Caudal Bupivacaine Effective Analgaesic After Hip Replacement for Patients With Ankylosing Spondylitis

Administering bupivacaine in the caudal space (with or without morphine) provides sufficient postoperative analgaesia to patients with ankylosing spondylitis (AS) who undergo total hip arthroplasty, according to results of a prospective study presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Patients with AS present a challenge to anaesthesiologists, in that they […]

Dexmedetomidine Offers Safer Respiratory Profile Than Remifentanil, More Hypotensive Episodes

Dexmedetomidine hydrochloride produces less respiratory depression compared with remifentanil, during monitored anaesthesia care in patients with lung cancer undergoing endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), according to study results presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). Dexmedetomidine did, however, produce more hypotension after surgery, more use of local anaesthetics during […]

Incidence of Post-Operative Vision Loss is Rising

Diagnoses of post-operative vision loss (POVL), although rare, rose significantly after 2008 compared with previous years, according to study results presented at the 2015 Annual Meeting of the Canadian Anesthesiologists’ Society (CAS). “Patients are concerned about complications that are common and severe,” explained lead author Cameron Goldie, MD, University of Manitoba, Winnipeg, Manitoba, Canada, speaking […]

Assessing Frailty in Older Patients Helps Spot Risk for Readmission, Death

A scale that measures clinical frailty might help health care professionals assess which older hospitalized patients are at increased risk for readmission or death, according to researchers from the University of Alberta in Edmonton, Canada. Identifying vulnerable patients and addressing the factors contributing to readmission might help reduce recurrences, which are common and costly. However, […]

Keeping a Closer Eye on Post-Discharge Planning

Team-based patient outreach fuels success Regulatory and financial pressures are forcing hospitals to ramp up their post-discharge strategy initiatives. Some of the pressure is coming from the Affordable Care Act (ACA); Section 2717 requires that hospitals report the results of their efforts to prevent hospital readmissions. Whether it’s patient education and counseling, comprehensive discharge planning […]

PAin SoluTions In the Emergency Setting (PASTIES)–patient controlled analgesia versus routine care in emergency department patients with non-traumatic abdominal pain: randomised trial

BMJ 2015 Jun 21;350 Authors: Smith JE et al OBJECTIVE: To determine whether patient controlled analgesia (PCA) is better than routine care in providing effective analgesia for patients presenting to emergency departments with moderate to severe non-traumatic abdominal pain. DESIGN: Pragmatic, multicentre, parallel group, randomised controlled trial SETTING: Five English hospitals. PARTICIPANTS: 200 adults (66% (n=130) female), […]

PAin SoluTions In the Emergency Setting (PASTIES)–patient controlled analgesia versus routine care in emergency department patients with pain from traumatic injuries: randomised trial

BMJ 2015 Jun 21;350 Authors: Smith JE et al OBJECTIVE: To determine whether patient controlled analgesia (PCA) is better than routine care in patients presenting to emergency departments with moderate to severe pain from traumatic injuries. DESIGN: Pragmatic, multicentre, parallel group, randomised controlled trial. SETTING: Five English hospitals. PARTICIPANTS: 200 adults (71% (n = 142) male), aged […]

Transversus abdominis plane blockade in laparoscopic colorectal surgery: a double-blind randomized clinical trial

Int J Colorectal Dis, 2015 Jun 24 Authors: Smith SR et al INTRODUCTION: Adequate postoperative analgesia is essential for recovery following colorectal surgery. Transversus abdominis plane (TAP) blocks have been found to be beneficial in improving pain following a variety of abdominal operations. The objective of this study was to determine if TAP blocks are useful in […]

Electroconvulsive Therapy Under General Anesthesia With Cisatracurium, Laryngeal Mask Airways, and Bispectral Index

Published in JECT, 2015 Jun 12. Authors: Liu CC et al OBJECTIVES: Electroconvulsive therapy (ECT) has dramatically reduced musculoskeletal complications when carried out with muscle relaxants under general anesthesia. However, seizure quality can be affected by the depth of anesthesia and choice of anesthetic agent. The purpose of this study was to describe a general anesthetic technique […]

Arthroscopic Knee Surgery Shows No Long-term Benefit

The potential harms of arthroscopy to treat pain and poor functioning of a degenerative knee may outweigh the procedure’s small pain relief benefits, which last less than 1 to 2 years after surgery, according to a systematic review and meta-analysis published June 16 in the BMJ. “Arthroscopic surgery in the middle aged and older population with […]