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August 2017 Briefing – Anesthesiology

August 2017 Briefing – Anesthesiology
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Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for August 2017. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Being Awake for Aneurysm Brain Surgery May Offer Better Results

FRIDAY, Aug. 25, 2017 (HealthDay News) — “Awake” brain surgery may improve treatment of brain aneurysms, according to a study published in the August issue of the Journal of Neurosurgery.

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Sleep, Caffeine Use May Play Role in Post-Op Pain

WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Extended wakefulness prior to surgery significantly enhances postoperative pain behaviors and extends recovery time after surgery, but caffeine may help mitigate this effect, according to an experimental study published online Aug. 3 in SLEEP.

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Nurse-, System-Related Factors Analyzed in Wrong-Patient Events

WEDNESDAY, Aug. 23, 2017 (HealthDay News) — Greater focus is needed on correct identification processes in order to prevent wrong-patient medication administration incidents, and system supports for nurses are critical, according to a study published online Aug. 17 in the Journal of Clinical Nursing.

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Even Overdose Doesn’t Stop Opioid Prescribing

TUESDAY, Aug. 22, 2017 (HealthDay News) — After treatment for an opioid overdose, many Medicaid patients continue to receive prescriptions for them and few are prescribed anti-addiction medications after hospital discharge, according to a research letter published in the Aug. 22/29 issue of the Journal of the American Medical Association.

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Hours Worked Impacted by Kids for Female, Not Male Doctors

MONDAY, Aug. 21, 2017 (HealthDay News) — For women, but not men, in dual-physician couples, weekly hours worked are lower for those with versus those without children, according to a research letter published online Aug. 21 in JAMA Internal Medicine.

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Few Racial Differences in Peds Anesthesia Meds Administration

THURSDAY, Aug. 17, 2017 (HealthDay News) — There does not appear to be significant racial differences in preoperative or intraoperative medication administration for children undergoing emergency appendectomies, according to a study published online Aug. 10 in Pediatric Anesthesia.

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Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions

THURSDAY, Aug. 17, 2017 (HealthDay News) — Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.

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Studies Used for FDA Approval of Device Changes Often Low Quality

TUESDAY, Aug. 15, 2017 (HealthDay News) — Many studies used to support U.S. Food and Drug Administration approval of high-risk medical device modifications are not controlled; and efficacy of drugs granted accelerated approval is often confirmed three years after approval, according to two studies published in the Aug. 15 issue of the Journal of the American Medical Association.

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Majority of Patients Require Few Opioids After Hernia Repair

TUESDAY, Aug. 15, 2017 (HealthDay News) — The number of opioids prescribed for patients after elective hernia repair can be reduced, according to a study published online Aug. 1 in Surgery.

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Caffeine Accelerates Emergence From Anesthesia

TUESDAY, Aug. 8, 2017 (HealthDay News) — Caffeine accelerates emergence from anesthesia, even at high levels of anesthesia, and operates by elevating intracellular cAMP (cAMPi) and blocking adenosine receptors, according to an experimental study published online recently in the Journal of Neurophysiology.

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Revenue Exceeds Expenditures for Many ABMS Member Boards

WEDNESDAY, Aug. 2, 2017 (HealthDay News) — Overall revenue exceeds expenditures for many American Board of Medical Specialties (ABMS) member boards, according to a study published in the Aug. 1 issue of the Journal of the American Medical Association.

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U.S. Doctors Still Writing Too Many Opioid Prescriptions

TUESDAY, Aug. 1, 2017 (HealthDay News) — More than one out of three average Americans used a prescription opioid in 2015, despite growing concerns these medicines are promoting widespread addiction and overdose deaths, according to a study published online Aug. 1 in the Annals of Internal Medicine.

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Comprehensive Initiative Has Positive Impact on Opioid Rx

TUESDAY, Aug. 1, 2017 (HealthDay News) — A comprehensive initiative, including creation of prescribing and dispensing policies, monitoring and follow-up processes, and clinical coordination through electronic health record integration, can have a positive impact on opioid prescribing, according to research published online July 14 in the Journal of Evaluation in Clinical Practice.

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