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Anesthesia & Analgesia: April 22, 2016 AUTHORS: Gonzalez Fiol, Antonio MD et al BACKGROUND: Rarely, epidural catheters may fracture upon removal or insertion. Understanding some of the mechanical properties of epidural catheters, such as their tensile strength and how external factors (including temperature) can influence their strength, will aid physicians in making decisions if faced […]
Read MoreTo reach the CRC recommendation, the task force mainly considered CVD trials in which cancer was a secondary finding, because there were limited data specifically on the effects of aspirin on cancer. From 10 trials (N=103,787), the task force determined that the individuals who took aspirin had a slightly reduced risk for death compared with […]
Read MoreA new overview of approaches to analgesia and anesthesia in people undergoing total knee arthroplasty (TKA) leaves no stone unturned (J Am Acad Orthop Surg2016;24:60-73). In just 12 pages of text, diagrams and tables, Calin Moucha, MD, and two other experts from the Icahn School of Medicine at Mount Sinai, in New York City, review […]
Read MoreThe US Food and Drug Administration (FDA) has proposed a ban on electrical stimulation devices (ESDs) used to treat self-injurious or aggressive behavior. The FDA says the devices “present an unreasonable and substantial risk to public health that cannot be corrected or eliminated through changes to the labeling.” ESDs give electrical shocks via electrodes attached to the […]
Read MoreSix in 10 US hospitals rated by Consumer Reports have cesarean delivery rates above the national target of 23.9% for low-risk deliveries set by the US Department of Health and Human Services, and one in six have rates that are higher than 33.3%. Overall cesarean delivery rates for low risk (nulliparous, term, singleton, vertex) pregnancies ranged from […]
Read MoreWhile anesthesiologists may use bench-marking for both quality improvement and marketing, the biggest incentive, according to Robert S. Lagasse, MD, is Medicare reimbursement, which has become increasingly tied to quality metrics. “Benchmarking will determine reimbursement rates,” said Dr. Lagasse, professor and vice chair for Quality Management and Regulatory Affairs at Yale School of Medicine, in […]
Read MoreAt the end of the day (and on the Ides of March, of all days), the Centers for Disease Control and Prevention’s (CDC’s) long-awaited advice to physicians faced with prescribing opioids for the treatment of chronic pain, in its “CDC Guideline for Prescribing Opioids for Chronic Pain-United States 2016,” is “don’t.” There are 12 recommendations […]
Read MoreA new “proliposomal” preparation of the local anaesthetic drug ropivacaine may provide a valuable new option for pain relief in some clinical situations, according to a study published in the journal Anesthesia & Analgesia. Proliposomal ropivacaine can deliver long-lasting pain relief with a single injection, with easier preparation and storage than current slow-release local anaesthetic […]
Read MorePatients undergoing staged bilateral total knee arthroplasty (TKA) can gain greater relief from tertiary hyperalgesia if treated with magnesium sulphate, according to a study presented here at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). “Administration of magnesium significantly reduced postoperative pain and the difference in pain intensity between the first and second […]
Read MoreA form of transcutaneous electrical neuro-stimulation is both effective and safe in relieving pain due to knee osteoarthritis, according to a study presented here at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). Dynamic electrical neuro-stimulation delivers weak (200 to 400 mkA) and low frequency (10 to 200 Hz) pulses of electricity to […]
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