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In Atrial Fibrillation Patients On Rivaroxaban, More GI Bleeding Seen Than With Warfarin
Date: Oct-24-2012Patients with atrial fibrillation (AF) experienced more major and non-major clinically relevant GI bleeding when taking rivaroxaban than patients taking warfarin. As part of the ROCKET AF trial, researchers from multiple institutions, including Harvard Medical School; Mount Sinai Medical Center; Janssen Research & Development; and Bayer HealthCare Pharmaceuticals, randomized 14,264 patients with nonvalvular AF to receive either rivaroxaban or dose-adjusted warfarin. Post-hoc analysis was performed on all patients while receiving study medication until 2 days after the last dose...
Statins May Protect Against Esophageal Cancer
Date: Oct-24-2012Statin use is associated with protection from esophagus cancer according to a new meta-analysis of existing clinical studies exploring the cancer prevention effects of statins presented by a Mayo Clinic researcher, Dr. Siddharth Singh, at the American College of Gastroenterology 77th Annual Scientific Meeting in Las Vegas, NV. Dr. Singh and his Mayo colleagues conducted a systematic review of eleven studies reporting 8,613 cases of esophageal cancer from studies including almost 1 million patients...
Type 2 Diabetes May Increase The Risk Of Barrett's Esophagus
Date: Oct-24-2012Patients with Type 2 Diabetes may face an increased risk for Barrett's Esophagus (BE), regardless of other risk factors including smoking, alcohol consumption, obesity and gastroesophageal reflux disease (GERD), according to research unveiled at the American College of Gastroenterology's (ACG) 77th Annual Scientific meeting in Las Vegas...
Experimental Treatment In Pediatric Patient Resolves Life-Threatening GI Bleeding Crisis
Date: Oct-24-2012The number of patients dying from upper gastrointestinal bleeding has decreased over the past two decades, a result researchers attribute to the advances in medical and endoscopic therapies introduced over the past 20 years, according to a report unveiled today at the American College of Gastroenterology's (ACG) 77th Annual Scientific meeting in Las Vegas...
Extra Weight Linked To Better Outcomes For Septic Shock, Asthma Exacerbation
Date: Oct-24-2012Although obesity is linked to a variety of health risks, new research indicates that obese patients may have an advantage over nonobese patients in certain health situations, including septic shock and acute asthma exacerbation. In two separate studies presented at CHEST 2012, the annual meeting of the American College of Chest Physicians, researchers compared outcomes in obese (BMI 30) vs nonobese patients with either septic shock or acute asthma exacerbation...
Physician Trainee Knowledge And Skills Can Be Improved By Critical Care Ultrasound Training
Date: Oct-24-2012A dedicated critical care ultrasound (CCUS) training program could help improve physician trainees' knowledge and skills at the bedside. Researchers from the University of North Carolina implemented a dedicated CCUS curriculum for critical care fellows consisting of didactic/bedside sessions. Participants completed surveys prior to and following the program to assess confidence in ultrasonography knowledge and skills, as well as their perception as to training effectiveness. The preintervention knowledge/bedside image acquisition scores were 71.4%and 31...
Mortality Improved And Length Of Stay Decreased By 24-Hour ICU In-House Staff Intensivist Coverage
Date: Oct-24-2012The implementation of a 24-h ICU in-house staff intensivist coverage was associated with improved mortality rates and reduced length of stay, along with quicker decision-making and a positive trend in quality of end-of-life care. In two separate studies, researchers analyzed outcomes data prior to and after the implementation of the 24-h intensivist staffing model...
Trainee Presence During Endobronchial Ultrasound Increases Complications
Date: Oct-24-2012The presence of a trainee during endobronchial ultrasound (EBUS) may have negative implications, including increased procedure time and complications. Researchers from the University of Calgary retrospectively reviewed 607 EBUS procedures, of which a trainee was present for 512. Significant differences were seen when a trainee was present vs when no trainee was present for procedure length (58.32 vs 37.69 min) and for the dose of propofol used (178.28 vs 137.11 mg). In addition, more complications were seen in the trainee group (24 vs 1)...
Self-Application Of Electrical Stimulation At Acupressure Points May Relieve Stomach Woes For Diabetics
Date: Oct-24-2012Diabetic patients who suffer from a common complication of diabetes called gastroparesis may find that chronic electrical stimulation (ES) at specific acupuncture points could relieve gastroparesis symptoms such as nausea, vomiting, early satiety, abdominal fullness, upper abdominal pain and bloating, according to study results unveiled at the American College of Gastroenterology's (ACG) 77th Annual Scientific meeting in Las Vegas...
Pulmonary Embolism May Be Diagnosed Following Fainting After Air Travel
Date: Oct-24-2012Fainting after recent air travel could be a sign of pulmonary embolism (PE), a potentially fatal blockage in the lungs. Syncope or fainting is an uncommon symptom of pulmonary embolism; however, new research presented at CHEST 2012, the annual meeting of the American College of Chest Physicians (ACCP), found that fainting associated with recent air travel may be a key indicator for PE diagnosis. Fainting as a precursor to PE diagnosis was also associated with a saddle embolism, a larger and more life-threatening form of PE, as well as more abnormal ECG readings...
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