CEUS accurately confirms central venous catheter placement | CDC reports racial disparities in breast milk use in NICUs | Study: NCPAP better than hood oxygen for infants with MAS
December 8, 2017
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CEUS accurately confirms central venous catheter placement
A meta-analysis in the Journal of Ultrasound in Medicine found that contrast-enhanced ultrasound imaging is safe and effective for confirming the location and placement of internal jugular or subclavian central venous catheters in adults. CEUS confirmed central venous catheter placement with a 92.1% positive predictive value and a 98.5% negative predictive value, but it was only 72% sensitive in ruling out misplacement.
Health Imaging online (12/5) 
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CDC reports racial disparities in breast milk use in NICUs
CDC researchers found that hospital NICUs in areas with higher percentages of black residents had reduced use of mother's breast milk and donor milk, compared with NICUs in areas with lower percentages of black residents. The findings in the agency's Morbidity and Mortality Weekly Report suggest that disparities in breast milk use in NICUs may be due to differences in hospital policies, health care personnel, maternal knowledge and information access, and hospital proximity to donor milk banks, researchers said.
MedPage Today (free registration) (12/7) 
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Neuroscience in Intensive Care International Symposium
The 2018 conference will include cutting-edge research on Coma and Consciousness in Medicine. Topics include: Artificial Intelligence, Neuroanatomical Systems, Human Models of Impaired Awareness, Brain Injury, Brain Computer Interfaces for DOC, Therapeutic Opportunities and Techniques Used in Consciousness Research. Register here.
Medicine in the News
Congress approves short-term spending bill with temporary CHIP funding
House and Senate lawmakers voted Thursday to approve a short-term spending bill that would fund federal programs through Dec. 22, preventing an immediate government shutdown. The legislation, which goes to President Donald Trump for his expected signature, includes funding for several states running out of money for the Children's Health Insurance Program.
PBS/The Associated Press (12/7),  USA Today (12/7) 
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US health care spending grew at slower rate last year, CMS finds
US health care spending grew at slower rate last year, CMS finds
(Franck Fife/AFP/Getty Images)
An analysis from the CMS Office of the Actuary showed growth in US health care spending slowed last year, increasing by 4.3% to $3.3 trillion, compared with 5.1% growth in 2014 and 5.8% in 2015. The decline was driven by slower enrollment growth in government and private health insurance programs, which resulted in decelerated use of medical services, according to the report.
Healthcare Finance News (12/6),  Reuters (12/6),  HealthLeaders Media (12/6) 
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Trends and Technology
Fitbits help predict readmission risk for surgical patients
Using Fitbits to track patient steps after surgery was an effective way to predict 30- and 60-day readmissions, according to a study in the Annals of Behavioral Medicine. Fitbits were given to patients upon transfer to an ICU, and researchers found higher step counts during inpatient recovery were linked to lower readmission risks.
Clinical Innovation + Technology online (12/6) 
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Nurses wear sensors so researchers can study ICU workflow
University of Missouri researchers studied the workflow of ICU nurses by having them wear Near Field Electromagnetic Ranging system sensors during their shifts. Engineering professor Jung Hyup Kim says workflow problems or heavy workloads detected by the tracking system can be addressed to help nurses perform their duties better and safer.
MobiHealthNews (12/6) 
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What counts is not necessarily the size of the dog in the fight -- it's the size of the fight in the dog.
Dwight D. Eisenhower,
34th US president
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