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Laparoscopic nephrectomy can be safely performed as outpatient surgery in select patients

Laparoscopic Nephrectomy Feasible As Outpatient Surgery

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Most patients discharged home within first six hours after surgery; none readmitted
Steps should be taken to combat the impending physician shortage of between 61

Strategy Needed to Address Impending Physician Shortage

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AAMC promotes multipronged approach including federal support, technology, care delivery changes
Hospital prices in California increased substantially from 2004 to 2013

Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

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76 percent increase per hospital admission across all hospitals; greater increase in multi-hospital systems
Unplanned readmissions occur in about 8 percent of patients discharged from the general surgical service

Unplanned Readmission for ~8 Percent of Surgical Discharges

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Risk factors for readmission include female sex, diabetes, sepsis on admission, payer status
Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care

Potential Impact of Single-Payer Health Care Discussed

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System could alleviate administrative burden, but may have trade-offs in terms of patient care
For children younger than 36 months of age

Optimized Fasting Times Beneficial in Pediatric Anesthesia

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Decrease in ketone bodies, stabilization in mean arterial BP during anesthesia induction
Opioid use may significantly increase mortality risk

Long-Acting Opioids May Increase Risk of All-Cause Mortality

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Much of the risk related to cardiovascular complications, not overdoses
For children undergoing heart surgery

Ultrasound Beats Palpation for Femoral Artery Catheterization

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Shorter time taken for attempted cannulation of femoral artery, lower number of attempts needed
More than half of patients prescribed opioids receive more than they need

Many Patients Prescribed Opioids Sharing Leftover Pills

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Two new U.S. studies shed additional light on opioid epidemic
The incidence of pediatric unanticipated admissions is 0.97 percent

Pediatric Unanticipated Admission Incidence 0.97 Percent

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About half of unanticipated admissions related to anesthesia; risk factors include age, ASA class