Oct 14, 2014

The Particulars: The high perioperative and postoperative costs associated with total knee arthroplasty (TKA) along with increasing demand from the aging United States population is placing greater fi...

Oct 14, 2014

The Particulars: Previous research found that postoperative pain management did not appear to improve from 1995 to 2002. Since that time, there has been greater attention on pain management in the hos...

Oct 13, 2014

The United States Preven-tive Services Task Force (USPSTF) recommends that pre-surgical psychological screening (PPS) be used in clinical practice to assure that a patient’s diagnosis is correct, to...

Oct 13, 2014

A surgeon did an operation under local anesthesia with sedation in a very anxious, elderly patient. Everyone was aware of the patient's anxiety, and she was maintained on midazolam (Versed) by an anes...

Oct 13, 2014

Until recently, guidelines recommended complete axillary node dissection in women with breast cancer for whom their sentinel node biopsy was positive. However, patients who undergo this procedure rout...

Oct 09, 2014

Today was hernia day in the office. That wasn’t the intent; it was just the way the referrals came in. Four out of five new patients this afternoon had either complex or recurrent hernias. I seem to...

Sep 29, 2014

The saying used to be, "You can get any paper published if you have enough stamps." Now with electronic submission, you don't even need the stamps. A retrospective study comparing single-incision l...

Sep 26, 2014

New research is being presented at Anesthesiology 2014, the annual meeting of the American Society of Anesthesiologists, from October 11 to 15 in New Orleans.   Meeting Highlights Trends...

Sep 25, 2014

Traditionally, the value of medical care has been determined by the effectiveness and safety of a given intervention, regardless of that intervention’s cost. The current goal is to provide the highe...

Sep 22, 2014

In 2006, the American Society of Clinical Oncology (ASCO) issued practice guidelines on the follow-up and management of patients with breast cancer who have completed primary therapy with curative int...

Sep 19, 2014

Studies have shown that red blood cell (RBC) transfusions are commonly performed, with approximately 14 million units transfused in 2011 in the United States. RBC transfusions can modulate the immune ...

Sep 17, 2014

Medicine 2064 With Dr. Daniel Kraft Curing half of the world's known cancers, granting movement to the paralyzed, preventing Alzheimer's. Visionary medical expert Dr. Daniel Kraft believes all ...

Sep 16, 2014

The Particulars: Many studies have compared transcatheter aortic-valve replacement (TAVR) and surgical aortic valve replacement in high-risk patients. However, few studies have assessed how these valv...

Sep 16, 2014

The Particulars: Use of embolic protection during transcatheter aortic-valve implantation (TAVI) involves placing a proximal embolic filter in the brachiocephalic artery and a distal embolic filter in...

Sep 10, 2014

Throughout the United States, there has been a call to action to improve the quality and safety of surgical care while decreasing costs. In the state of Washington, clinicians have taken a unique appr...

Sep 05, 2014

For many older surgical procedures that are associated with good provider and patient experiences—including rotator cuff tear repair—the strength of the literature supporting their use is weak bec...

Sep 05, 2014

According to the Joint Committee on Cancer, the 10-year survival rates for stages I, II, III, and IV medullary thyroid cancer (MTC) are 100%, 93%, 71%, and 21%, respectively. Guidelines from the Ameri...

Sep 04, 2014

New research is being presented at TCT 2014, the Transcatheter Cardiovascular Therapeutics annual meeting, from September 13 to 17, in Washington, DC.   Meeting Highlights Managing In-St...

Sep 04, 2014

New research is being presented at HFSA 2014, the 18th Annual Scientific Meeting of the Heart Failure Society of America, from September 14 to 17 in Las Vegas.   Meeting Highlights Iron ...

Sep 04, 2014

New research is being presented at ASNC 2014, the 19th Annual Scientific Sessions of the American Society of Nuclear Cardiology, from September 18 to 21 in Boston. Meeting Highlights MPI-Related...