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The Perioperative Surgical Home (PSH) is an effective clinical care delivery model that reduces medical costs, improves patient satisfaction and enhances clinical quality, according to Zeev Kain, MD, professor and chair, Associate Dean for Clinical Operations at the University of California, Irvine. There is currently a huge variability and lack of communication among surgical care […]
Read MoreJoseph Loskove, MD, is the chief of anesthesia for Memorial Healthcare System Patients designated as “difficult to intubate” (DTI) are more at risk for losing their lives during both emergency and routine surgeries. Surprisingly, it is not the difficult airway itself that is most life-threatening; modern medical technology allows physicians to intubate even the most […]
Read MoreKnee Surg Sports Traumatol Arthrosc. 2015 Jun Authors: Kim JY et al PURPOSE: Despite its effectiveness in other surgeries, studies on continuous epidural block in upper-extremity surgery are rare because of technical difficulties and potential complications. This study compared postoperative analgesic efficacy and safety of ultrasound-guided continuous interscalene brachial plexus block (UCISB) and fluoroscopy-guided targeted continuous cervical […]
Read MoreWorld J Surg. 2015 Jun 5 Authors: Ventham NT et al BACKGROUND: Intravenous (IV) lidocaine has analgesic and anti-inflammatory properties. This study aims to evaluate the efficacy of IV lidocaine in controlling postoperative pain following laparoscopic surgery. METHODS: A meta-analysis of randomised controlled trials (RCTs) comparing IV lidocaine versus placebo/routine treatment for postoperative analgesia following laparoscopic surgery. […]
Read MorePatients who complain of restless leg syndrome (RLS) often have pain as one of the common symptoms of the disorder and they often seek medical treatment for relief of that pain, researchers reported here at SLEEP 2015, the 29th Annual Meeting of the Associated Professional Sleep Societies (APSS). About 58% of adult patients were responders […]
Read MoreJAMA Otolaryngol Head Neck Surg. 2015 Jun 11. Authors: Albergotti WG et al IMPORTANCE: Supraglottoplasty is a common procedure performed without evidence-based postoperative management plans. Patients are routinely admitted to the intensive care unit (ICU) postoperatively, but this may not be necessary in all cases. OBJECTIVE: To determine (1) whether routine admission to the ICU after supraglottoplasty […]
Read MoreAnesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 206–218 Authors: Epstein, Richard H. MD et al BACKGROUND: The American Society of Anesthesiologists has embraced the concept of the Perioperative Surgical Home as a means through which anesthesiologists can add value to the health systems in which they practice. One key […]
Read MoreAnesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 167–171 Authors: Zanaty, Ola M. MD, PhD et al BACKGROUND: This study was designed to evaluate and compare the efficacy and safety of nebulized dexmedetomidine, nebulized ketamine, and the combination of these drugs for premedication in pediatric outpatient dental surgeries. METHODS: A […]
Read MoreAnesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 159–164 Authors: Lavoie, Anne MD et al BACKGROUND: Prophylactic administration of oxytocin as a part of active management of the third stage of labor reduces the risk of postpartum hemorrhage. Prophylactic oxytocin is often administered as an infusion rather than a bolus. […]
Read MoreAnesthesia & Analgesia: July 2015 – Volume 121 – Issue 1 – p 149–158 Authors: Heesen, Michael MD et al BACKGROUND: Patient-controlled epidural analgesia (PCEA) has gained popularity, but it is still unclear whether adding a background infusion confers any benefit. METHODS: A systematic literature search in PubMed, Embase, CINAHL, LILACS, CENTRAL, Clinicaltrials.gov, and ISI […]
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