Trash-Talking Anesthesiologist Hit With Judgment; More

The walls have ears, as the saying goes, but so do sedated patients whose smartphones have been set to “record.” In a recently concluded malpractice trial, that fact not only cost a Maryland doctor some money but subsequently her job, as a June 23 story in the Washington Post reports. The case involved a Vienna, Virginia, man […]

Taxane modulation of anesthetic sensitivity in surgery for nonmetastatic breast cancer

Published in J Clin Anesth. 2015 May 30. pii: S0952-8180(15)00148-8 Authors: Linganna RE et al STUDY OBJECTIVE AND DESIGN: The mechanism of action of commonly used general anesthetics is largely unknown. One hypothesized mechanism is through modulation of microtubule stability. Taxanes, a subset of chemotherapeutic drugs known to alter microtubule stability and commonly used to treat breast […]

Pain in the Frail or Elderly Patient: Does Tapentadol Have a Role?

Published in Drugs Aging. 2015 Jun;32(6):419-26. Authors: Veal FC et al Abstract Persistent pain affects the elderly disproportionally, occurring in 50 % of elderly community-dwelling patients and 80 % of aged care residents. The management of pain in the elderly and frail patient is complicated because of the risks posed by changes in pharmacokinetics and pharmacodynamics, polypharmacy, and drug-disease […]

Liposomal-Encased Bupivacaine Offers Advantages in Breast Surgical Procedures

Liposomal-encased bupivacaine (LEB) is a good, cost-effective medical choice for pain control after breast surgery. Valerie Lemaine, MD, MPH, an assistant professor of plastic surgery and the vice chair for research at Mayo Clinic College of Medicine, Rochester, Minn., reviewed her experience at the 32nd Annual Miami Breast Cancer Conference. She noted that the drug […]

Q: Can Mechanically Ventilated Patients Self-Administer Sedatives? A: Yes

Despite obvious challenges in identifying appropriate candidates, mechanically ventilated patients can safely self-administer sedative medications using widely available infusion pumps, a research team has concluded. Although the researchers’ primary focus was not the efficacy of the patient-controlled sedation (PCS) system, they hope to delve deeper into outcomes in future studies. “For many years, the paradigm […]

Ultrasound-Guided Penile Nerve Block for Circumcision: A New, Modified Technique

M-Irfan Suleman, MD  All research for this report was undertaken while the author was: Assistant Professor of Anesthesiology Director of Pediatric Regional Anesthesia Department of Anesthesiology Arkansas Children’s Hospital and University of Arkansas for Medical Sciences Little Rock, Arkansas I describe here a new, modified, ultrasound-guided penile block for male pediatric patients undergoing circumcision. The […]

Tension-Type Headaches Linked to Neck Weakness

It appears that patients with tension-type headache (TTH) have relatively weak neck extension muscles, a new study shows. Researchers found that these patients are 26% weaker than controls with respect to neck extension muscles, that they have a 12% smaller extension/flexion ratio, and that they have a borderline significant difference in the ability to generate […]

Awake craniotomy to maximize glioma resection: methods and technical nuances over a 27-year period

Published in J Neurosurg. 2015 Apr 24:1-15. Authors: Hervey-Jumper SL et al OBJECT Awake craniotomy is currently a useful surgical approach to help identify and preserve functional areas during cortical and subcortical tumor resections. Methodologies have evolved over time to maximize patient safety and minimize morbidity using this technique. The goal of this study is to […]

Spinal and Nucleus Caudalis Dorsal Root Entry Zone Lesioning for Chronic Pain: Efficacy and Outcomes

Published in World Neurosurgery April 2015 Authors: Chivukula S et al BACKGROUND The role for nucleus caudalis (NC) and spinal dorsal root entry zone (DREZ) lesioning in the management of chronic pain emanating from increased electrical activity in the dorsal horn of the spinal cord and brainstem remains largely uncharted. METHODS All patients that underwent […]

Easy to Harm, Hard to Heal: Patient views about the Back

Published in Spine Mar 2015 Authors: Darlow B. et al STUDY DESIGN Qualitative interview study Objective. Explore attitudes, beliefs, and perceptions related to low back pain (LBP), and analyze how these might influence the perceived threat associated with back pain. SUMMARY OF BACKGROUND DATA Psychological factors which contribute to the perceived threat associated with LBP […]