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Text Version    RSS    Subscribe    Unsubscribe    Archive    Media Kit       Feb. 27, 2014


 

Senate president says no to nurses
Health News Florida
Don Gaetz, president of the Florida Senate, could present a formidable obstacle to passage of a bill that would increase the powers and independence of nurse practitioners. News Service of Florida, which recently interviewed Gaetz, reported he opposes a House bill that would give advanced-practice nurses more authority, including prescribing of controlled substances. The bill would also set up a pathway to independent practice, not supervised by physicians.
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Study: Regional anesthesia does not increase chance of falling
Outpatient Surgery Magazine
Could a study based on nearly 200,000 patient records topple the long-held belief that regional anesthesia makes patients more prone to falls in the first days after having knee replacement surgery? The popular thinking is that regional anesthesia for knee replacement may cause motor weakness, making patients more likely to fall when they're walking in the first days after surgery.
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For sciatic blocks, lower dose of local provides ample anesthesia
Anesthesiology News
Where 30 milliliters once stood as a standard dose, 10 milliliters now does the job. So concluded a recent study by Illinois researchers of sciatic nerve block in patients undergoing total knee arthroplasty, which found that although 2.5 and 5 milliliter doses of local anesthetic provided suboptimal analgesia, amounts between 10 and 30 milliliters were comparably effective when paired with ultrasound guidance.
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Adding epidural to anesthesia during prostatectomy may improve outcomes
OncLive
Long-term outcomes for patients with prostate cancer following radical prostatectomy were better when a spinal or epidural pain block was added to general anesthesia during the surgery, according to the results of a large, retrospective study published recently in the British Journal of Anaesthesia.
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Dose of oxytocin is associated with higher epidural drug consumption
Anesthesiology News
Women who receive higher doses of oxytocin during labor require greater amounts of epidural analgesics, suggesting augmented labor is more painful, new research indicates. Although previous studies support a correlation between augmented labor and pain using pain scores, the new study is the first to assess epidural consumption in this situation.
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Asking surgical team members to speak up increases time out success
Outpatient Surgery Magazine
Surgical teams do a much better job of complying with surgeon-led time outs when all members of the team are asked to say out loud that they understand and agree with what's being said. A recent study in the Joint Commission Journal on Quality and Patient Safety found that when each team member was required to speak up, time out completion improved from 54 percent to 97 percent.
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CT study shows anesthetic spread similar for high, low pressure injections
Anesthesiology News
The delivery of anesthesia should not be a high-pressure job — at least according to the findings of a small study presented at the 2013 annual meeting of the New York School of Regional Anesthesia. The study, conducted by Dr. Philippe Gautier, determined that the spread of injectate in the interscalene space was similar with an injection force of less than 15 psi or more than 20 psi. But high-pressure injections led to more patient complaints of discomfort and increased the risk for epidural spread, the researchers found.
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