Publications by authors named "Michael Savala"

Objective: The objective was to evaluate if buffered lidocaine decreases injection pain as compared to plain lidocaine for paracervical blocks during first-trimester outpatient surgical abortions.

Study Design: We conducted a randomized, double-blind, placebo-controlled trial among women undergoing outpatient uterine aspiration of a first-trimester pregnancy or an early pregnancy loss. Subjects received a paracervical block with either lidocaine 1% 20 mL or lidocaine 1% 18 mL plus sodium bicarbonate 8.

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COVID-19 pandemic is changing profoundly the obstetrics and gynecology (OB/GYN) academic clinical learning environment in many different ways. Rapid developments affecting our learners, patients, faculty and staff require unprecedented collaboration and quick, deeply consequential readjustments, almost on a daily basis. We summarized here our experiences, opportunities, challenges and lessons learned and outline how to move forward.

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Article Synopsis
  • A senior preparatory "boot camp" for 4th year medical students was evaluated to enhance their confidence and readiness for residency, focusing on specialty milestones and key professional activities.
  • The study involved 185 students over three academic years, showing significant confidence improvements in communication and specialty skills immediately after the boot camp and three months into residency.
  • The findings suggest that a multi-specialty approach can benefit both medical students and faculty, highlighting the need for future research on student competency in specialty skills.
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Objective: To estimate whether routine use of intravenous oxytocin decreases the frequency of interventions to control excess blood loss during dilation and evacuation (D&E).

Methods: In this multisite, randomized, double-blind, placebo-controlled trial, women undergoing D&E at 18-24 weeks of gestation received 30 units of oxytocin in 500 mL of intravenous fluid or 500 mL of intravenous fluid alone initiated on speculum placement. The primary outcome was the frequency of interventions to control excess bleeding.

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