Bilateral knee arthroplasty: periarticular beats epidural pain relief

This one goes from bedside to bench: In clinical practice, periarticular injection is frequently used to provide pain relief after total knee arthroplasty. But the Japanese authors of the current......

The hospital at home

Medical futurist Bertalan Mesko, MD, PhD, offers an idea of what our future homes might look like and how we might not need hospitals quite as much. Smart scales, toothbrushes and spoons together......

AV fistula failure: Pig proliferation patterns

Early arteriovenous (AF) fistula failure, or nonmaturation, is a huge problem of haemodialysis vascular access dysfunction, report physicians at Taiwan’s National Defence Medical Center.......

Use of healthcare IT among physicians rises

Doctors use healtcare IT functions more frequently. According to the "Accenture Doctors Survey 2015" 79 % of US doctors mention that they are more proficient using electronic health records in......

Coagulation complications in ESRD Patients

A well-functioning vascular access (VA) is essential for the dialysis treatment of patients with end-stage renal disease (ESRD); arteriovenous (AV) accesses are the most commonly used form. The......

Low rectal cancer: All aboard the Perineal Express

The laparoscopic sphincter preservation for rectal cancer patients is associated with a high risk of positive circumferential resection margin and therefore constitutes a challenge for the......

Children’s Difficult Airways now ready for take-off

Good news: The incidence of unexpectedly difficult airways in children is low. Bad news: When they do occur, major morbidity and mortality follow. And while guidelines exist for the management of......

Bilateral knee arthroplasty: periarticular beats epidural pain relief

This one goes from bedside to bench: In clinical practice, periarticular injection is frequently used to provide pain relief after total knee arthroplasty. But the Japanese authors of the current......

Up, up and away: The balloon removal telescope technique

A physician is in the middle of performing a balloon angioplasty to dilate a stenotic lesion. All of a sudden, a “pop” sound can be heard. This not being a birthday party, the sound is no cause......

EVAR in aneurysms: promising but still too complicated

In principle, fenestrated and/or branched endovascular repair (f/b-EVAR) are feasible for several forms of aneurysms: complex aortic, abdominal (AAA) and thoracoabdominal (TAAA), reports a French......

Swim away the pain

Neuropathic pain is among the most difficult types of chronic pain to treat: It has a complex aetiology and involves several neurotransmitter systems, receptors, ionic channels, and cell types.......

Braking with braces

Studies often have to fend off criticism that they do not accurately reflect clinical practice, let alone patients’ daily activities. The same can hardly be said for the study at hand, which......

The hospital at home

Medical futurist Bertalan Mesko, MD, PhD, offers an idea of what our future homes might look like and how we might not need hospitals quite as much. Smart scales, toothbrushes and spoons together......

AV fistula failure: Pig proliferation patterns

Early arteriovenous (AF) fistula failure, or nonmaturation, is a huge problem of haemodialysis vascular access dysfunction, report physicians at Taiwan’s National Defence Medical Center.......

Grab a gabapentin for postherpetic neuralgia

Researchers from the Pain Institute of St. Louis in Missouri describe the current situation: Gabapentin effectively reduces pain resulting from postherpetic neuralgia (PNH) and is considered a......

Oesophageal carcinoma: stay away from the LTA

For the treatment of cancer of the oesophagogastric junction (OGJ), both the left thoracoabdominal (LTA) and transhiatal (TH) approach have been advocated for curative resection. However, data was...

Acute kidney injury: which is the best initial therapy

The continuous renal replacement therapy (CRRT) is a more cost-effective initial therapy for RRT-requiring severe acute kidney injury (AKI) than intermittent RRT (IRRT) in the setting of an......

Shoulder arthroscopy: just add epinephrine

Or should you? The results of the present study are slightly ambiguous: While adding epinephrine to the irrigation fluid during arthroscopy significantly improved the visualisation for the......

Corneal implant for improved near vision

Glasses and even contact lenses seem more and more like a thing of the past: The US Food and Drug Administration (FDA) has just last week approved a corneal implant that is said to improve near......

Damage control laparotomy associated with infection risk

Managing patients with traumatic injuries represents an often-encountered challenge in clinical practice. Damage control laparotomy (DCL) is frequently used and might be appropriate in many cases,...

Body composition affects Watson-based estimate of UDV

Relying on the Watson forumular to estimate the urea distribution volume (UDV) could lead to inaccurately calculated Kt/V, says a new study published in the Journal of Renal Nutrition (JRN). The......

No sleep, more pain

The restorative properties of sleep are well established across the entire medical field. Another well-known fact is that disturbed sleep and pain can co-exist, with an often complex and likely......

Obesity and hip arthroscopy

The story of the association between body mass index (BMI) and hip osteoarthritis (OA) is a controversial one: Some studies have confirmed and others have refuted the claim, but in general there......

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