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Anesthesia & Analgesia: January 2016 – Volume 122 – Issue 1 – p 173–185 Egal, Mohamud MD et al BACKGROUND: We investigated whether resuscitation protocols to achieve and maintain urine output above a predefined threshold—including oliguria reversal as a target––prevent acute renal failure (ARF). METHODS: We performed a systematic review and meta-analysis using studies found […]
Read MoreAnesthesia & Analgesia: October 26, 2015 Prin, Meghan MD et al BACKGROUND: Pruritus is a common side effect of intrathecal fentanyl or sufentanil that decreases patient satisfaction and may delay hospital discharge. There are conflicting reports about the efficacy of prophylactic ondansetron in reducing the incidence of pruritus. This meta-analysis aimed to assess the effect […]
Read MoreAnesthesia & Analgesia: January 2016 – Volume 122 – Issue 1 – p 219–225 Triffterer, Lydia MD et al BACKGROUND: Perioperative hypothermia is a common problem, challenging the anesthesiologist and influencing patient outcome. Efficient and safe perioperative active warming is therefore paramount; yet, it can be particularly challenging in pediatric patients. Forced-air warming technology is […]
Read MoreThe opioid tramadol is an effective analgesic for patients with clinically suspected acute appendicitis, according to the results of a prospective study presented at the 2015 Annual Meeting of the American College of Surgeons (ACS). “Tramadol…can provide significant reduction in abdominal pain and tenderness without altering the diagnostic confidence of the surgeon…in patients with suspected […]
Read MoreAuthors: Friedman BW et al. JAMA 2015 Oct 20. Neither cyclobenzaprine nor opioids are helpful as adjuncts to naproxen therapy for low back pain. Cyclobenzaprine (Flexeril) is a tricyclic antidepressant that is viewed as having “muscle relaxant” properties, even though it has no effect on motor neurons or skeletal muscle. Opioids act at the mu receptor […]
Read MoreAnesthesia & Analgesia: October 26, 2015 Tusman, Gerardo MD et al BACKGROUND: We sought to determine whether the response of pulmonary elimination of CO2 (VCO2) to a sudden increase in positive end-expiratory pressure (PEEP) could predict fluid responsiveness and serve as a noninvasive surrogate for cardiac index (CI). METHODS: Fifty-two patients undergoing cardiovascular surgery were […]
Read MoreAnesthesia & Analgesia: October 26, 2015 Brown, Rebecca BS et al BACKGROUND: It has been established that pain is frequently undertreated in children following outpatient surgery. Very few studies, however, have investigated this phenomenon in ethnically diverse populations. METHODS: This study included 105 families of children aged 2 to 15 years of Hispanic origin and […]
Read MoreAnesthesia & Analgesia: October 26, 2015 Miu Mihaela MD et al BACKGROUND: Surgical site infiltration with local anesthetic reduces analgesic requests in various types of surgeries. Because thyroid surgery may induce severe postoperative pain, we tested the hypothesis that ropivacaine surgical site infiltration would significantly decrease postoperative administration of morphine in patients undergoing thyroid surgery. […]
Read MoreThe American College of Chest Physicians has issued new guidelines on antithrombotic therapy for venous thromboembolism (VTE), including guidance on use of non-vitamin K antagonist oral anticoagulants. Among the recently changed or added recommendations, published in Chest: For patients without cancer who have deep vein thrombosis (DVT) of the leg or pulmonary embolism (PE), the guidelines […]
Read MoreCarol Peckham. Malpractice and Medicine: Who Gets Sued and Why? Medscape. Dec 08, The Scope of the Malpractice Problem Medscape surveyed almost 4000 primary care physicians and selected specialists to find out if and why they were sued and how the lawsuit affected their career and patient care decisions. Fifty-nine percent of respondents to the Medscape survey have been named in […]
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