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September 2017 Briefing – Anesthesiology

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Here are what the editors at HealthDay consider to be the most important developments in Anesthesiology for September 2017. This roundup includes the latest...
Opioid-free anesthesia is feasible and well-tolerated

ASA: Opioid-Free Anesthesia Feasible for Surgical Procedures

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Only 36 percent of patients request oral opioid meds in PACU despite receiving opioid-free anesthesia
OnabotulinumtoxinA injections are beneficial for pediatric patients with chronic migraine

ASA: Botox Injections Beneficial for Migraine in Children

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Statistically significant changes in migraine intensity, frequency, duration from pre- to post-therapy
For patients undergoing total knee or hip arthroplasty

ASA: Fewer Opioids Being Used for Post-Op Pain After TKA, THA

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Increase in proportion of patients receiving one, two, more than two analgesic modes
Sub-anesthetic ketamine infusions are associated with improved short-term pain relief for migraine and other intractable headache

ASA: Ketamine Infusions May Relieve Pain in Migraine

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Least pain on day 4, achieved at mean ketamine rates of 30.8±3.6 mg/hr less than maximum dose
A joint effort between students at Warren Alpert Medical School of Brown University and Rhode Island School of Design is training future physicians in design thinking to help identify and repair health system issues that contribute to physician burnout

Design Thinking Enables Med Students to Solve Challenges

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Partnership with design students focuses on innovative solutions to health system issues
Clinicians' job satisfaction is associated with improved burnout scores and reduced intention to leave their practices

Clinician Job Satisfaction Linked to Improved Burnout Scores

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Reduced intention to leave practice for clinicians who report increased job satisfaction during follow-up
For nulliparous women at term with a singleton cephalic presentation receiving epidural analgesia

More Vaginal Births With Lying Down in Second Stage of Labor

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For nulliparous women with epidural analgesia, fewer spontaneous vaginal births in upright position
Modifiable conditions

Conditions Tied to Clinician Dissatisfaction Are Modifiable

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Improving workplace satisfaction directly tied to reduced clinician burnout
Key stakeholders and physicians discussed electronic health record usability and optimization in the American Medical Association Running Your Practice Community.

Key Stakeholders Discuss How to Make EHRs More Usable

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Stakeholders, physicians discuss EHR usability and optimization, rules for releasing test results