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Study evaluates periop medication errors, adverse drug events

Editor's Note One in 20 perioperative medication administrations included a medication error and/or adverse drug event in this prospective study. Of 277 surgical procedures with 3,671 medication administrations evaluated, 193 involved a medication error and/or adverse drug event. A total of 32 (20.9%) of the errors had little potential for…

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By: Judy Mathias
October 27, 2015
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FDA: Downing Labs recalls all sterile products

Editor's Note Downing Labs, LLC (Farmers Branch, Texas) is recalling all lots of compounded and packaged sterile products because of concerns of sterility assurance. The products were distributed between April 20 and September 15, 2015.    Posted 10/21/2015] AUDIENCE: Consumer, Pharmacy ISSUE: Downing Labs, LLC is voluntarily recalling all lots…

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By: Judy Mathias
October 26, 2015
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Decision aids help patients discuss anesthesia options

Editor's Note Informational brochures help patients discuss anesthesia options with their anesthesia providers, finds a study presented at the Anesthesiology 2015 annual meeting in San Diego. In the study, 67 patients were given brochures during a preoperative clinic visit that explained the different types of anesthesia, risks, and benefits, and…

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By: Judy Mathias
October 26, 2015
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General anesthesia safe for infants

Editor's Note Concerns have been raised about the safety of anesthesia on the developing brains of young children, but new research presented at the Anesthesiology 2015 annual meeting found brief exposure to general anesthesia did not impair neurological development. Researchers examined 700 infants, up to 60 weeks old, who were…

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By: Judy Mathias
October 26, 2015
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Sheathing laryngoscope after intubation lowers contamination risks

Editor's Note When the anesthesiologist sheaths the laryngoscope immediately after endotracheal intubation, contamination of the IV hub, patient, and intraoperative environment is significantly reduced, this study finds. In a simulated study using ultraviolet light to detect contamination of seven sites on a patient, contamination was found on an average of…

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By: Judy Mathias
October 22, 2015
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Anesthesiology-based service for management of pacemakers, ICDs

Editor's Note An anesthesiology-based service can meet the challenge of providing efficient and high-level care for surgical patients with cardiovascular implantable electronic devices, including pacemakers and implantable cardioverter defibrillators (ICDs), this study finds. Such a service, however, requires specialized provider training and strong support from the electrophysiology/cardiology service, and will…

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By: Judy Mathias
October 22, 2015
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Patients' functional recovery with ERP vs traditional pathway

Editor's Note An enhanced recovery pathway (ERP) allowed liver surgery patients to return to normal function sooner than a traditional pathway in this study. Patients on the ERP reported lower immediate postoperative pain scores, fewer complications, and decreased length of stay than those on the traditional pathway. ERP patients also…

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By: Judy Mathias
October 22, 2015
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Total knee more effective than nonsurgical treatment, but risks higher

Editor's Note Total knee replacement followed by nonsurgical treatment is more effective than nonsurgical treatment alone in providing pain relief and improving function and quality of life, this study finds. However, clinically relevant improvements were seen in both groups, and the surgical patients had a higher number of serious adverse…

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By: Judy Mathias
October 22, 2015
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Bariatric surgery vs lifestyle intervention for diabetes treatment

Editor's Note Bariatric surgery along with 2 years of low-level lifestyle interventions resulted in more type 2 diabetes remissions than lifestyle interventions alone at 3-years followup, this study finds. Participants were randomized to either intensive lifestyle weight loss interventions for 1 year followed by low-level lifestyle interventions for 2 years…

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By: Judy Mathias
October 21, 2015
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FDA launches new features for UDI database

Editor's Note The Food and Drug Administration (FDA) in partnership with the National Library of Medicine on October 19 announced the launch of three new features on AccessGUDID, the public portal to data submitted to the FDA’s Global Unique Device Identification Database (GUDID). Two new APIs (application program interface) and…

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By: Judy Mathias
October 21, 2015
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