Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ
Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ
US Presidential Commission on Health Care1. Extensive overuse of some services and underuse of others- 20% of surgeries and medical tests are unnecessary orinappropriate (e.g. about 80.000 unnecessaryhysterectomies/year)- About 33% heart attack victims do not get necessarybetablockers leading to 18.000 deaths/year2. Unacceptably high rate of medical errors- Every year about 180.000 people die and about 1 000.000 areinjured from medical mishaps3. Wide variations in patterns of care across USUSA TodayMarch 13, 1998
About 55 000 unnecessary C. Sections annually Survey of 100 obstetricians - half of all C. Sections not formedical reasons C. Section rate in many hospitals above 30 % (WHOrecommendations not higher than 15 %)
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- Page 5 and 6: Chronic postsurgical painGenetic pr
- Page 7 and 8: It´s not only nerve damage"Damage
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- Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
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- Page 18 and 19: Rowbotham D J Improves quality of o
- Page 20 and 21: Anesth Analg 2004;99:482-9595 37 RC
- Page 23: NewsweekApril 14, 2008
- Page 29 and 30: APS - Örebro modelPre-set goals•
- Page 31 and 32: To summarize...
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- Page 36 and 37: Persistent postsurgical painSummary
- Page 40 and 41: RCT, colon surgery, n = 85, 72 hour
- Page 42: Brennan T J, Kehlet HIn summary…
About 55 000 unnecessary C. Sections annually Survey of 100 obstetricians - half of all C. Sections not formedical reasons C. Section rate in many hospitals above 30 % (WHOrecommendations not higher than 15 %)
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