All news from Anaesthesiology

Nursing Homes Increasingly Pushing Residents Into ‘unnecessary’ Rehab At End-of-Life

A new study contends that nursing homes may be pushing dying patients into unnecessary and potentially harmful high-intensity rehab services. Providers defended the system Wednesday. University of Rochester Medical Center researchers noted that the number of residents receiving “ultra-high” rehab services in New York state increased by 65% during the three-year period ending in 2015.

Most of those services were delivered to individuals in the last seven days of their lives, according to the analysis of data from 647 nursing homes in the Empire State that was published this week in the Journal of the American Medical Directors Association.

Less Cost Ventilator For ICU Patients

A team of specialists in various fields have come up with a less costly ventilator for patients in Intensive Care Units (ICUs) to address its scarcity which leads to an unwanted increase in mortality rates. According to the Philippine Council for Health Research and Development of the Department of Science and Technology (PCHRD-DOST), 50% of ICU patients need a ventilator.

In many developing countries like the Philippines, there is only 1 ventilator per 10 ICU beds due to the prohibitive cost of acquiring a ventilator plus the inaccessibility of spare parts when it breaks. These factors pose a challenge for small hospitals to acquire more units.

FDA Approves New Lotion For Acne Treatment

The new lotion spreads easily and is quickly absorbed by the skin, making it an attractive option for many patients suffering from acne. The U.S. Food and Drug Administration has approved Ortho Dermatologic’s new drug application for Altro (tretinoin 0.05%) lotion for the treatment of acne vulgaris.

Approved for use in patients ages nine and older, the formulation is the first of its kind in a lotion, according to a company news release. It is expected to be on the market by the fourth quarter of 2018.

Development & Validation Of A Measure to Assess Patients’ Threat Perceptions In the ED

A brief tool assessing emergency department (ED) threat perceptions has clinical utility for providers to identify patients at risk for developing cardiac-induced PTSD and is critical to inform research on whether threat may be modified in-ED to reduce post-traumatic stress disorder (PTSD) incidence. That is the finding of a study to be published in the October 2018 issue of Academic Emergency Medicine (AEM), a journal of the Society for Academic Emergency Medicine (SAEM).

Opioid Abuse as Maladaptive Coping to Life Stressors in U.S. Adults

Health, family and romance problems appear to be the particular life stressors most associated with increased risk for using opioids to cope, and individuals with low self-esteem appear to be at risk for these connections. The research team, which included Binghamton University graduate student Damla Aksen, surveyed 1,000-plus adults about five life stressors, self-esteem, and indications of opioid use.

Examining the data, they found that poor self-esteem was associated with high opioid use and that poor self-esteem was a significant mediator between each life stressor (health, family, romance) and increased risk for opioid use. The study was published in the Journal of Drug Issues.

Transcatheter Aortic Valve Replacement With Shorter Hospital Display

In the largest multi-institutional study to date, led by researchers from Penn Medicine, the team found that among patients who underwent a transcatheter aortic valve replacement (TAVR), a high number experienced severe and moderate cases of prosthesis-patient mismatch (PPM), meaning the implanted heart valve is too small for the patient which can lead to inadequate blood flow.

The team also found that the risk of death and of heart failure readmissions were 19% and 12% higher, respectively, after one year as compared to patients without severe PPM. Results of the study were presented today as a late-breaking abstract at the Transcatheter Cardiovascular Therapeutics (TCT) 2018 meeting in San Diego and simultaneously published online in the Journal of the American College of Cardiology.

Digestive Problems Linked with Viruses found in Blood, Findings

While studying viruses best known for infecting the brain, researchers at Washington University School of Medicine in St. Louis stumbled upon clues to a conundrum involving a completely different part of the anatomy: the bowel, and why some people possibly develop digestive problems seemingly out of the blue.