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The US Food and Drug Administration’s (FDA’s) recent announcement that it would re-evaluate its labeling and review policies for opioids seems to be largely a political move designed to fend off congressional critics, say pain management and addiction medicine specialists. The agency’s action plan, announced on February 4, included a call for a re-examination of the risk-benefit […]
Read MoreAnesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 753–757 AUTHORS: Turkstra, Timothy P. MD, MEng, FRCPC et al BACKGROUND: The GlideScope videolaryngoscope is an intubating device routinely used by anesthesiologists for tracheal intubation. It is occasionally difficult to advance the endotracheal tube (ETT) into the trachea, despite a good view […]
Read MoreAnesthesia & Analgesia: January 14, 2016 AUTHORS: Frederick, Heather J. MD et al BACKGROUND: The cause of emergence agitation (EA) in children is unknown. Rapid emergence from inhaled anesthesia has been implicated because EA is more common with sevoflurane than with halothane. A dose-dependent effect of sevoflurane, which increases seizure-like electroencephalogram activity, has also been […]
Read MoreAnesthesia & Analgesia: January 14, 2016 AUTHORS: Gulec, Ersel MD et al BACKGROUND: Dexamethasone has been shown to cause inhibition of sugammadex reversal in functionally innervated human muscle cells. In this prospective, double-blind, randomized, controlled study, we evaluated the effect of dexamethasone on the reversal time of sugammadex in children undergoing tonsillectomy and/or adenoidectomy. METHODS: […]
Read MoreAnesthesia & Analgesia: January 14, 2016 AUTHORS: Henshaw, Daryl S. MD et al BACKGROUND: Unicondylar knee arthroplasty (UKA) is a commonly performed procedure with significant expected postoperative pain. Peripheral nerve blocks are 1 analgesic option, but some approaches may decrease quadriceps motor strength and interfere with early ambulation. In this study, we compared the analgesia […]
Read MoreEpidural steroid injections cut medical spending by 16.4% in some patients with low back pain, a new study suggests. The award-winning research presented here at the American Academy of Pain Medicine (AAPM) 2016 Annual Meeting found that these injections, which have been shown to improve pain and disability in patients with low back pain, were […]
Read MoreAnesthesiology published on 02 2016 Authors: Antoine Monsel, M.D., M.Sc. et al Background: Patients undergoing major vascular surgery often develop postoperative pneumonia that impacts their outcomes. Conflicting data exist concerning the potential benefit of tapered-shaped cuffs on tracheal sealing. The primary objective of this study was to assess the efficiency of a polyvinyl chloride tapered-cuff endotracheal tube […]
Read MoreWide variations in the use, practices, and complications involving peripherally inserted central catheters (PICCs) were seen across 10 hospitals in a quality-control network in Michigan, researchers reported. Depending on the facility, difficult venous access was responsible for only 10% of PICCs in some hospitals, but up to 64% in others, and complication rates also ranged […]
Read MoreCompared with their younger counterparts, older anesthesiologists have similar patient outcomes, but their practice patterns differed. The number of major adverse events was similar among older and younger anesthesiologists, but older anesthesiologists were more likely to perform shorter outpatient surgical cases requiring monitored anesthesia care, and they did so on healthier patients during normal daytime […]
Read MoreNearly all the patients with low back pain referred by their general practitioner for a lumbar magnetic resonance imaging scan (MRI) had abnormal findings on the imaging, with seven in 10 showing disc herniation, according to a prospective cohort study published in December 8 in Family Practice. “International and Dutch guidelines recommend the use of imaging only […]
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