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Early tracheotomy helps patients avoid ventilator-associated pneumonia, team finds

 E-Mail SAN ANTONIO Surgically opening the windpipe, or trachea, within the first seven days of the start of mechanical ventilation decreases the time patients spend on ventilators, shortens their ICU stay and lowers their risk of ventilator-associated pneumonia, according to a systematic review published Thursday (March 11) in JAMA Otolaryngology-Head & Neck Surgery. We analyzed the existing medical literature to unravel a question that is very pertinent to adult critical care, said senior author Alvaro Moreira, MD, MSc, of The University of Texas Health Science Center at San Antonio (UT Health San Antonio). At what point should surgeons open the trachea in critical care patients to most benefit them?

I Sang Through Labor to Manage the Pain

I Sang Through Labor to Manage the Pain Turns out, women have been singing, chanting and humming through childbirth for centuries. But can it actually provide relief? Credit.Lily Snowden-Fine March 9, 2021 Back in the summer of 2016, when I was about to give birth and enduring one debilitating contraction after another, I was struck with an idea: What if I were to sing through the agony? With a karaoke YouTube video pulled up on my husband’s phone, I began belting out lyrics to Jimmy Buffett’s “Margaritaville” straight from my hospital bed. “Nibblin’ on sponge cake,” I began singing, uncertain, wondering if I was in some sort of labor-induced mania. I kept going. By the end of “stepped on a pop top,” the waves of torment had somehow diminished. I wasn’t on pain medication, but I felt like I had been transported to a more calm, pleasant place where I wasn’t counting every second of discomfort as I had been. Time seemed to pass more quickly.

Health care use among undocumented patients

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