour GA Tags: Can J Anaesth Source Type: research

Aspirin in the perioperative period: a review of the recent literature
Purpose of review: The indications for aspirin (ASA) for both primary and secondary prevention of thrombotic events continue to evolve. We review some of these indications and the recent literature regarding the perioperative administration of ASA. Recent findings: ASA for primary prevention of cardiac ischemia, stroke, cancer, and death remains controversial. When used for primary prevention, ASA may be safely discontinued perioperatively. Patients with coronary or carotid artery stents should continue to receive ASA perioperatively. For patients with ischemic heart disease currently receiving ASA for secondary prevention...
Source: Current Opinion in Anaesthesiology - May 1, 2015 Category: Anesthesiology Tags: ANESTHESIA AND MEDICAL DISEASE: Edited by Natalie F. Holt Source Type: research

Precision medicine is coming, but not anytime soon
President Obama’s announcement of a Precision Medicine Initiative was one of the few items in this year’s State of the Union address to garner bipartisan support. And for good reason. Precision medicine, also known as personalized medicine, offers the promise of health care — from prevention to diagnosis to treatment — based on your unique DNA profile. Who wouldn’t want that? We’ve already had a taste of precision medicine. Relatively low-tech therapies like eyeglasses, orthotic devices, allergy treatments, and blood transfusions have long been personalized for the individual. Genetic analysis o...
Source: New Harvard Health Information - March 26, 2015 Category: Consumer Health News Authors: Beverly Merz Tags: Health care personalized health care precision medicine Source Type: news

Fasting may not be required before percutaneous coronary intervention
Commentary on: Hamid T, Aleem Q, Lau Y, et al.. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61. Implications for practice and research The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting. Revision is needed of current fasting protocols. The findings of Hamid and colleagues must be confirmed by further randomised trials. Context PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are rou...
Source: Evidence-Based Nursing - March 19, 2015 Category: Nursing Authors: de Aguilar-Nascimento, J. E., Feguri, G. R. Tags: Adult nursing, Pneumonia (infectious disease), TB and other respiratory infections, Stroke, Diet, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research

PP-148 Pediatric Atrial Septal Defect Closure Under General Anesthesia
Atrial septal defects (ASD) are present in about 1 in 1,500 children at birth and account for 30% to 40% of congenital heart disease in adults. ASD closure is usually performed for the prevention of stroke or right ventricular volume overload and pulmonary hypertension. Current American Heart Association guidelines recommend closure of ASDs for right atrial or right ventricular enlargement, paradoxic embolism, documented orthodeoxiaplatypnea and pulmonary hypertension. ASD closure results in symptomatic improvement and reductions in right ventricular size and pulmonary arterial pressures at any age.
Source: The American Journal of Cardiology - March 12, 2015 Category: Cardiology Authors: Gökhan Özkan, Vedat Yıldırım, Mehmet Emın Ince, Suat Dogancı, Ayhan Kılıc Tags: Poster Abstract Source Type: research

Short-Term Results of Transapical Transcatheter Mitral Valve Implantation for Mitral Regurgitation
ConclusionsTransapical transcatheter mitral valve implantation is technically feasible and can be performed safely. Early hemodynamic performance of the prosthesis was excellent. Transcatheter mitral valve implantation may become an important treatment option for patients with severe MR who are at high operative risk.
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - October 20, 2014 Category: Cardiology Source Type: research

Perioperative morbidity and mortality after noncardiac surgery in young adults with congenital or early acquired heart disease: a retrospective cohort analysis of the national surgical quality improvement program database.
Abstract An increasing number of patients with congenital heart disease survive to adulthood. Expert opinion suggests that noncardiac surgery is a high-risk event, but few data describe perioperative outcomes in this population. Using the National Surgical Quality Improvement Program database, we identified a cohort of patients aged 18 to 39 years with prior heart surgery who underwent noncardiac surgery between 2005 and 2010. A comparison cohort with no prior cardiovascular surgery was matched on age, sex, race/ethnicity, operation year, American Society of Anesthesiologists physical status, and Current Procedura...
Source: The American Surgeon - April 1, 2014 Category: Surgery Authors: Maxwell BG, Wong JK, Lobato RL Tags: Am Surg Source Type: research

AANA Journal Course: Update for nurse aneshtetists--part-4--transcatheter aortic valve replacement.
Abstract Aortic stenosis is the most frequently acquired heart disease, and the prevalence is rising because of the aging population. If the disease is left untreated, survival in symptomatic patients averages only 2 to 3 years. Surgical aortic valve replacement is the only definitive treatment, yet 30% of elderly patients are not considered candidates because the presence of comorbidities makes the risk of sternotomy and cardiopulmonary bypass prohibitively high. Transcatheter aortic valve replacement (TAVR) is an innovative, high-tech, less invasive alternative. The procedure is usually performed using general a...
Source: AANA Journal - October 1, 2013 Category: Anesthesiology Authors: Contrera P, Cushing M Tags: AANA J Source Type: research

Taking over the counter pain relievers safely
For aching joints or a throbbing head, millions of Americans turn to aspirin, ibuprofen (Advil, Motrin), or other nonsteroidal anti-inflammatory drugs (NSAIDs) every day. They are generally safe, but if not used carefully NSAIDs can have a dark side, according to the September 2013 Harvard Women's Health Watch. NSAIDs are widely used because they perform double duty. “They not only relieve pain, but they reduce inflammation too,” says Dr. Lucy Chen, an assistant professor at Harvard Medical School and attending physician in the anesthesia, critical care, and pain medicine department at Massachusetts General Hos...
Source: New Harvard Health Information - August 23, 2013 Category: Consumer Health News Source Type: news

Common Painkiller Linked To Heart Attack And Stroke, UK Warning
Common painkiller, diclofenac, raises the risk of heart attack and stroke among patients with serious underlying heart conditions, the UK's Medicines and Healthcare Products Regulatory Agency (MHRA) has warned. MHRA specifies that patients with circulatory problems, heart disease, heart failure, or a previous stroke or heart attack should stop using diclofenac. Diclofenac is known under several trade names, including Diclomax, Defenac, Diclofex, Dyloject, Econac, Enstar, Flamrase, Flamatak, Motifene, Rheumatac, Rhumalgan, Volsaid, and Voltarol...
Source: Health News from Medical News Today - July 1, 2013 Category: Consumer Health News Tags: Pain / Anesthetics Source Type: news

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