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J Crit Care. 2016 Feb;31(1):31-5 AUTHORS: Rose L et al PURPOSE: The purpose was to describe characteristics and outcomes of restrained and nonrestrained patients enrolled in a randomized trial of protocolized sedation compared with protocolized sedation plus daily sedation interruption and to identify patient and treatment factors associated with physical restraint. METHODS: This was a post […]
Read MoreChildren who still have moderate to severe post-operative pain 1 month after a surgical procedure are at risk for deterioration of their health-related quality of life (HRQOL), according to a study published in the Journal of Pain. Severe post-surgical pain is common and can govern the stress response after surgery, which can result in delayed […]
Read MoreNewborns experience too much pain from routine medical procedures, especially premature infants with more intensive health needs, according to a policy statement by the American Academy of Pediatrics (AAP). Research suggests that repeated exposure to pain early in life can create changes in brain development and the body’s stress response systems that can last into […]
Read MorePatients in the PACU with a high risk for respiratory adverse events (RAEs) should be monitored for both noninvasive end-tidal carbon dioxide (CO2) and pulse oximetry using the Integrated Pulmonary Index (IPI), a new study suggests. RAEs can lead to increased duration in the PACU and greater medical costs, or a transfer to the ICU […]
Read MoreAnesthesiologists should consider using a larger Ring, Adair and Elwyn (RAE) tube for patients with diagnosed obstructive sleep apnea (OSA) to prevent dislodgment during surgery, a new study suggests. Obstructive sleep apnea is characterized by repetitive narrowing or collapse of the upper airway during sleep. Although the “precise mechanism of pharyngeal collapse is unclear,” it […]
Read MoreSniffing isopropyl alcohol may be a cheap and effective way to relieve nausea among emergency department patients, a recent study suggests. Researchers from the San Antonio Uniformed Services Health Education Consortium conducted a randomized, double-blind, placebo-controlled study to test the efficacy of inhaled isopropyl alcohol for relieving nausea and pain versus placebo. The 80 patients […]
Read MoreAn elderly patient’s lactate level measured at the point of hospital admission does not predict mortality and complications following a hip fracture, a new study suggests. Hip fracture is a serious condition in the elderly patient population: The rate of four-month mortality is approximately 20%, according to researchers from Lund University, in Sweden. More than […]
Read MoreOnce thought to be a pipe dream, stellate ganglion block has been demonstrated in many trials to improve post-traumatic stress disorder (PTSD), sometimes radically. A pilot study at the VA Long Beach Healthcare System and the University of California, Irvine (UCI) not only confirmed these findings, but has taken it one step further by investigating […]
Read MoreJay S. Han, BSc, MSc, MD Resident, Department of Anesthesiology University Health Network University of Toronto Toronto, Canada Joseph A. Fisher, MD, FRCP(C) Staff, Department of Anesthesiology and Pain Management University Health Network University of Toronto Toronto, Canada Endotracheal intubation remains the standard of care when definitive control of the airway is required.1 Unlike intubation in […]
Read MoreArch Orthop Trauma Surg. 2016 Mar;136(3):397-406. AUTHORS: Wiesmann T et al INTRODUCTION: Continuous femoral nerve blocks for total knee arthroplasty can cause motor weakness of the quadriceps muscle and thus prevent early mobilisation. Perioperative falls may result as an iatrogenic complication. In this randomised and blinded trial, we tested the hypothesis that a continuous adductor canal […]
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