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Roger Chou, MD, Charles E. Argoff, MD Editor’s Note: As part of its effort to facilitate responsible opioid prescribing, the American Academy of Addiction Psychiatry(AAAP) hosts a listserv where clinicians can submit clinical questions and receive responses from a rotating panel of pain experts. In conjunction with the AAAP, Medscape has selected 10 of the […]
Read MoreI wanted to share this due to we might see these patients in surgery. Authors: Romero-Gómez M et al., J Hepatol 2015 Feb 62:437 This review article stresses the importance of providing intensive care, identifying precipitating events, and administering selective treatments. Hepatic encephalopathy (HE) is one of the major complications of cirrhosis, and recent evidence […]
Read MorePublished in The Journal of the American Society of Anesthesiologists on 1 2015. Authors: Warwick D. Ngan Kee, M.B.Ch.B., M.D., F.A.N.Z.C.A., F.H.K.A.M. et al Background: During spinal anesthesia for cesarean delivery, phenylephrine can cause reflexive decreases in maternal heart rate and cardiac output. Norepinephrine has weak β-adrenergic receptor agonist activity in addition to potent α-adrenergic […]
Read MoreFor patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]
Read MoreDaniel J. Clauw, MD, Philip J. Mease, MD, Bret S. Stetka, MD Editor’s Note: In response to a number of recent advances in the understanding, diagnosis, and management of fibromyalgia (FM), Medscape recently spoke with Daniel J. Clauw, MD, Professor of Anesthesiology, Medicine (Rheumatology), and Psychiatry at the University of Michigan; and Philip J. Mease, […]
Read MorePublished in Current Opinion in Anaesthesiology: February 2015 – Volume 28 – Issue 1 – p 2–9 Authors: Kozian, Alf et al Purpose of review: The mean age of patients presenting for thoracic surgery is rising steadily, associated with an increased demand for thoracic surgical treatments by geriatric patients. With increasing age, physiologic changes and […]
Read MorePublished in International Anesthesiology Clinics: Winter 2015 – Volume 53 – Issue 1 – p 87–106 Authors: Guercio, Jason R. MD, MBA et al Therapeutic interventions unique to the neuroradiology suite include the endovascular treatment of cerebral aneurysms, arteriovenous malformations (AVM), acute thromboembolic disease, cerebral vasospasm, and extracranial and intracranial cerebrovascular atherosclerotic disease. A recent […]
Read MorePublished in Clinical Journal of Pain:February 2015 – Volume 31 – Issue 2 – p 97–107 Authors: Hodges, Paul W. PhD et al Abstract Movement is changed in pain. This presents across a spectrum from subtle changes in the manner in which a task is completed to complete avoidance of a function and could be […]
Read MorePublished in European Journal of Anaesthesiology:February 2015 – Volume 32 – Issue 2 – p 106–116 Authors: Stevanovic, Ana et al BACKGROUND: Desflurane’s short emergence time supports fast track anaesthesia. Data on the rate of upper airway complications and emergence time when desflurane is used with laryngeal mask airway (LMA) are controversial and limited. OBJECTIVES: […]
Read MorePublished in Regional Anesthesia & Pain Medicine:January/February 2015 – Volume 40 – Issue 1 – p 22–30 Authors: Ringold, Forrest G. MD et al Background and Objectives: This study evaluates the efficacy and safety of a sufentanil sublingual tablet system (SSTS) for the management of postoperative pain following open abdominal surgery. Methods: At 13 hospital […]
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