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Authors: Webster L, Smith M, Mackin S, Iverson M Published in Pain Medicine (Oct 2014) OBJECTIVE To investigate effects of extended-release (ER) hydromorphone dosing time (morning, QAM; evening, QPM) on sleep physiology in patients with chronic low back pain. DESIGN Randomized, double-blind, placebo-controlled, crossover trial. SETTING Clinical research site. PATIENTS Fifteen patients with moderate-to-severe chronic low […]
Read MorePublished in Der Anaesthesist (Oct 2014) Authors: Zech N, Seemann M, Hansen E; Anesthetists have an impact on patients and healing processes not only through drugs, interventions and therapy but also significantly by their words and personality. A substantial part of observed side effects is caused by nocebo effects and negative suggestion, i.e. by the doctor […]
Read MorePublished in International Journal of Pediatric Otorhinolaryngology 78 (10), 1735-41 (Oct 2014) Authors: Tong Y, Ding X, Wang X, Ren H, Chen Z, Li Q OBJECTIVES Peri-operative ketamine peritonsillar infiltration in children can reduce the incidence of postoperative nausea and vomiting (PONV), but its postoperative analgesic time is short. A previous meta-analysis in 2011 was […]
Read MoreI thought this was interesting so I wanted to share it with our followers who treat chronic pain. Emergency departments generate fewer prescriptions for opioid analgesics and are less likely to prescribe high doses for relief of noncancer pain than office-based practices, a new study has found.”While we are sensitive to the need to develop […]
Read MoreEvents during surgery, especially intraoperative awareness, can lead to post-traumatic stress disorder (PTSD), investigators report. Healthcare-associated PTSD can also be triggered by a stay in the intensive care unit (ICU), the use of mechanical ventilation, and cardiac arrest, said Elizabeth Whitlock MD, from the University of California, San Francisco. However, “other than awareness, risk factors […]
Read MoreThere are at least 30 ways to grow patient satisfaction at your healthcare facility, but 10 key service standards should do the trick. Increasing patient satisfaction is challenging, but necessary to the success of a medical practice in an increasingly competitive healthcare marketplace. Identify low patient satisfaction scores and work as a team to design, […]
Read MoreIn patients undergoing noncardiac surgery after previous percutaneous coronary intervention (PCI) and stent implantation, the use of aspirin is unrelated to the occurrence of a major cardiac adverse event, a new study shows. Canadian investigators evaluated whether antiplatelet therapy decreases the incidence of cardiac adverse events in patients undergoing noncardiac surgery, and found the use […]
Read MorePublished in A&A Case Reports: 1 December 2014 – Volume 3 – Issue 11 – p 142–144 Authors: Curatolo, Christopher MD, MEM; Trinh, Muoi MD, MPH Patients receiving extended-release (XR) naltrexone who are having surgery present unique challenges to anesthesia providers, the most obvious of which is an altered response to the effects of opioid […]
Read MoreEtomidate is a hypnotic agent used for the induction of general anesthesia and is commonly used for rapid sequence intubation (RSI). Medications used in RSI can contribute to hypotension after intubation, which has been shown to be associated with increases in mortality. Although it has been reported that etomidate is associated with hemodynamic stability after […]
Read MorePostoperative delirium might be associated with cognitive decline 4 to 6 weeks after cardiac surgery, a rigorous analysis has shown. “The prevention of postoperative delirium may be a strategy for avoiding cognitive decline,” said lead investigator Charles Brown, MD, from the Johns Hopkins University School of Medicine in Baltimore. Dr Brown pointed out that delirium […]
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