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News, opinions and meeting coverage in anesthesiology.

Aspirin Before Cardiac Surgery: Not Harmful, But Not Helpful

Death, thrombotic complication, and bleeding risk all unaffected in ATACAS trial

Will Delay Weaken CDC Opioid Guidance?

Recommendations to limit supply and dosing under fire

Continuous Tx May be Problematic in Status Epilepticus

Longer PICU stay, more vasopressor use with continuous versus bolus therapy

Are Masks a Good Alternative to Flu Shots for Healthcare Workers?

At some hospitals, it's vaccinate or be fired

One Patient's Seizure Cure: Stop Solving Sudoku Puzzles

Hypoxia suffered after an avalanche leads to puzzle-solving problem

Experts Weigh In: Where Do People Want to Die?

The answer is not always obvious

Excerpt: Black Man in a White Coat

A new book by Damon Tweedy, MD, explores the role of race in medicine

Safety Warning: Watch LVAD Battery Expiration

Ventricular support backup battery issue linked to two deaths

New Guideline Offers 'Best Practices' for PICC

Multidisciplinary panel aims to provide clarity for PICC management

Giving Patients Evidence-Based Reassurance

In response to the Less-is-More series, here are five evidence-based tips for reassuring patients

Abandoned Painkiller Makes a Comeback

Here's how the FDA let a widely abused opioid back on the market.

Injecting Opioid Tied to Blood Clotting Disorder

Are most clinicians aware of this side effect of oxymorphone drug abuse?

Duck Hunting for CME

Wilderness medicine physician's CME company offers credit while hiking, hunting, climbing.

Slippery Slope: Diet Drugs No Help for Heart

In another edition of the Slippery Slope series examining use of surrogate endpoints in drug approvals, 番茄社区app and the Milwaukee Journal Sentinel find diet drugs are approved without solid evidence of benefits, but with hints of harm.

The Hospital Leader: An Interview With Toronto's Adina Weinerman, MD

What strategies can streamline code status documentation?

Doctors, Stop Sticking Your Patients So Often

UCSF's Think Twice, Stick Once campaign aims to curb unnecessary venipunctures.

Excerpt From 'The Secret Language of Doctors'

ED doc Brian Goldman investigates slang to "crack code of hospital culture."

Predicting Death in Advanced Cancer

Study offers clues to guide clinicians, families about end of life.

Survival Boost from NP/PA Care in ICU?

Association seen versus resident physicians in small study.

More Nurses May Mean Fewer Deaths in ICU

High patient to nurse ratios may lead to more errors and fatal outcomes.

When Docs Sue Their Own Hospital

At issue: who has authority to hire, fire, and discipline staff physicians.

Opioid Linked to Low Blood Sugar

Tramadol was associated with an increased risk of hospitalization for hypoglycemia.

New Treatments for High Potassium on the Horizon

But ultimate success is far from guaranteed.

Vitamin D Blog: No Help in the ICU

Boosting vitamin D levels doesn't help ICU patients.

The Bottomline: Cardiac Telemetry

Can a 'wise' choice save $4.8 million in a single year?

Doctor's Memoir Exposes Dark Side of Medicine

Sandeep Jauhar puts his life on stark display to illustrate harmful financial intrusions into medicine in his newest book.

Glucometer Control Test Underused in Diabetes

ORLANDO -- Control solution for ensuring the proper function of glucose meters didn't appear to be a priority among physicians, pharmacists, or patients, researchers reported here.

CardioBuzz: Toward the $500 an Hour Physician

In this guest blog, Mark Jay Zucker, MD, JD, an attorney and transplant cardiologist at Rutgers University New Jersey Medical School in Newark, explains why he thinks it's time to talk money.

Dementia Tied to More ICD Placements

Dementia patients get more implantable cardioverter-defibrillators than expected, and even cognitively normal individuals may not understand their options about cardiac device replacement.

Morning Break: The B.O. Talk, No Love for Niacin

Health news and commentary from around the Web, gathered by the 番茄社区app staff.

Missed Doses Cripple Postop DVT Prevention

Missed doses of prophylactic anticoagulation account for much of the deep vein thrombosis that occurs in surgery and trauma patients, a study showed.

ACC: Metformin No Help in MI Recovery

WASHINGTON -- Metformin started soon after reperfusion in the acute setting didn't help cardiac function recover in nondiabetic heart attack patients, a trial showed.

ACC: Gout Drug Tames the Heart

WASHINGTON -- Colchicine may be as effective at reducing multiple recurrences of pericarditis as it is in treating acute episodes and first recurrences.

ACC: Still No Clear CHOICE for TAVI

WASHINGTON -- Head-to-head comparison of transcatheter aortic valve implantation (TAVI) devices favored the second-generation Sapien XT over CoreValve, although the trial was criticized on several fronts.

ACC: CoreValve Bests Surgery

WASHINGTON -- Transcatheter aortic valve implantation (TAVI) with the CoreValve device improved survival compared with surgery in the high-risk pivotal trial cohort.

In AKI, Dialysis Works Better With Higher Creatinine

For patients with acute kidney injury, dialysis is associated with better survival among those with higher creatinine levels, but higher mortality for those with lower levels, researchers found.

10 Questions: E. Wesley Ely, MD, MPH

What's the biggest barrier to practicing medicine today? That's just the first of the 10 Questions the 番茄社区app staff is asking leading clinicians and researchers to get their personal views on their chosen profession. In this series we share their uncensored responses. Here, answers from pulmonary and critical care expert E. Wesley Ely, MD, MPH.

Lab Notes: Meth May Worsen Fungal Infection

Mice injected with methamphetamine and exposed to Cryptococcus fungi showed more extensive and hard-to-eradicate infections. Also this week: an organic pesticide fights parasitic worms.

FDA Adds GI Warning to Benicar Label

WASHINGTON -- The FDA ordered the maker of the blood pressure drug olmesartan (Benicar) to add a warning about risk of the intestinal condition known as sprue-like enteropathy to the drug's label.

Honey, Cola May Disrupt Heart

A detailed history of patients with arrhythmia or syncope might need to include their cola intake or the origin of the honey they consume, two case studies suggest.

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