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World J Gastroenterol. 2015 Nov 21; 21(43): 12448–12456. Authors: Samira M Sadowski et al AIM: To study the safety of epidural anesthesia (EA), its effect on pancreatic perfusion and the outcome of patients with acute pancreatitis (AP). METHODS: From 2005 to August 2010, patients with predicted severe AP [Ranson score ≥ 2, C-reactive protein > […]
Read MoreAbout 1 in 20 patients who undergo emergency general surgery (EGS) find themselves back in a hospital within 30 days, according to a study published in JAMA Surgery. In addition, patients with high comorbidity scores were 2.26 times more likely to be readmitted than those with low scores, and one in five readmitted patients went to a different […]
Read MoreRacial disparities exist in how children are treated for moderate and severe pain. Several studies have documented racial inequality in pain treatment among hospitalized adults. However, according to findings from a receivent study (JAMA Pediatr Sep 14, 2015. doi:10.1001/jamapediatrics.2015.1915, black children are less likely to receive any pain medication for moderate pain or opioids for severe […]
Read MoreA novel methodology for identifying the sciatic nerve before blockade has been developed. That task is often challenging, particularly in morbidly obese patients. Blockade of the sciatic nerve, necessary for complete analgesia of the lower extremity using peripheral nerve blocks, usually relies on ultrasound to identify the sciatic nerve; however, ultrasound is technically difficult in […]
Read MoreOlder women appear to be at higher risk than older men for deterioration in neurologic and cognitive functioning as well as ventricular brain volumes following the administration of general anesthesia and surgery. That was the conclusion of a study that tracked cognitive aging in more than 500 elderly people over time. Elderly women and men […]
Read MoreNearly half of the observed surgeries and approximately 5% of perioperative medication administrations included a medication error (ME) and/or adverse drug event (ADE), according to a prospective study. This observed rate is much higher than rates reported previously from retrospective surveys. In addition, the new study showed that not only did all of the MEs […]
Read MoreAuthors: McCarthy ML et al., Ann Emerg Med 2015 Oct 13; A large trial shows that ultrasound helps with moderate or difficult anticipated IV access when lines are placed by emergency department technicians. Multiple small studies since 2005 have shown that ultrasound guidance improves success of peripheral intravenous (IV) line placement when access is difficult. These researchers […]
Read MorePatients who are given brochures about their anesthesia options in advance of a procedure are more involved in the process than those provided no information, a new study shows. “If you give patients information in the clinic about choices, they are more likely to discuss them and talk to their anesthesiologist on the day of […]
Read MoreDuring hip and knee replacement surgery, black and Hispanic patients are less likely to receive regional anesthesia than white patients, new research suggests. This disparity could put these groups at greater risk for serious complications, including death, said Crispiana Cozowicz, MD, from Paracelsus Medical University of Salzburg in Austria. “In the past few years, evidence […]
Read MoreA US Food and Drug Administration (FDA) panel voted unanimously to recommend sugammadex (Bridion, Merck) for reversal of moderate or deep neuromuscular blockade induced by rocuronium or vecuronium during surgery. The Anesthetic and Analgesic Drug Products Advisory Committee also voted 13 to 1 that the company has presented sufficient information to characterize the risk for […]
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