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Authors: Donnino MW et al., BMJ 2014 May 20; 348:g3028 Inpatients who experience nonshockable cardiac arrest are more likely to survive when epinephrine is administered early. A large and increasing percentage of patients with cardiac arrests exhibit initial nonshockable rhythms (asystole or pulseless electrical activity [PEA]; 82% in 2009 vs. 69% in 2000; NEJM JW […]
Read MorePublished in Anesth Analg. 2014 May;118(5):981-6 Authors: Short TG et al., BACKGROUND: Deep general anesthesia has been associated with increased mortality in 5 observational studies. The association may be causal or an epiphenomenon due to increased anesthetic sensitivity in high-risk patients. We conducted a pilot study to assess the feasibility of performing a definitive randomized […]
Read MoreAdults with migraine have an increased risk for ischemic silent brain infarction relative to their migraine-free peers, a new study confirms. “Migraine is a neurovascular condition of the brain, with a small increased risk of silent brain infarctions, a risk factor for clinical stroke,” lead author Teshamae Monteith, MD, assistant professor of clinical neurology and […]
Read MoreThis is important because decreasing length of stay can make the anesthesia department more important to the hospital’s administration. Miller TE, Thacker JK, White WD, et al; Enhanced Recovery Study Group Anesth Analg. 2014;118:1052-1061 Study Summary This study investigated the feasibility, clinical effectiveness, and cost savings of a multimodal approach to enhanced recovery after surgery, […]
Read MoreThe color of a person’s eyes may predict how that person responds to pain. “There may be certain phenotypes that predict or indicate a person’s response to pain stimuli or drug treatment for pain,” Inna Belfer, MD, PhD, from the University of Pittsburgh School of Medicine in Pennsylvania said. “Human pain is correlated with multiple […]
Read MorePayers and hospitals both expect fee-for-service to dramatically decrease over the next five years, according to a new study commissioned by McKesson and conducted by ORC International. The study, titled The 2014 State of Value-Based Reimbursement, was based on survey responses from 114 payers and 350 healthcare providers. The study found 90 percent of payers […]
Read MorePublished in Allergy. 2014 Jul;69(7):954-9. Authors: Reitter M et al BACKGROUND: Anaphylactic reactions to neuromuscular blocking agents (NMBAs) can be severe and even fatal. Our aim was to evaluate mortality rate in France from anaphylactic reactions to NMBAs, to identify risk factors for a fatal outcome, and to describe management of the cases that proved […]
Read MorePublished in Anaesth Intensive Care. 2014 May;42(3):365-70 Authors: Ogurlu M et al. Abstract There is some evidence that propofol may reduce acute postoperative pain; however, the results are inconsistent. Furthermore, there is a paucity of information about the type of anaesthesia and chronic pain. This study was designed to evaluate the hypothesis that propofol reduces […]
Read MorePublished in Ophthal Plast Reconstr Surg. 2014 Apr 25 Authors: Samimi DB et al. PURPOSE: To introduce an elastomeric continuous infusion pump for pain control after outpatient orbital implant surgery. METHODS: Retrospective, noncomparative consecutive case series of all patients undergoing enucleation, evisceration, or secondary orbital implantation using the On-Q pain system between August 2004 and […]
Read MorePublished in Clin Orthop Relat Res. 2014 May;472(5):1400-8 Authors: Reinhardt KR et al BACKGROUND: Pain management after TKA remains challenging and the efficacy of continuously infused intraarticular anesthetics remains a controversial topic. QUESTIONS/PURPOSES: We compared the side effect profile, analgesic efficacy, and functional recovery between patients receiving a continuous intraarticular infusion of ropivacaine and patients […]
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