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January 2012 Briefing - Anesthesiology

Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for January 2012. 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.

Fever, Epidural Combo Ups Adverse Neonatal Outcomes

MONDAY, Jan. 30 (HealthDay News) -- For women who receive epidural analgesia, an elevation in the maternal intrapartum temperature is associated with an increased risk of adverse neonatal events, according to a study published online Jan. 30 in Pediatrics.

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Isoflurane Harmful to Mitochondrial Function in Mice

FRIDAY, Jan. 27 (HealthDay News) -- Anesthetics isoflurane and desflurane have distinct effects on mitochondrial function and learning and memory, according to an experimental study published online Jan. 19 in the Annals of Neurology.

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Overuse of Health Care Services Understudied

WEDNESDAY, Jan. 25 (HealthDay News) -- Overuse of health care services in the United States is an understudied problem, with the majority of research limited to a few interventions, according to a review published in the Jan. 23 issue of the Archives of Internal Medicine.

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Adrenalectomy Rates Remain High in Radical Nephrectomy

WEDNESDAY, Jan. 25 (HealthDay News) -- During a recent 10-year period, the rate of ipsilateral adrenalectomy at the time of radical nephrectomy decreased slightly, according to a study published in the February issue of The Journal of Urology.

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Unemployed Have Poorer Mental and Physical Health

TUESDAY, Jan. 24 (HealthDay News) -- Unemployed adults are about half as likely to have health insurance as employed individuals; have poorer mental and physical health, regardless of their insurance status; and are less likely to receive needed medical care and prescriptions, according to a January data brief issued by the National Center for Health Statistics.

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HealthGrades IDs Notable Hospitals for Clinical Excellence

TUESDAY, Jan. 24 (HealthDay News) -- The top 5 percent of U.S. hospitals has more than a 30 percent lower risk-adjusted mortality across 17 procedures and diagnoses, compared with other hospitals, according to the 10th annual HealthGrades Hospital Quality and Clinical Excellence study published online Jan. 24.

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Chlorhexidine Erases More of Preoperative Skin Markings

MONDAY, Jan. 23 (HealthDay News) -- Use of a chlorhexidine-based solution for preoperative skin marking is associated with more erasure of skin markings than an iodine-based alternative, according to a study published in the Jan. 18 issue of The Journal of Bone & Joint Surgery.

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Comorbidities Affect Hospital Costs After Hip Fracture

TUESDAY, Jan. 17 (HealthDay News) -- For older Americans with hip fracture, the presence of comorbidities is associated with increased cost of hospitalization, according to a study published in the Jan. 4 issue of The Journal of Bone & Joint Surgery.

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U.S. Health Care Expenditure Still Unevenly Distributed

FRIDAY, Jan. 13 (HealthDay News) -- Health care expenditure in the United States is still unevenly distributed, with 1 percent of the population accounting for approximately 20 percent of expenditure in 2008 and 2009, according to a January statistical brief published by the Agency for Healthcare Research and Quality (AHRQ).

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Site of Blood Collection From IV Does Not Affect Hemolysis Rate

THURSDAY, Jan. 12 (HealthDay News) -- No statistically significant difference in the rate of hemolysis is observed when emergency department nurses collect coagulation blood samples directly via catheter hub or via extension tubing connected to the intravenous (IV) catheter hub, according to a study published in the January issue of the Journal of Emergency Nursing.

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Surgeons Aged 35 to 50 Years Perform Best Thyroidectomies

WEDNESDAY, Jan. 11 (HealthDay News) -- Surgeons aged 35 to 50 years appear to perform thyroidectomies better than their younger or older colleagues, according to a study published online Jan. 11 in BMJ.

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Conscious Sedation Feasible for Ambulatory Spine Procedures

TUESDAY, Jan. 10 (HealthDay News) -- Conscious sedation in the ambulatory interventional spine setting is associated with a low rate of adverse events comparable to that observed with local anesthesia alone, according to a study published in the December issue of The Spine Journal.

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Ped Heart Surgery Deaths Higher at Low Volume Centers

MONDAY, Jan. 9 (HealthDay News) -- Postoperative mortality rates from complications after pediatric heart surgery are higher at centers with a lower volume of cases, according to a study published online Jan. 9 in Pediatrics.

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In-Hospital, 30-Day Standardized Mortality Measures Differ

THURSDAY, Jan. 5 (HealthDay News) -- The mean risk-standardized mortality rates (RSMRs) differ for in-hospital and 30-day models, with wide variability across U.S. hospitals, according to a study published in the Jan. 3 issue of the Annals of Internal Medicine.

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Epidural Steroids Temporarily Up Blood Glucose in Diabetes

TUESDAY, Jan. 3 (HealthDay News) -- Epidural steroid injections (ESIs) significantly increase the blood glucose levels in patients with diabetes mellitus, but the effect lasts less than two days, according to a study published in the Jan. 1 issue of Spine.

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Standardized Count Practices Reduce Retained Surgical Items

MONDAY, Jan. 2 (HealthDay News) -- Implementation of quality improvement strategies to standardize count practices can reduce the incidence of unintentional retained surgical items (RSIs) in operating rooms (ORs), according to a study published in the January issue of the AORN Journal.

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